Forms

Each of the programs that the North Carolina Housing Finance Agency monitors has the following forms associated with it.

Low Income Housing Tax Credit

Effective January 1, 2007, NCHFA will require the use of a limited number of forms for all developments monitored by NCHFA, including those with an allocation of tax credits. The number of required forms will be kept to a minimum. While not required, several other forms were created to address documentation issues. Many forms in the market place do not collect enough information to accurately determine whether households qualify under the housing program’s income restrictions. These “Best Practice Forms” were designed to collect information necessary to facilitate the determination of eligibility. A third category of forms has been created and provided for general use.

On all of the NCHFA forms the social security number of individuals has been removed. NCHFA understands that in order to comply with federal laws governing the LIHTC program you may be required to provide a third party with personal information such as a social security number (i.e., to obtain a credit report). However, all material transmitted to NCHFA must have an individual's social security number or other personal information redacted.

Required Forms:

Tenant Income Certification (Excel)
Tenant Income Certification (pdf)
Employment Verification
Under $5,000 Asset Certification

Other Project Required Forms

Owner's Certification of Continuing Program Compliance (Excel)
Owner's Certification of Continuing Program Compliance (pdf)
Annual Compliance Activity Report (Excel)
Annual Compliance Activity Report (pdf)
Recertification Waiver Information Package (pdf)
Supportive Services Monitoring Checklist (pdf)

Best Practice Forms

Certification Questionnaire
Alimony/Child Support Affidavit
Asset Verification
Lease Addendum for LIHTC Properties
Pension Income Verification
Student Status Verification
Zero Income Affidavit

Additional Forms

Affidavit of Marital Separation Status
Clarification Statement
Companion Animal Request Verification
Employment Termination Verification
Landlord Reference Form
Lease Addendum for Drug Free Housing
Lease Addendum for Smoke Detectors
Live-In Care Attendant Affidavit
Live-In Care Attendant Verification
Non-Employment Affidavit
Public Assistance Verification
Real Estate Verification
Recurring Gift Verification
Self-Employment Affidavit
Student Status Affidavit
Unemployment Benefits Verification

Rental Production Program Loans (RPP)

(Also see Tax Credit forms)

Rent Increase Worksheet

DHHS Targeting Plans and Key Program Assistance

Certain LIHTC properties participate in one or both of these programs. Listed below are forms and resources for property managers and lead service agencies.

Program Procedures and Requirements
Support Coordinator Contact Information
Targeting Plan Template
Letter of Referral
Checklist for Initial Funding and Move-Ins
Direct Deposit Authorization
Owner Agreement to Participate
Rent and Subsidy Calculation Worksheet
Rent and Subsidy Calculation Worksheet 2008
Payment Requisition
Termination Notice
IRS Form W-9