Certification that Recipient is not Disqualified Individual
[This form should be used by Recipients who are natural persons]
The following certification is given to induce Minnesota Housing to make a loan under the SHTC Contribution Program. Except as otherwise defined herein, all capitalized terms shall have the meanings assigned to them in the SHTC Contribution Program Guide. Minnesota Housing has provided the list of contributors set forth on Exhibit A, which is attached to and made a part of this certification (“Exhibit A”).
The undersigned, [Insert the legal name of the individual requesting the loan], (the "Recipient”) hereby certifies as follows:
1.	None of the Recipient, Recipient’s spouse, Recipient’s sibling or sibling’s spouse, Recipient’s parent or parent’s spouse, or Recipient’s child or child’s spouse made a contribution to the SHTC Contribution Program in tax year 2025 or tax year 2026 and received a tax credit certificate in connection with such contribution;
2.	None of the Recipient, Recipient’s spouse, Recipient’s sibling or sibling’s spouse, Recipient’s parent or parent’s spouse, or Recipient’s child or child’s spouse owns the housing for which the loan will be used;
3.	The Recipient is not an officer or principal of any of the entities listed on Exhibit A;
4.	The Recipient does not own 20 percent or more of any of the entities listed on Exhibit A;
5.	The Recipient is not a general partner, manager, or managing member of any of the entities listed on Exhibit A and does not otherwise have 20 percent or more of the power or authority to control any of the entities listed on Exhibit A; and
6.	The Recipient does not have the power to vote 20 percent or more of the outstanding securities of any of the entities listed on Exhibit A.
 Check here if Recipient is a married person filing a joint tax return. If this box is checked, the certifications below apply.
Recipient is a married person filing a joint tax return and hereby certifies as follows: 
1.	No sibling or sibling’s spouse, parent or parent’s spouse, or child or child’s spouse of Recipient’s spouse made a contribution to the SHTC Contribution Program in tax year 2025 or tax year 2026 and received a tax credit certificate in connection with such contribution;
2.	No sibling or sibling’s spouse, parent or parent’s spouse, or child or child’s spouse of Recipient’s spouse owns the housing for which the loan will be used;
3.	Recipient’s spouse is not an officer or principal of any of the entities listed on Exhibit A;
4.	Recipient’s spouse does not own 20 percent or more of any of the entities listed on Exhibit A;
5.	Recipient’s spouse is not a general partner, manager, or managing member of any of the entities listed on Exhibit A and does not otherwise have 20 percent or more of the power or authority to control any of the entities listed on Exhibit A; and
6.	Recipient’s spouse does not have the power to vote 20 percent or more of the outstanding securities of any of the entities listed on Exhibit A.

These certifications are given as of the date indicated in the signature block below. By signing below, the Recipient agrees to promptly notify Minnesota Housing if these certifications become inaccurate or misleading. 

Signature: __________________
Name:            
Date:              

Exhibit A
[Minnesota Housing will provide, upon the Recipient’s request, a list of all entities that made a contribution in the current or prior taxable year, and received a tax credit certificate, whose contributions, in whole or in part, are intended to fund the loan to the Recipient].