UNDER $5,000 ASSET CERTIFICATION - NCHFA
Signature of Applicant/Tenant Date Signature of Applicant/Tenant Date WARNING: Section 1001 of Title 18 U.S. Code makes it a criminal offense to willfully falsify a material fact or make a false statement in any matter within the jurisdiction of a federal agency. UNDER $5,000 ASSET CERTIFICATION/DISPOSED OF ASSETS REVISION 1/8/2020 ................
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