INDIVIDUAL AUTHORIZATION TO CONDUCT - New York City ...



DO NOT SUBMIT THIS INDIVIDUAL AUTHORIZATION TO CONDUCT BACKGROUND INVESTIGATION AND CREDIT CHECK IF YOU ARE SUBMITTING A DISCLOSURE STATEMENT SOLELY IN YOUR CAPACITY AS A PRINCIPAL OR OFFICER OF (1) A RELATED ENTITY THAT HAS NO ROLE IN THE CONTEMPLATED TRANSACTION, OR (2) A NOT-FOR-PROFIT CORPORATION.

INDIVIDUAL AUTHORIZATION TO CONDUCT

BACKGROUND INVESTIGATION AND CREDIT CHECK

Denise Kimball

New York City Housing Development Corporation

110 William Street, 10th Floor

New York, New York 10038

Dear Ms. Kimball:

I hereby authorize the New York City Housing Development Corporation ("HDC") and/or an independent agency acting on its behalf to (i) undertake an investigation of my background, (ii) request a report concerning my credit standing from an independent reporting agency, and (iii) take whatever steps it or they may deem necessary to investigate my background and credit standing, including, but not limited to, checking my personal and business references.

I will cooperate fully with HDC and/or such independent agency with regard to this matter.

Sincerely,

Signature: ____________________

Print Name:      

Date:      

Address:      

DO NOT SUBMIT THIS INDIVIDUAL AUTHORIZATION TO CONDUCT BANKING VERIFICATION IF YOU ARE SUBMITTING A DISCLOSURE STATEMENT SOLELY IN YOUR CAPACITY AS A PRINCIPAL OR OFFICER OF (1) A RELATED ENTITY THAT HAS NO ROLE IN THE CONTEMPLATED TRANSACTION, OR (2) A NOT-FOR-PROFIT CORPORATION.

INDIVIDUAL BANKING VERIFICATION AUTHORIZATION

Denise Kimball

New York City Housing Development Corporation

110 William Street, 10th Floor

New York, New York 10038

Dear Ms. Kimball:

I hereby authorize the financial institutions listed below to respond to any questions that HDC and/or an independent agency acting on its behalf may have regarding account balances and regarding the outstanding balances, terms and payment history of any, loans, lines of credit, or other financial obligations.

|Financial Institution | | |

|(Include Address and Zip Code) |Bank Officer and Title |Telephone Number |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

I will cooperate fully with HDC and/or such independent agency with regard to this matter, including, but not limited to, executing any form required by such financial institutions.

Sincerely,

Signature: ____________________

Print Name:      

Date:      

Address:      

DO NOT SUBMIT THIS INDIVIDUAL AUTHORIZATION TO RELEASE FEDERAL TAX INFORMATION IF YOU ARE SUBMITTING A DISCLOSURE STATEMENT SOLELY IN YOUR CAPACITY AS A PRINCIPAL OR OFFICER OF (1) A RELATED ENTITY THAT HAS NO ROLE IN THE CONTEMPLATED TRANSACTION, OR (2) A NOT-FOR-PROFIT CORPORATION.

INDIVIDUAL AUTHORIZATION TO

RELEASE FEDERAL TAX INFORMATION

Internal Revenue Service

P. O. Box 400

Holtsville, NY 11742

Attn: Steven Calodich, Accounts Management

Re: Taxpayer Name:      

Taxpayer SSN:      

Taxpayer Address:      

Dear Mr. Calodich:

I am the above-referenced taxpayer.

I hereby authorize the Internal Revenue Service to advise the New York City Housing Development Corporation ("HDC") as to whether or not I have filed my Federal Tax Form 1040 or Form 1040A in a timely manner for three tax years preceding the date of this letter.

Please advise HDC of the foregoing at the following address:

Denise Kimball

New York City Housing Development Corporation

110 William Street, 10th Floor

New York, New York 10038

Signature: ____________________

Print Name:      

STATE OF NEW YORK )

) ss.:

COUNTY OF       )

On the __________ day of ____________, 20__, before me, the undersigned, a notary public in and for said state, personally appeared ___________________ personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s) acted, executed the instrument.

__________________

Notary Public

Commission expires:

INDIVIDUAL AUTHORIZATION

TO RELEASE STATE AND LOCAL TAX INFORMATION

Department of Taxation and Finance

Building 9, State Campus,

Albany, New York 12227

Attn: Leta Snover, Assistant Disclosure Officer

Re: Authorization for Release of Tax Return Information

Taxpayer Name:      

Taxpayer SSN:      

Taxpayer Address:      

Dear Ms. Snover:

I am the above-referenced taxpayer.

I hereby authorize and request that the State of New York Department of Taxation and Finance release information verifying the timely filing of my state income tax returns for the three tax years preceding the date of this letter to the New York City Housing Development Corporation ("HDC").

Please advise HDC of the foregoing at the following address:

Denise Kimball

New York City Housing Development Corporation

110 William Street, 10th Floor

New York, New York 10038

Signature: ____________________

Print Name:      

STATE OF NEW YORK )

) ss.:

COUNTY OF       )

On the __________ day of ____________, 20__, before me, the undersigned, a notary public in and for said state, personally appeared ___________________ personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s) acted, executed the instrument.

__________________

Notary Public

Commission expires:

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