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

Section 202 Supportive Housing for the Elderly Application Submission Requirements

2991

Section 202 Supportive Housing for the Elderly Application Submission Requirements

OMB: 2502-0267

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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)


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