List of participating developers and lenders, if applicable I Bond Counsel Certification and Special Survey regarding average area purchase prices with certification, if applicable (Section 143(d) of the J Internal Revenue Code) Bond Counsel Certification and Special Survey regarding area median income with certification, if applicable (Section 143(f) of the Internal K Revenue Code) Resolution regarding existing units for lower incomes, if applicable (Cal. L Health & Safety Code Sections 34312.4(d)(2) and 52020(d)(2)) Evidence of Minimum Requirements M (See Section 5266(a) of CDLAC Regulations) Evidence of undue hardship/financial burden re: Minimum Requirements, if M-1 applicable (See Section 5266(b)&(c) of the CDLAC Regulations) Evidence of housing element compliance N (See Section 5267 of the Regulations) Certification regarding use of year allocation (Section 5268 of the O CDLAC Regulations) Evidence of undue hardship/financial burden re: Minimum Requirements, if O-1 applicable (See Section 5266(b)&(c) of the CDLAC Regulations) Evidence of past Program performance P (See Section 5275 of the CDLAC Regulations) Required Tracking Information EXHIBIT * [NOTE: Any subsequent mailings of additional application materials should be in duplicate.] PERFORMANCE DEPOSIT CERTIFICATION FORM FOR AN APPLICATION FOR AN ALLOCATION OF QUALIFIED PRIVATE ACTIVITY BONDS The California Debt Limit Allocation Committee (CDLAC) 915 Capitol Mall, Room 311 Sacramento, CA 95814 (916) 653-3255 CERTIFICATION OF THE (Applicant) REGARDING AN APPLICATION FOR QUALIFIED PRIVATE ACTIVITY BOND ALLOCATION In connection with the following Qualified Private Activity Bond Application: APPLICANT: AMOUNT OF ALLOCATION REQUESTED: $ PROJECT NAME/PROJECT TYPE: the undersigned officer of the (Applicant) hereby certifies as follows: I, (Name), am the (Title) of the (Applicant), and am duly authorized to make the deposit required below. The (Applicant) has collected and has placed on deposit in an account in a financial institution $ , dollars (write out dollar amount in words), which equals one half of
List of participating developers and lenders, if applicable I Bond Counsel Certification and Special Survey regarding average area purchase prices with certification, if applicable (Section 143(d) of the Internal Revenue Code) J Bond Counsel Certification and Special Survey regarding area median income with certification, if applicable (Section 143(f) of the Internal Revenue Code) K Resolution regarding existing units for lower incomes, if applicable (Cal. Health & Safety Code Sections 34312.4(d)(2) and 52020(d)(2)) L Evidence of Minimum Requirements (See Section 5266(a) of CDLAC Regulations) M Evidence of undue hardship/financial burden re: Minimum Requirements, if applicable (See Section 5266(b)&(c) of the CDLAC Regulations) M-1 Evidence of housing element compliance (See Section 5267 of the Regulations) N Certification regarding use of year allocation (Section 5268 of the CDLAC Regulations) O Evidence of undue hardship/financial burden re: Minimum Requirements, if applicable (See Section 5266(b)&(c) of the CDLAC Regulations) O-1 Evidence of past Program performance (See Section 5275 of the CDLAC Regulations) P Required Tracking Information EXHIBIT * [NOTE: Any subsequent mailings of additional application materials should be in duplicate.] PERFORMANCE DEPOSIT CERTIFICATION FORM FOR AN APPLICATION FOR AN ALLOCATION OF QUALIFIED PRIVATE ACTIVITY BONDS The California Debt Limit Allocation Committee (CDLAC) 915 Capitol Mall, Room 311 Sacramento, CA 95814 (916) 653-3255 CERTIFICATION OF THE (Applicant) REGARDING AN APPLICATION FOR QUALIFIED PRIVATE ACTIVITY BOND ALLOCATION In connection with the following Qualified Private Activity Bond Application: APPLICANT: AMOUNT OF ALLOCATION REQUESTED: $ PROJECT NAME/PROJECT TYPE: the undersigned officer of the (Applicant) hereby certifies as follows: I, (Name), am the (Title) of the (Applicant), and am duly authorized to make the deposit required below. The (Applicant) has collected and has placed on deposit in an account in a financial institution $ , dollars (write out dollar amount in words), which equals one half of
application-for-allocation-of-scqpab.docx