Exhibit A – Side 1
Determination of Eligible Basis and Project Fraction.

Minnesota Housing HTC #               Page       of      
Form 8609	Complete this for Building 1	Complete this for Building 2	Complete this for Building 3	Complete this for Building 4	Total	
Box A
Project Name
Address of Building 
(Street, City & Zip)	     	     	     	     		
Box C
- Owner's Name and Address
- Owner's tax ID number	     
     					
Box E
Building I.D. Number (BIN)
Assigned by Minnesota Housing on Carryover Agreement	     	     	     	     		
Line 1a
Not used.						
Line 1b 
Not used.						
Line 2
Not used.						
Line 3a
Not used.						
Line 3b
Not used.						
Line 4
Not used.						
Line 5
Placed-in-Service date 	     	     	     	     		
Line 6 
check the appropriate boxes:
a.	Newly constructed and federally subsidized
b.	Newly constructed and not federally subsidized
c.	Existing building
d.	Sec. 42(e) rehabilitation expenditures federally subsidized
e.	Sec. 42(e) rehabilitation expenditures not federally subsidized
f.	Not federally subsidized by reason of 40-50 rule under sec. 42(i)(2)(E)
g.	Allocation subject to non-profit set-aside under sec. 42(h)(5)	

a 

b 

c 
d
 
e

f

g	

a 

b 

c 
d
 
e

f

g	

a 

b 

c  
d 

e

f

g	

a 

b 

c 
d 

e

f

g		

Exhibit A-Side 2
Determination of Eligible Basis and Project Fraction.

	Complete this for Building 1	Complete this for Building 2	Complete this for Building 3	Complete this for Building 4		
Determination of Targeted Applicable Fraction		
Not Used.						

Eligible Basis		
Eligible Basis by building	$     	$     	$     	$     		

Determination of Economic Integration/Minimum Set-Aside Fraction	
PROJECT FRACTION:

Project fraction must be consistent with the selected Economic Integration percentage and must meet or exceed the selected Minimum Set-Aside Threshold.	Show number of low income units in the project divided by total number of units in the project.  Do not include common space unit, if any

	      /        =         
      ( e.g.    50  / 59               =       .8475 )	

I certify that to the best of my knowledge and belief the above information on Page 1 and Page 2 of this Exhibit A is true and correct. 

Authorized Signature: ___________________________________________________________________________________ Date: _________________________