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<br />200809274 <br /> <br />2ovab8 <br /> <br />DISPOSAL OF ASSETS CERTIFICATION <br /> <br />Household Name: <br /> <br />Date: <br /> <br />Property Name: <br /> <br />Unit # (if assigned): <br /> <br />I, hereby certify that during the two year (24 month) period <br />preceding the effective date of my certification or recertification of eligibility for tax credit housing <br />participation, I have disposed of the following asset(s) as identified below: (i.e., real estate, financial gifts, <br />etc.) <br /> <br />A B C D <br />ASSET CASH VALUE * DATE DISPOSED ACTUAL AMOUNT <br />RECEIVED <br /> <br />If you state in column D that you received money, where is the money now? (Please provide appropriate <br /> <br />documentation, if applicable) <br /> <br />* CASH VALUE is the market value of the asset minus reasonable costs incurred in selling converting <br />the asset to cash. Such reasonable costs include: <br />1. Penalties of withdrawing funds before maturity. <br />2. Broker/legal fees for the sale or conversion of assets. <br />3. Settlement costs for real estate transaction. <br /> <br />Under penalty of perjury, I/we certify that the information presented in this certification is true and <br />accurate to the best of my knowledge. The undersigned further understand(s) that providing false <br />representation herein constitutes an act of fraud. False, misleading or incomplete information may result <br />in the termination of a lease agreement. <br /> <br />Signature of Applicant/Tenant <br /> <br />Date <br /> <br />(Updated 11/(7) <br />