Revised 11/1/18
For Calendar Year Ending 12/31/2019
NEW JERSEY HOUSING AND MORTGAGE FINANCE AGENCY
LOW INCOME HOUSING TAX CREDIT
ANNUAL PROJECT CERTIFICATION
for
Projects in the Supportive Housing Cycle or with Set-Aside Special Needs Units
This property, in receiving its allocation of low income tax credits, was selected in part due to the
commitment on the part of the owner to provide services to special needs residents living in this property.
As part of NJHMFA monitoring, we are requesting the owner to complete and submit the following
information:
LITC #:
Project Name:
Project Address:
Credit Year: Special Needs Population:
Number of Set-Aside units: ________________________________________________________
Attach the following information:
a. Job description for onsite service coordinator
b. Name of organization that provides service coordination
b. Number of hours per week on-site service coordinator works
c. Monthly newsletters/calendar of events (please include at least 3 monthly newsletters/calendars)
Check the following services being provided to the residents:
After School Programs Adult Day Care
Health Promotion Programs Health Care Services/Treatment, Follow-Up
Job Training Personal Care/Housekeeping
Meals Program Transportation
Financial Management Training/Counseling
Crisis Intervention (24 hours/7 days) Onsite/offsite education
Other (specify):
For each of the services being provided to the residents, attach the following information and
include any supporting documentation such as flyers and sign-sheets:
a. Name of organization that provides this service
b. Cost of the service and who pays for service (tenant-paid, free of charge, etc.)
c. Frequency of the service being provided
d. Number of residents that are served at the frequency of service being provided (monthly,
quarterly, etc.)
Please be aware that all information provided is required for NJHMFA LIHTC monitoring and is strictly
confidential. Copies of contracts with Social Service Providers must be maintained along with other
project records and must be furnished upon request by NJHMFA. During the on-site visit, NJHMFA
personnel may wish to review files in regard to services and speak to various participants regarding the
special needs components of the project.
