Form Dtf-625 - Low-Income Housing Credit Allocation And Certification Page 2

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DRAFT
st
DTF-625 (10/07) (back)
DTibbitts - 5/11/07
Under penalties of perjury, I certify that the building described on this form qualifies as part of a qualified low-income housing project
and meets the requirements of New York State Public Housing Law Article 2-A and IRC section 42. I have examined this form and
attachments, and to the best of my knowledge and belief, they are true, correct, and complete.
Signature of building owner or authorized individual
Taxpayer identification number
Date
Name (type or print)
Where to file
Send your properly completed Form(s) DTF-625 to the following address:
INCOME TAX AUDIT ADMINISTRATOR 1
INCOME/FRANCHISE DESK AUDIT BUREAU
W A HARRIMAN CAMPUS
ALBANY NY 12227
Additionally, you must file Form DTF-625-ATT with your return for each year of the 15-year compliance period. Use Form DTF-624,
Claim for Low-Income Housing Credit, to claim the credit. See the instructions for these forms for filing information.
updated id number and barcode
Please file this original scannable
48502070099
credit form with the Tax Department.

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