City Of Houston Eb-5 (Tea) Certification Request Form

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CITY OF HOUSTON
EB-5 (TEA) CERTIFICATION REQUEST FORM
In accordance with Title 8, Code of Federal Regulations Section 204.6(i), the City of Houston Economic Development Division has been delegated the
authority by the State of Texas to certify and/or designate a particular geographic or political subdivision located within a metropolitan statistical areas
(MSA) or within a city or town having a population over 20,000 (Subdivision), such as, by way of example only, counties, census designated places (CDP),
that meet the “high unemployment area” definition and therefore qualify for the $500,000 minimum investment threshold as non-rural TEAs for EB- 5
program purposes. Unemployment rates for MSAs, counties, CDPs, cities, and their consisting census tracts are published annually through the U.S.
Bureau of Labor Statistics (BLS) or American Community Survey.
At the current time, the most recent unemployment information available at the census
tract level is the American Community Survey (ACS) 2009-2014 - 5 Year Estimate.
Project General Information
(You will need to complete this form for each address)
Name of Business
(name that will be listed on the TEA certification letter)
Proposed FULL PHYSICAL Address
(Ex: 123 Main St, Houston TX 77001, if site description is other
than an address: Example: acreage/lot, please state)
Origin of Investment
(Country)
Sole proprietorship
Joint Venture
Type of Commercial Enterprise
Partnership
Corporation
Holding Company
Business trust/Other entity
Harris County Appraisal District
(Include a copy of the Harris County Appraisal District data sheet, found at the following website:
)
Account Number
Legal Description
Type of Request:
(Select one)
Geographic
Political Subdivision
Project Information
Business Type:
Project is a result of:
(Check all that apply)
(Check all that apply)


Energy
Telecommunication Svcs
New Business / Start-up


Basic Materials
Healthcare
Relocation from Out-of-State


Capital Goods
Financial
Open New Location


Transportation
Technology
Expansion (new jobs)


Consumer
Utilities
Consolidation


Services
Other: _________________________
Relocation

List relocation from? _________________________________
Manufacturing

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