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I/We, the undersigned, certify under penalty of perjury that the information provided above is true, accurate, and correct. <br /> <br />WARNING: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, <br />including confinement for up to 5 years, fines, and civil and administrative penalties. (18 U.S.C. §§287, 1001, 1010, 1012, 1014; <br />31 U.S.C. §3729, 3802; 24 CFR §28.10(b)(1)(iii)). <br /> <br />*Signature: *Date: <br />Form HUD-424-B (02/23) <br />Page 247 of 908