Massachusetts Department of Revenue
                       Certificate LIHC
              Low-Income Housing Credit Allotment                                                                                                                                                     2020

For calendar year 2020 or taxable year beginning                                                                          and ending
Name of recipient                                                                                             Federal Identification number                             Social Security number

Street address

City/Town                                                                                                         State              Zip                                                 Phone number

Name of project                                                                                                Building Identification number

Street address

City/Town                                                                                                         State              Zip                                                 Phone number

Name of project owner                                                                                     Federal Identification number

Street address

City/Town                                                                                                         State              Zip                                                 Phone number

Taxpayer’s credit share
This statement is issued by the owner of a project that is eligible to claim the Massachusetts Low-Income Housing Credit (LIHC) to each recipient to
whom the owner has allocated a portion of the LIHC in accordance with the organizational documents governing the owner. The recipient should enter
the amount of the credit being received from the project on the LIHC line of the appropriate tax  return. Retain this statement with your records.

Allotment information
11  Amount of allotment credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                  1
12  Date of filing of Election of Early Tax Credit (if applicable)