New Hampshire Housing Application For The Reissuance Of A Mortgage Credit Certificate (Mcc) Page 3

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Home Start Homebuyer Tax Credit
New Hampshire Housing’s Mortgage Credit Certificate (MCC) Program
“Existing MCC” number _______________
Reissuance Affidavit
The undersigned (individually and collectively “I”) have applied for the reissuance of the Existing MCC. Under
penalties of perjury including those stated below, I hereby state:
1. The “Residence” for the Existing MCC and for the requested reissued MCC is located at
_______________________________________________________________NH (street address and municipality).
2. I continue to live in the Residence as my owner-occupied principal residence and will continue to live in the
Residence as my owner-occupied principal residence. I understand that I am only entitled to use the MCC when the
Residence is my owner-occupied principal residence, and the MCC will be revoked once the Residence ceases to be
my owner-occupied principal residence. I will notify New Hampshire Housing immediately in writing when the
Residence ceases to be my owner-occupied principal residence.
3. The Residence is not being used primarily for trade or business, recreation or investment. See 26 CFR 6a. 103-A-2
(d) (3). Specifically, I am not and will not use more than 5% of the Residence in a trade or business. Also, I will not
use the Residence in such a way that would qualify me to deduct any portion of the cost of the Residence as home
business expense on my Federal or State income tax returns(s).
4. All of the land owned with the Residence reasonably maintains the basic livability of the Residence and does not
provide a source of income to me. I have no intention of subdividing the land, or any part of the land, or otherwise
sell/convey it apart from the Residence.
5. I/We will not allow the mortgage on the residence to be assumed or sell the residence subject to the mortgage.
6. I understand that in using the MCC, I am responsible for determining and following all applicable IRS requirements.
I understand that in addition to calculating the credit based on the new mortgage financing, reissued MCCs are
specifically subject to two limits: 1) Yearly Limit: The reissued MCC has a maximum limit that is based on the
amount of credit that would have been allowable each year under the original MCC. 2) Total Limit: The reissued
MCC has a maximum total limit based on the total credit that would have been allowable under the original MCC for
the term of the original certificate. Please note: the yearly credit, as calculated using IRS Form 8396, can never
exceed $2,000 in a tax year.
7. I understand that in connection with the MCC Program, New Hampshire Housing makes no promise, no
representation and no warranty to any party, including any homebuyer, homeowner or lender. Specifically, New
Hampshire Housing makes no promise, no representation and no warranty about the actual benefit an MCC might
provide to a specific certificate holder. Each taxpayer’s situation is different, and they should not rely on any material
from or communication with New Hampshire Housing or with a lender. Homebuyers should first become fully
informed about the MCC Program, and then, with their own tax advisor, the homebuyer should decide if an MCC
provides any benefit
I acknowledge and understand that this Affidavit will be relied upon to determine eligibility for a reissued MCC. I
understand that under 26 US Code 6709: a) any fraudulent statements will result in: 1) the revocation of the MCC, and 2)
a $10,000 penalty; and b) any negligently made misstatement will result in a $1,000 penalty.
I DECLARE UNDER PENALTIES OF PERJURY THAT ALL STATEMENTS IN THIS AFFIDAVIT ARE TRUE
AND ACCURATE.
Executed on:__________________ (Date)
______________________________________
_____________________________________
Signature
Signature
Print Name:____________________________
Print Name:___________________________
8
/20/15
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