Attachment A - Applicant Information Form - 2023 LMIHF Application

Sep 19, 2026

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This document serves as the official Applicant Information Form for the 2023 Local Housing Mitigation and Housing Fund (LMIHF) grant program. It requires applicants to provide comprehensive project details, including the project title, location, funding requested, and specific metrics regarding affordable housing units. The form captures essential administrative data such as UEI numbers, tax IDs, and applicant contact details. Furthermore, it mandates legal disclosures regarding pending litigation and compliance history, including debarment or suspension status. A formal certification section confirms that all submitted information is accurate, requiring signature, name, and title of the authorized representative to ensure accountability in the application process for these public funds.

LanguageEnglish

CategoryForms

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

Project Details

Applicant Contact Information

Litigation and Compliance Disclosure

Certification

FAQs

What information is required for the project?

Applicants must provide the project title, location, amount of funds requested, number of affordable units, number of LMIHF-assisted units, and identification numbers such as the UEI and Federal Tax ID.

What disclosures are required regarding litigation?

Applicants must disclose any pending or recent litigation (within the past three years) involving them as a defendant, providing the case name, case number, court, and a summary.

What compliance information must be reported?

Applicants must state whether they or any controlling person are currently under suspension, debarment, or have been involved in fraud or misconduct cases within the last three years.

Sep 19, 2026

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