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MMB Form S-Rental, Last Revised December 2019 <br />Page 1 of 2 <br />SWORN APPLICANT STATEMENT <br />APPLICATION FOR ALLOCATION OF BONDING AUTHORITY <br />FOR RESIDENTIAL RENTAL PROJECTS <br />THE UNDERSIGNED is the mayor or chief administrator of the , State of Minnesota (the <br />“Applicant”) and hereby makes the following statements in support of its Application for Allocation of Bonding <br />Authority for Residential Rental Projects, dated __________________________: <br />1.The Applicant is requesting allocation under Minnesota Statutes, Chapter 474A, Minnesota Bond Allocation <br />Act, for a residential rental project to be known as ______________________ (the “Project”) being undertaken <br />by _________________________________ (the “Developer”). <br />2. The project is, or will be, located at <br /> [provide street address or, if none yet, reference to boundary streets]. <br />3.The project meets or will meet all of the criteria specified in the applicable provisions of Minnesota Statutes, <br />Section 474A.02, including but not limited to subdivisions 1a, 1b, 21a and 30 to 33,* and thereby qualifies for <br />designation as a: <br />☐Preservation project ☐100 percent LIHTC project <br />☐30 percent AMI residential rental project ☐20 percent LIHTC project <br />☐50 percent AMI residential rental project ☐Other residential rental project <br />*See page 2 of this Sworn Applicant Statement for the definition of each type of project. <br />4.The reasonably expected aggregate basis of the project and the land on which the project is or will be located is <br />$ . Therefore, the aggregate bond limitation for the project, representing 55 percent of <br />the reasonably expected aggregate basis, is $ . (Alternatively, the Applicant may attach <br />a sworn certification from its certified public accountant attesting to the reasonably expected aggregate basis.) <br />I hereby declare that the information contained in this Sworn Statement is true and correct. <br />_____________________________, a political subdivision of the State <br />of Minnesota <br />By: ________________________________ <br />Title: _______________________________ <br />Dated: ______________________________ <br />STATE OF MINNESOTA ) <br />) ss <br />COUNTY OF __________ ) <br />The foregoing instrument was acknowledged before me this _______ day of _____________, _____, <br />by _________________________, the ____________________________, of ______________________, a <br />political subdivision of the State of Minnesota. <br /> ____________________________ <br /> Notary Public <br />**Or an affiliate of Reuter Walton Development, LLC