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109.03.5 Exhibit 5-D. Supplemental Affidavit and Certification - Rental Property.

AR ADC 109.03.5 Exhibit 5-DArkansas Administrative Code

West's Arkansas Administrative Code
Title 109. Development Finance Authority
Division 03. Single Family Housing
Rule 5. Mortgage Loan Origination
Ark. Admin. Code 109.03.5 Exhibit 5-D
109.03.5 Exhibit 5-D. Supplemental Affidavit and Certification - Rental Property.
Currentness
EXHIBIT 5-D
SUPPLEMENTAL AFFIDAVIT AND CERTIFICATION - RENTAL PROPERTY
The undersigned, __________ hereby states under oath that:
1. (I)(We)have owned residential rental property during the preceding three years, set forth below: (Insert address(es) of unit/units). __________
2. During such period of time, the unit or units described above have been held or utilized solely as rental property and have not been utilized by (me)(us) at any time as (my)(our) principal residence.
3. During such period of time, (I)(we) have had as (my)(our) principal residence the following dwellings which have been (rented)(leased) (other-specify below): __________
4. (I)(We) recognize and acknowledge that:
(a) This affidavit is furnished to the Arkansas Development Finance Authority (“ADFA”) to permit ADFA to determine (my)(our) eligibility for a Mortgage Loan under applicable provisions of the Internal Revenue Code of 1986, as amended, and Treasury Regulations adopted and proposed thereunder; and
(b) It is pursuant to those provisions of the Code and Regulations that the certifications set forth above are made, with the full intention and understanding on (my)(our) part that ADFA rely thereon.
BORROWER:
CO-BORROWER:
(X)
 
(X)
 
Name:
 
Name:
 
Date:
 
Date:
 
ACKNOWLEDGMENT
STATE OF ARKANSAS
)
COUNTY OF
 
)
On this __________ day of __________, 20__________, before me, a Notary Public within and for said County and State, personally appeared __________, to me known to be the person(s) subscribed therein and who, being by me first duly sworn, executed the foregoing Supplemental Affidavit and Certification, and acknowledged, deposed and said that he/she/they executed the same as his/her/their free act and deed and stated that the information and certifications contained therein are true and correct.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this __________ day of __________, 20__________.
__________
Notary Public
My Commission Expires:
__________
(SEAL)
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 109.03.5 Exhibit 5-D, AR ADC 109.03.5 Exhibit 5-D
End of Document