City Of Ny Affirmation Form PDF Details

In order to become a lawful permanent resident of the United States, applicants must file an Affirmation Form with the City of Ny. This form is used to affirmatively declare that the applicant meets all the requirements for lawful permanent residency. It's important to complete this form accurately and honestly, as any false statements can lead to deportation or other legal penalties. The City of Ny Affirmation Form is available on the city's website, and can be filled out and submitted online.

QuestionAnswer
Form NameCity Of Ny Affirmation Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnyc health operator's affirmation of corrections, tax affirmation pdf, what is a tax affirmation, tax affirmation online

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A F F I R M A T I O N

The undersigned proposer or bidder affirms and declares that said proposer or bidder is not in arrears to the City of New York upon debt, contract or taxes and is not a defaulter, as surety or otherwise, upon obligation to the City of New York, and has not been declared not responsible, or disqualified, by any agency of the City of New York, nor is there any proceeding pending relating to the responsibility or qualification of the proposer or bidder to receive public contracts except

Full name of proposer or bidder

_________________________________________________________________________

Address ____________________________________________________________________

City_________________________ State_____________________

Zip________________

CHECK ONE AND INCLUDE APPROPRIATE NUMBER:

(

) A

Individual or Sole Proprietorship

 

 

 

SOCIAL SECURITY NUMBER

___________________________

(

) B

Partnership, Joint Venture or other unincorporated organization

 

 

Employer Identification Number

___________________________

(

) C

Corporation

 

 

 

Employer Identification Number

___________________________

By:______________________________________________

Signature

___________________________________________

Title

(Must be signed by an officer or duly authorized representative.)

If a corporation, place seal here:

Under the Federal Privacy Act the furnishing of Social Security Number is by bidders on City contracts is voluntary. Failure to provide a Social Security Number will not result in a bidder s disqualification. Social Security Numbers will be used to identify bidders, proposers or vendors to ensure their compliance with laws, to assist the City in enforcement of laws as well as to provide the City a means of identifying businesses which seek City contracts.