Affordable Housing Tax Credit Transfer Form

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Complete Affordable Housing Tax Credit Transfer Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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NEW MEXICO MORTGAGE FINANCE AUTHORITY

MFA USE ONLY

State of New Mexico

_________________

Project No.

Affordable Housing

Original Approved Tax Credit Amount:____________________

Tax Credit

AvailableBalance:________________Date:________________

Transfer Form

Balance Verified By:__________________________________

Transfer Approved By:________________________________

Assignor

(current voucher holder)

Name of Assignor:

New Mexico CRS ID No.

SSN

FEIN

Contact Person

Title

Address

City

State

Zip Code

Telephone Number

Fax Number

E-mail

Transfer

Original Voucher Date:

Original Voucher Number: Original Voucher Amount:

Credits Claimed to date:

(A)

(B)

Available Balance to Transfer: (A-B-C)

Previous Transfer(s) Amount(s):

Previous Transfer(s) Date(s):

(C)

Amount of Tax

Sold/Transferred To

Discount

Sale Price

MFA USE ONLY:

Credits Sold or

Rate

Approved Transfer

Transferred

Number

% $

Total Amount of Credits to Be Transferred: $

Certification

•I certify that I am an authorized representative of the Assignor and am authorized to make the statement of affirmation contained herein.

•I hereby agree to allow representatives of the NM MFA access to the property and applicable records as may be necessary for the administration of this program.

•I certify under penalties of perjury that the above statements, information contained in this document and attachments are complete, true, and correct to the best

of my knowledge and belief.

Assignor Signature

Title

Print Name

Date

Notarized Statement

)

State of New Mexico

)ss

)

County of__________________City of_____________________

This instrument acknowledged before me this_____ day of _______________, 20____,