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<br />ANNUAL TAX CREDIT SUMMARY REPORT FOR THE YEAR ENDING DECEMBER 31,____ <br />Date Completed: __,__,__ <br /> <br />Project Name: <br /> <br />County: <br /> <br />City: <br /> <br />Building Address: <br /> <br />Project #: <br /> <br />BIN # (Building Identification #): NE-_ _-_ _ _ __ <br /> <br />Date Building Placed in Service: _ _1_ _1_ _ <br /> <br />Allocation Year: <br /> <br />Total # of Units in Building: <br /> <br />Total # of L1HTC Units in Building: <br /> <br />Minimum Set-Aside Election: <br /> <br />20/50 <br /> <br />_40/60 <br /> <br />Project Owner Name & Fed 10: <br /> <br />Management Agent Name & Fed 10: <br /> <br />Form prepared by: <br /> <br />Phone#: L--)_- <br /> <br />Fax#: L--l_- <br /> <br />E-mail: <br /> <br />Un~# #01 Lease to: Cur- Date Household Recert. I r;come Income House- Move-<lut <br /> SRs Head of Household rent # was Recertified Limit at Recert hold Date <br /> Tenant Name in Income <br /> Unit exceeds <br /> 140%01 <br /> current I <br /> MAX -........i}Ii <br /> Limit at <br /> Rece rt? <br /> (YorN) <br /> <br />~ <br />o <br />o <br />00 <br />o <br />e.o <br />l\:l <br />~ <br />~ <br /> <br />~ <br />o <br />Q <br />~ <br />~ <br />, <br /> <br />(Updated 11/07) <br />