Certification by State or Local U. S Department of Housing and Urban Development
Official of PHA Plans Consistency Office of Public and Indian Housing
with the Consolidated Plan or OMB No. 2577-0226
State Consolidated Plan Issued: XX/XX/XXXX
(All PHAs) Expires XX/XX/XXXX
Certification by State or Local Official of PHA Plans
Consistency with the Consolidated Plan or State Consolidated Plan
I, _________________________________, the _____________________________________
Official’s Name Official’s Title
certify that the 5-Year PHA Plan and/or Annual PHA Plan of the
_________________________________________________________________________________
PHA Name
is consistent with the Consolidated Plan or State Consolidated Plan and the Analysis of
Impediments (AI) to Fair Housing Choice of the
______________________________________________________________________________
Local Jurisdiction Name
pursuant to 24 CFR Part 91.
Provide a description of how the PHA Plan is consistent with the Consolidated Plan or State Consolidated Plan and the AI.
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
Page
1 of 1 form HUD-50077-SL
(12/2011)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |