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<br />Page | 1 <br /> <br />1 <br /> <br />MINNESOTA INVESTMENT FUND STATE FUNDED RLF <br />REQUEST FOR ONE-TIME EXCEPTION <br /> <br />The 2017 Legislature passed legislation that allows cities, counties and townships that have revolving <br />loan funds (RLFs) seeded by state-funded Minnesota Investment Fund loan repayments may use 80 <br />percent of the uncommitted balance for any lawful purpose if 20 percent of the balance is returned to <br />the State of Minnesota. To utilize this one-time exception, this form must be completed and submitted <br />to DEED by June 1, 2018; once DEED approves the form, the 80 percent should be moved from the RLF <br />account and the 20 percent should be transferred to DEED. <br />Please complete this form including the requested documentation. All forms must be signed by an <br />authorized local official. <br />Local Government <br />(City, county or town) <br /> Request Date <br />Address Uncommitted State <br />Funded MIF RLF Cash <br />Balance as of Request <br />Date <br /> <br />Contact Phone 20% to be returned to <br />the State General <br />Fund <br /> <br />Contact Email 80% to be utilized as <br />general purpose aid. <br /> <br />* Request must be received by June 1st, 2018 to allow for processing and payment submittal. <br /> <br />Required Documentation <br />A copy of the account statement verifying the account balance as of the request date must be <br />submitted with this form. Please note: page two of this application must be signed. A DEED Loan <br />Officer may contact you to verify balance information for your account and review MIF award history. <br />Submittal Instructions <br />This form and the required bank account verification document(s) must be emailed to <br />DEED.Loan@state.mn.us with “Revolving Loan Fund” on the subject line. If you have <br />questions while completing the form please contact Lisa Dargis, DEED Loan Officer, Office of Business <br />Finance at 651-259-7446 or lisa.dargis@state.mn.us or visit the Frequently Asked Questions tab <br />located at https://mn.gov/deed/business/financing-business/deed-programs/mif/mif-exception/.