Form HUD 2991 HUD 2991 Certification of Consistency with the Consolidated Plan

OMB Approval No. 2506-0112 (Exp. 7/31/2012)

Certification of Consistenc\
with the Consolidated Plan

U.S. Department of Housing
and Urban Development

I certify that the proposed activities/projects in the application are consistent with the jurisdiction’s current, approved Con

solidated Plan.

(Type or clearly print the following information:)
Applicant Name:

___________________________________________________________________

Project Name:

___________________________________________________________________

Location of the Project:

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Name of the Federal
Program to which the
applicant is applying:

___________________________________________________________________

Name of
Certifying Jurisdiction:

___________________________________________________________________

Certifying Official
of the Jurisdiction
Name:

___________________________________________________________________

Title:

___________________________________________________________________

Signature: ___________________________________________________________________
Date: _____________________________________

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form HUD-2991 (3/98)