Instructions: The owner or the property management company completes this form. Retain the form for your files and submit a copy to your assigned housing management officer. Check one of the following to indicate who is completing this form. 

Owner  	Property Manager  

General Information	
Development Name	     	D#     	
Owner/Property Manager Name (completing this form) 	     	
Owner/Property Manager Telephone Number 	     	
Owner/Property Manager Email Address 	     	

Supervising or Regional Property Manager for this Site 	
Date supervising/regional property manager began managing this site (month/year):      	
Contact information for supervising/regional property manager: Phone        Email      	
Supervising/regional property manager is responsible for overseeing       developments and       units. 	
Number of employees overseen by the supervising/regional property manager:       	
Distance from property manager’s main office to development site (in approximate miles):      	

Site Information 	
Site manager name:      	Site manager since (month/year):      	
Site office hours:        	Total number of site employees:      	
Total number of FTE (full-time) positions:      		

Turnover Information
1.	Number of total units that are currently vacant:      

2.	Total number of days a unit is vacant:      

3.	Average number of days or ready time to turn a unit:      

Property Questions	
4.	Do you anticipate a loss in income/revenue for next year (e.g., operating subsidy expiring HUD funds not awarded)?
 Yes	 No
If yes, briefly describe what is expiring, not being awarded, etc.      

5.	How often do you conduct unit inspections?      

6.	Do you have a system for additional inspections if the unit does not pass?       

7.	Do you have a calendar or schedule of funder reports you need to submit every year? 
 Yes	 No

8.	Do you have any questions regarding Minnesota Housing reporting requirements?
 Yes	 No
If yes, write your questions here.      

Incident Reporting/Calls to Police
Provide a summary copy of police reports from the past 12 months.

9.	In what form do you receive police reports (email; paper)?      

10.	How often do you receive them, and how and what is the process for addressing concerns? Briefly describe the process.      

11.	Who receives notification if police are called to the property?      

12.	Do you have an incident reporting system (ways you respond to reports from staff, security, and police calls)? 
 Yes	 No
If yes, briefly describe the process.      

Tenant Selection Plan
Due to changes in Minnesota Housing’s Tenant Selection Plan (TSP) Guidelines, which may have been adopted after your property was selected for funding, it is possible that your TSP may be missing updated and newly required components. Review the Tenant Selection Plan Guidelines, determine if your property is missing any of the requirements, and include them as applicable. NOTE: Reference the above link to assist in completing Question 13.

13.	The property has a written TSP:  Yes   No
If no, state why the property does not have a written TSP and what steps you will take to draft one:      
If yes, submit a copy with this form. 
The tenant selection plan was last updated on (date)      .  
The plan follows Minnesota Housing’s Tenant Selection Plan Guidelines:  Yes    No. 
If the plan does not follow Minnesota Housing’s Tenant Selection Plan Guidelines, briefly explain what part of the guidelines are not followed and what steps you will take to adopt them:      .

Fair Housing/Occupancy (O/A) Questions	
14.	O/A has reviewed the Affirmative Fair Housing Marketing Plan (AFHMP) within the last two (2) years, and no changes are needed OR a new AFHMP is needed due to one or more of the following (check all that apply):
  		The population least likely to apply is different than the one stated in the current AFHMP
  	 	The advertising publicly cited in the current AFHMP is no longer appropriate  
	Demographics of the housing market area have changed in terms of race, color, creed, national origin, sex, religion, marital status, status with regard to public assistance, disability, familial status, gender identity, or sexual orientation
 	The outreach currently being performed is not reaching those it is intended to reach as measured by project occupancy and applicant data 
15.	Have there been any fair housing complaints in the prior year? 
 Yes	 No
If so, state how many, and provide a brief description and status.      
16.	Indicate the current number of heads of household who are of the following origin or ethnicity: 
White:      	African American:      	Hispanic:      		Asian Pacific:      
Subcontinent Asian race or ethnicity:      		Native American descent:      
Other community of color (if other; state):      

17.	Are existing advertising/marketing efforts adequate? Provide all sources and the status of the efforts related to each source (newspaper, digital, community contacts, other):      

18.	Number of units occupied by residents who have a disability (physical or non-physical):      

19.	Number of residents with a mobility impairment:      

20.	Number of accessible units at this development:      

21.	Number of accessible units currently occupied by a resident who needs the design features:      

22.	Number of project-based Section 8 households:      

23.	Number of households receiving rental assistance vouchers/certificates that are not project-based Section 8:      

24.	Number of zero income/$25 total tenant payment (TTP) households:      

25.	Number of single person heads of household with minor children:      

26.	Number of children age 18 and under living in the property:      

27.	Previous 12-month average occupancy percentage:      

28.	Number of unit turnovers during the past 12 months:      

29.	Number of evictions during the past 12 months:      

30.	Number of application rejections during the past 12 months:      
Reasons for rejection(s):      

31.	Is the development required to maintain a waiting list? 
 Yes	 No
If yes, state the number of applicants on the waiting list:      

32.	Provide the date of the most recent Minnesota Housing file inspection for the following programs, as applicable:
1602/TCAP:	     	
Tax credit:	     	
Section 8:	     	
MARIF:	     	
LTH/HPH:	     	
Other (define): 	     	

Were all tenant file inspection findings resolved from the most recent file inspection (yes/no/pending)?