State Housing Tax Credit Program and Contribution Fund
Certification Form
Effective July 2024
Instructions: Applicants must complete, sign and submit this Certification Form with their application for State Housing Tax Credit Program and Contribution Fund (SHTC Contribution Program) funds.
Environmental Issues
I (We) certify that any known environment issues, and issues discovered during project construction, will be mitigated in accordance with all local, state and federal laws. 
Building Standards
I (We) certify that the developer, architect, general contractor and all other parties will adhere to the local building code. If an eligible project area does not have a local building code, I (We) certify that the developer, architect, general contractor and all other parties will adhere to the state of Minnesota building code.
Compliance with Local, State and Federal Laws
I (We) certify that the project will be completed in accordance with all local, state and federal laws, as well as applicable Minnesota Housing policies. This includes, but is not limited to, compliance with visitability requirements contained in Minnesota Statute 462A.34 and state prevailing wage requirements under Minnesota Statutes 116J.871 and Minnesota Statutes Chapter 177, if applicable.
Disqualified Individuals and Disqualified Businesses
Prior to receiving an award of funds, all Recipients are required to complete the attestation that they are not a Disqualified Individual or Disqualified Business as described in Section 8.01 of the Program Guide. In certain circumstances, an Attorney Opinion Letter stating the Recipient is not disqualified and meets the requirements of the applicable statutes to receive funds from the program may be required. 
Signature
I (We) hereby certify that the information contained in this application, inclusive of all checklist items completed by third parties and/or all members of the development team, is true, correct and complete to the best of my (our) knowledge as of the date indicated on this Certification Form. I (We) understand that any misrepresentations and/or fraudulent information made in this application may result in Minnesota Housing rejecting the application or revoking the award and may bar me (us) and related parties and entities from future eligibility in submitting to Minnesota Housing applications for funding. In addition, Minnesota Housing may seek any available legal remedies. I (We) will promptly notify Minnesota Housing in writing of a change in any fact or circumstance represented in this Certification Form, or in any other document furnished in connection with the application, which is reasonably likely to have a material effect on the information contained in the application.
The application is in accordance with the terms and conditions contained in the Minnesota Housing SHTC RFP Application Instructions, the SHTC Contribution Program Guide and the SHTC Contribution Program Self-Scoring Worksheet for the applicable year.
I (We) acknowledge that some information provided in this application may be or become public data, which is accessible to the public pursuant to the Minnesota Government Data Practices Act (Minnesota Statutes, Chapter 13).
     
Applicant Printed Name
     	     
Authorized Signatory Signature	Authorized Signatory Title
     	     
Authorized Signatory Printed Name	Date