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COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM 20232024 SELFCERTIFICATION FOR PUBLIC SERVICE AGENCY CLIENTELE (Not for use on housing activities) Project Name:File No.:1) CLIENT INFORMATION: (Please Print)
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A self certification form is a document that an individual or entity fills out to confirm certain information about their identity, status, or financial situation, often for tax purposes.
Individuals and entities that need to verify their status for tax compliance or financial transactions may be required to file a self certification form, typically as mandated by financial institutions.
To fill out a self certification form, provide personal or business information as requested, including your name, address, tax identification number, and other relevant information, and ensure the form is signed and dated.
The purpose of a self certification form is to collect accurate information from individuals or entities to ensure compliance with tax laws and regulations, and to mitigate risks of tax evasion.
The information that must be reported typically includes the individual's or entity’s name, address, taxpayer identification number, jurisdiction of residency, and information relating to their tax status.
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