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 |
| | | |
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| | | |
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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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