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201109462 <br /> CERTIFICATION OF NO CHILD SUPPORT <br /> Household Name: Date: <br /> Property Name: Unit#(if assigned): <br /> Child's Name: Child's Name: <br /> Child's Name: Child's Name: <br /> I, certify, <br /> ❑ I am not entitled to receive child support or other compensation pursuant to any court order <br /> ❑ I am not receiving child support or other compensation pursuant to any non-court agreement. <br /> Do you anticipate receiving any child support in the upcoming 12 months? ❑ Yes ❑ No <br /> If yes,please explain: <br /> Reason as to why you are not pursuing child support: <br /> Under penalty of perjury,I certify that the information presented in this certification is true and accurate <br /> to the best of my knowledge. The undersigned further understands that providing false representations <br /> herein constitutes an act of fraud. False,misleading or incomplete information may result in the <br /> termination of a lease agreement. <br /> Signature of Applicant/Tenant Date <br /> (Updated l2/10) <br />