Qualified Census Tract (QCT) Confirmation and Affordable Housing Certification (AHC) Request

Qualified Census Tract (QCT) Confirmation and Affordable Housing Certification (AHC) Request

Complete this form in order to receive QCT confirmation and AHC for properties.
Requester Information
Name of Individual Making the Request *

First Name Last Name
Developer Name (If Applicable)

First Name Last Name
Phone Number *

- Area Code Phone Number
Phone Extension
Provide the extension for the phone number entered above if applicable.
E-mail *
Preferred Method of Contact (Email is encouraged for expediency purposes) *

Phone Email Either
Development Information

Development/Site Address *

Development/Site Name
Street Address (Include Suite/Office Numbers)
City	State
Zip Code	Country

Requester Information