Hud 50071 Form PDF Details

Are you trying to understand the HUD 50071 form and its purpose in qualifying for a loan? Then you've come to the right place! The HUD 50071 form is an important document that serves as proof of income when applying for a loan or other type of housing assistance. Having this information handy can make it easier to navigate through the process of securing financing and help ensure your financial security. In this article, we'll explain exactly what HUD 50071 is, why it's so important, and how to fill out the form correctly. Read on to find out more about HUD 50071!

QuestionAnswer
Form NameHud 50071 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 50071, influence federal, hud form 50071 instructions, hud 50071 instructions

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Certification of Payments

to Influence Federal Transactions

OMB Approval No. 2577-0157 (Exp. 3/31/2010)

U.S. Department of Housing

and Urban Development

Office of Public and Indian Housing

Applicant Name

Program/Activity Receiving Federal Grant Funding

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1)No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connec- tion with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2)If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying, in accordance with its instructions.

(3)The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)

Name of Authorized Official

Title

Signature

Date (mm/dd/yyyy)

Previous edition is obsolete

form HUD 50071 (3/98)

ref. Handboooks 7417.1, 7475.13, 7485.1, & 7485.3

 

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form 50071 completion process clarified (portion 1)

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Simple tips to prepare form 50071 part 2

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