Free Section 42 Tax Credit Property - Maryland

§ 42 TAX CREDIT PROPERTY QUESTIONNAIRE for the tax year effective July 1, 2010
NAME AND LOCATION OF PROPERTY OWNER AND ADDRESS OF RECORD

PROJECT NAME_______________________________ OWNER___________________________________ ADDRESS_________________________________________________________________________________
(for multiple property accounts, especially scattered sites, please provide a list of each site address and tax account number)

TOTAL UNITS _____ # OF VACANT UNITS_____TYPE: Townhouse, Garden, Mid Rise, High Rise, Mixed YEAR BUILT_______ # OF STORIES __________ CONDITION___________ Heat ( ) A/C ( ) Gas ( )Electricity ( ) Check Services & Utilities in Rent: Carpets ( ) Drapes ( ) Washer/Dryer ( ) Swimming Pool ( ) Party Room ( ) Tennis ( ) Parking ( ) Switchboard ( ) Security ( )

Rent Per Month Schedule:
Effic. 1 Bedrm. 2 Bedrm. 3 Bedrm. 4 Bedrm. Other (list)

Total Units

30% Median units rent

40% Median units rent

50%Median units rent

60%Median units rent

Market Rate units rent

Other (Mgr, etc.) units rent

Please identify any form of tenant subsidy, or rental assistance typical to this project. ___________ ____________________________________________________________________________________ When do rental restrictions expire? ______________________________________________________ Is there a payment in lieu of taxes?_________ If yes, the amount of property taxes paid? _________ Income and Expense Information: Please attach a copy of the 2008 operating statement .

Financial / Sales Information:
Please provide the following data regarding the first and second mortgages: First mortgage lender_________________ Mortgage amount __________ Interest rate __________ Term of mortgage __________ First payment date __________ Jan. 1, 2009 Balance __________ Second mortgage lender______________________ Mortgage amount _____________ Interest rate _____________ Term of mortgage _____________ First payment date _____________ Jan. 1, 2009 Balance _____________ _______________

Current dollar amount in Reserve For Replacement Account

Please provide: Date Purchased _______________ Price Paid _______________ Total Construction/Rehab Cost _______________ Amount of Tax Credit Award _______________
I declare, under the penalties of perjury, that the contents of this form and all the accompanying schedules and statements have been examined by me and are true, correct, and complete to the best of my knowledge, information, and belief. __________________________________ Owner's Signature __________________________________ Print/Type Name of Signer ________________________ Title of Signer ________________________ Phone Number RP-042 new 7/05 (rs) ______________ Date