Navigating the intricacies of securing rural development projects requires a keen understanding of the various documents and certifications involved. Among these, the Form RD 3560-30 stands out as a crucial document for applicants and borrowers working with the United States Department of Agriculture (USDA) Rural Development Rural Housing Service. This form, also known as the Certification of No Identity of Interest, is designed to ensure transparency and fairness in the funding of rural development projects. The identity of interest statement outlined in the document serves as a safeguard against any financial overlap that might exist between the project applicant or borrower and the entities providing supplies or services to the project. It stipulates several conditions under which an identity of interest is considered to occur, such as shared financial interests, advancements of funds, and undisclosed agreements that could alter the project's management or financial structure. By certifying that no such interest exists, applicants pledge compliance with a set of regulations aimed at preventing conflicts of interest or undue influence on the project’s execution. The form emphasizes accountability by warning of legal and administrative repercussions for failure to disclose any existing relationships as defined by the agency. This requirement underscores the commitment of the Rural Development Rural Housing Service to uphold integrity and objectivity in its funding operations, making the RD 3560-30 an essential step in the application process for rural development projects.
Question | Answer |
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Form Name | Rd 30 Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | rural development form 3560 30, usda identity of interest guidelines, rd identity of interest form 3560 31, rd 30 form |
Form RD |
FORM APPROVED |
(Rev. |
OMB |
POSITION 3
UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL DEVELOPMENT
RURAL HOUSING SERVICE
CERTIFICATION OF NO IDENTITY OF INTEREST (101)
Applicant/Borrower Name:
Project Name:
Location: (Town, Country, State)
IDENTITY OF INTEREST STATEMENT
An Identity of Interest occurs:
(1)When there is any financial interest between the applicant/borrower and/or management entity and the supplying entity.
(2)When one or more of the officers, directors, stockholders or partners of the applicant/borrower or management entity is also an officer, director, stockholder, or partner of the supplying entity.
(3)When any officer, director, stockholder, or partner of the applicant/borrower and/or management entity has a I 0 percent or more financial interest in the supplying entity.
(4)When the supplying entity advances any funds to the applicant/borrower and/or management entity.
(5)When the supplying entity provides or pays on behalf of the applicant/borrower and/or management entity the cost of any materials and/or services in connection with obligations under the management plan/management agreement.
(6)When the supplying entity takes stock or any interest in the applicant/borrower and/or management entity as part of the consideration to be paid them.
(7)When there exists or comes into being any side deals, agreements, contracts or understandings entered into thereby altering, amending, or canceling any of the management plan/management agreement documents, organization documents or other legal documents pertaining to the property, except as approved by the Agency.
I,(please print name), hereby certify that I have read the identity of interest statement above and
understand what the USDA, Rural Development, Rural Housing Service (herein referred to as the Agency), has determined constitutes an identity of interest. I further certify that NO identity of interest relationship exists.
I also hereby certify, under penalty of law*, and with knowledge that this information may be verified, that the information submitted is true and accurate. I further understand that failure to disclose any identity of interest to the Agency will also subject me to any administrative remedies available to the Agency. Such remedies may include suspension and debarment from participating in any Federal program.
I further understand and agree that I will complete an Identity of Interest Disclosure/Qualification Certificate if at any time my circum- stances change, and an identity of interest relationship is formed.
Applicant/Borrower Signature |
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Applicant/Borrower Signature |
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*Warning: Section I 00 I of Title 18, United States Code provides: ''Whoever, in any matter within the jurisdiction of the executive, legislative, or Judicial branch of the Government of the United States, knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a material fact, makes any materially false, fictitious, or fraudulent statement or representation, or makes or uses any false writing or document knowing the same to contain any materially false, fictitious, or fraudulent statement or entry shall be fined under this title or imprisoned not more than 5 years, or both.''
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