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                                                                                                              2009
                                                         Early Election LIHC                                  Massachusetts
                          Low-Income Housing Department of
                                                                                                              Revenue
                                                         Credit Notification

For calendar year 2009 or taxable year beginningand ending
Name of project owner                                    Social Security or Federal Identification number

Street address                                           City/Town                                       StateZip

Name of project                                          Building identification number

Street address                                           City/Town                                       StateZip

The undersigned is electing to make an early credit election of the Massachusetts low-income housing credit and is notifying the Department of Revenue of
this election pursuant to 760 CMR 54.09(3) and 54.09 (4).
Signature of project owner                               Date

Name of contact person                                   Telephone number

Mail completed form to: Massachusetts Department of Revenue, Audit Division, 200 Arlington Street, Room 4300, Chelsea, MA 02150, Attn.: Low- 
Income Housing Unit.





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