Form Lhtc - Livable Home Tax Credit Program (Lhtc) Application - 2016 Page 2

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FORM LHTC – Tax Year 2016
SECTION III
(Complete only if the LHTC application is related to the retrofitting of an existing unit)
Retrofitting of an Existing Unit:
Retrofitting of an existing residential unit must include at least one accessibility feature,
e.g., lifts or elevators, and meet the requirements of an existing standard or provide sensory modifications in order to qualify
for tax credits (please see definitions). Please check any accessibility feature or improvement that applies:
Accessible route to a zero-step entrance into the residence
Zero-step entrance into the residence
Doors with at least 32 inches of clear width
Hallways and passages with at least 36 inches of clear width
Accessible light switches, electrical outlets and environmental controls
Accessible bathroom
Accessible and useable kitchen facilities
Lifts
Elevators
Sensory Modifications
Other: Must provide description
_____________________
SECTION IV
(All applicants must complete)
Tax Calculation:
New residence qualifying for LHTC:
______$5,000.00
Retrofitting of an Existing Unit:
1. Total cost of applicable retrofitting activities
1._______
(Total of amounts in backup documentation
must be equal to or greater than this figure. Highlight each
amount in backup documentation that is part of total figure)
2. Enter 50 percent of line 1
2.
3. Credit limitation
3._____ $5,000.00
Enter the smaller of line 2 or line 3
(The LHTC amount must be approved by the Department of Housing and Community Development before being
claimed on tax return.)
I declare, under penalties provided by law, the information provided above is complete and correct.
Signature______________________________________________________________________________
Signature
Printed Name(s)_________
Date
Daytime Phone Number
E-Mail Address
DHCD USE ONLY
Approved Credit
DHCD Approval
Date
DHCD – FORM LHTC
Page 2 of 4
June 2016

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