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HOUSING AUTHORITY OF THE CITY OF LOS ANGELESClient # ___MODIFIED INTERIM CERTIFIED STATEMENT Cal/Mgr # ______ Name of Head of Household/Colead (print) I/We are requesting an interim review due to
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Step 1: Obtain the modified interim certified statement form from the relevant authority or organization.
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Step 2: Fill out your personal information, such as name, address, and contact details.
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Who needs modified interim certified statement?

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Individuals who require proof of their current status or certification on an interim basis may need a modified interim certified statement.
02
This document may be needed for various reasons, such as employment verification, academic enrollment, or legal proceedings.
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The modified interim certified statement is a form used to report any changes or modifications to previously filed financial information.
Entities or individuals who have made changes to their previously submitted financial information are required to file a modified interim certified statement.
The modified interim certified statement should be filled out with accurate and updated financial information, including details of the changes made.
The purpose of the modified interim certified statement is to provide updated and accurate financial information to stakeholders.
The modified interim certified statement must include details of any changes or modifications made to previously filed financial information.
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