NTCIC Partner Referral Form

The purpose of this log is to record tax credit project referrals from National Trust State and Local Partners, Advisors, Regional Offices, and Main Street programs.

Please record your referral in the space provided below. A notification will automatically be sent to NTCIC and you will receive confirmation of the referral via email within five business days. This confirmation will provide one of three possible responses:

1. the project is new to the NTCIC pipeline and a referral fee of 1 percent of the net tax credit equity will be paid if the project closes;
2. another Partner has already referred the project and a promise of a fee has already been made; or
3. NTCIC has already made contact with this project through its own marketing efforts and no fee will be paid.

* = Required Information

Partner Info
Your Name*
Your Organization*
Your Email*
Type of National Trust Partner Program:*	State or Local Partner National Trust Advisor National Trust Regional Office Main Street Program Other
Name of Partner or Program with whom you wish to share the fee**:
Project Info
Name of Project:*
Street Address:*
City:*
State:*
Zip:*
Project Contact:
Name:*
Phone:*
Email:
Former Building Use:
Proposed Use:
Total Development Cost:*
Building Square Feet:
Status of NPS Application:	Part 1 Part 2
Status of Construction:	Not Started Started ( percent Completed: )
Have any tenants moved in?:	Yes No
How did you hear about NTCIC?*:

**Referral fees for projects located in Main Street districts will be shared equally by National, State and local Main Street programs