ATTACHMENT 4-D
CONTENTS OF INITIAL APPLICATION PACKAGE
Stage 1 - Forms to be Included in Initial Application Package

  1. Form SF 424, Application for Federal Assistance (when completed, this form provides the summary information about the project and the applicant);

  2. Form RD 1940-20, Request for Environmental Information;


  3. Form RD 3560-7, Multiple Family Housing Project Budget/Utility Allowance;


  4. Form RD 1944-37, Previous Participation Certification;


  5. Form RD 1924-13, Estimate and Certificate of Actual Costs;


  6. Form RD 410-9, Statement Required by the Privacy Act (for individuals only); and

  7. Any other information specified in the NOFA.
Stage 1 - Information Requested in Initial Application Package

 I. To establish applicant eligibility:
  1. Current (within 6 months) financial statements with the following paragraph certified by someone with the legal authority to do so:

"I/we certify the above is a true and accurate reflection of my/our financial condition as of the date stated herein. This statement is given for the purpose of inducing the United States of America to make a loan or to enable the United States of America to make a determination of continued eligibility of the applicant for a loan as requested in the loan application of which this statement is a part."

  1. Check for $28 from individual applicants and $40 from organizational applicants made out to United States Department of Agriculture. This will be used to pay for credit reports obtained by the Agency.

  2. Statements signed by applicants that they will pay any cost overruns.

  3. Proposed limited partnership agreement and certificates of limited partners, if applicable. (Agency requirements should be contained in one section of the agreement and their location identified by the applicants or their attorney in a cover sheet.)

  4. If a nonprofit organization:

  1. Tax-exempt ruling from the IRS designating them as a 501(c)(3) or 501(c)(4) organization. If the designation is pending, a copy of the designation request must be submitted.

  2. Purpose statement, including the provision of low income housing.

  3. Evidence of organization under state and local law, or copies of pending applications.

  4. List of Board of Directors.

  1. If a limited liability company, proposed operating agreement and the authorized agent who has the authority to complete the loan application and loan closing documents.
  1. If a trust, organizational documents and attorney opinion letter that the trust is validly formed and identifying the authorized representative to act on the trust’s behalf.

II. To establish project feasibility:
  1. Market feasibility documentation: Either a market study or a market survey, as appropriate.

  2. Type of project and structures proposed (total number of units by bedroom size, size of each unit type, size and type of other facilities).

  3. Schematic drawings:

  1. Site plan, including contour lines;

  2. Floor plan of each living unit type and other spaces, such as laundry facilities, community rooms, stairwells, etc.;

  3. Building exterior elevations;

  4. Typical building exterior wall section; and

  5. Plot plan.

  1. Description and justification of related facilities, schedule of separate charges for related facilities.

  2. Type and method of construction (owner builder, negotiated bid, or contractor method).

  3. Estimated costs (Form RD 1924-13).

  4. Statement of proposed management.

  5.  Congregate services package/plan (if applicable).

    6.
  6. Statement of support from other Government services providers to the project (congregate only).

  7. Response to the Uniform Relocation Assistance Act (if applicable).
III. To establish project financing:
  1. Statement of budget and cash flow (applicant completes Form RD 3560-7), including type of utilities and utility allowance, if applicable and contribution to reserves.


  2. Congregate services charges (if applicable).

  3. Status of efforts to obtain leveraged funds.

  4. Proposed construction financing (interim or multiple advance; if interim financing, letter of interest from intended lender).
IV. To understand environmental and site information:
  1. Environmental information (applicant completes Form RD 1940-20).

  2. Evidence of compliance with Executive Order 12372 (A-95) (if applicable) Form SF 424 is sent to a clearinghouse for intergovernmental review.

  3. Phase I due diligence (Environmental Site Assessment; see Chapter 3).

  4. Map showing location of support services.

  5. Evidence of submission of project description to SHPO with request for comments.

  6. Comments regarding relevant offsite conditions.