With Respect to a Previously Submitted Disclosure Statement

AFFIDAVIT OF NO CHANGE

WITH RESPECT TO A PREVIOUSLY SUBMITTED DISCLOSURE STATEMENT

This affidavit may be used instead of a new Disclosure Statement if a Disclosure Statement was submitted to HDC within the last 3 years. The Name and EIN/SSN described below must exactly match the name and EIN/SSN on the prior Disclosure Statement. HDC reserves the right to require a full, current Disclosure Statement at any time.

Name ______

EIN/SSN ______

Address ______

City ______State ______ZIP ______

Telephone ______Fax Number ______

Transaction: ______

Date prior Disclosure Statement was executed: ______

Prior Program: ______Prior Project: ______

Under penalty of perjury, I hereby certify to the New York City Housing Development Corporation (“HDC”), that:

1. Check the applicable item:

No Change The above-referenced Disclosure Statement previously submitted to HDC remains true and complete in all respects as of the date hereof.

Limited Change The above-referenced Disclosure Statement previously submitted to HDC remains true and complete in all respects as of the date hereof, except as set forth on the attached pages. (Insert number of attached pages. Attach excerpts from Disclosure Statement and/or Appendix, as applicable.)

2. Check the applicable item:

No Property Neither the Participant nor any Related Entity nor any of their respective Principals or Officers has owned, managed, or controlled (directly or indirectly through other entities), any real property (in part or in its entirety) in New York City within the last ten years.

Property The Participant or a Related Entity or one or more of their respective Principals or Officers has owned, managed, or controlled (directly or indirectly through other entities), any real property (in part or in its entirety) in New York City within the last ten years. Attached is a list of such property by address, tax block and lot numbers which indicates the relevant entity and its relationship to each property.

I understand that this Affidavit shall be deemed an Addendum to the above-referenced Disclosure Statement, and that all statements made in the Certification attached to the above-referenced Disclosure Statement, and all penalties described therein shall also apply to this Affidavit.

______

Signature

______

Print Name

______

Print Title, if applicable

______

Print Date

Sworn to before me this

____ day of ______, 20__.

______

Notary Public