N E W Y O R K S T A T E H O U S I N G F I N A N C E A G E N C Y

SHORT FORM APPLICATION REQUIREMENTS FOR MEDICAID REDESIGN TEAM HOUSING “MRT” CAPITAL PROGRAM

Short Form Application Instructions

The accompanying Checklist and HFA Forms are for your use in completing a short form application for submission. This application should ONLY be used if the applicant does not have the documentation to submit a complete HFA finance application. If the applicant is submitting a complete HFA finance application, please follow the standard HFA finance application instruction listed on HFA’s website.

Application For Financing Submission

The Application is to be submitted electronically using a PDF format and appropriately bookmarked following the sequence using the Application Checklist as a Table of Contents. Please use the name of your project in the subject line of your e-mail. Addenda to your Application, as needed, are to be submitted in the same manner.

Applications are to be sent to:

Applicants are also required to submit one original hard copy of their Application. The hard copy is to be sent to:

Gail Bressler

Vice President, Multifamily Finance

The New York State Housing Finance Agency

641 Lexington Avenue

New York, New York 10022

Application and Processing Fee:

Simultaneously with the submission of your Application for the RFP submission you are to remit an Application Fee as instructed on the attached invoice. Fee payments are not to be sent to the Agency.

A non-refundable Processing Fee of $5,000 is required. The Application Fee is submitted upon submission of the Application for the loan.

N E W Y O R K S T A T E H O U S I N G F I N A N C E A G E N C Y

SHORT FORM MEDICAID REDESIGN TEAM HOUSING “MRT” HOUSING CAPITAL PROGRAM APPLICATION FEE

Project#: 200-1234

Project’s Name: ______

Applicant’s Name: ______

First Middle Last

Address: ______

Street

______

City State Zip Code

MRT Housing Capital Loan Application Fee: $5,000

Wire Funds to: JP Morgan Chase

ABA #021000021

New York State Housing Finance Agency

A/C #573-801924

Ref: 200-1234/______(please provide

the project’s name)

Or

Mail a check in the amount of the applicable Total Fee amount, payable to The New York State Housing Finance Agency along with this invoice to:


New York State Housing Finance Agency

P. O. Box 5345

GPO

New York, New York 10087

Project #: 200-1234

Invoice #: APP900