Regional Planning Grant to Prevent and End Homelessness Request for Proposals (RFP) Application Signature Page
July 1, 2023 – June 30, 2024
V. Certification and Signature	
Note: This form can be signed digitally, electronically, or via wet signature and may be saved as a PDF. Submit with other application materials no later than the due date, Wednesday, April 5, 2023, at 12 p.m. Central Time.  

I certify and acknowledge, on behalf of the applicant, that:
A.	The statements and information contained in this application, based upon reasonable inquiry and belief, are true, correct, and complete. 
B.	I am the applicant, or I have been duly authorized and have full authority to execute this application on behalf of the applicant.  
C.	As the applicant or its duly authorized representative, I will promptly notify the Minnesota Housing Finance Agency (Minnesota Housing) in writing of a change of any fact or circumstance represented in this application, or in any other document furnished in connection with this application, which is reasonably likely to have a material effect on the information contained in this application.

     	
Applicant Name	
     	     	
Authorized Signature	Date	
     	
Printed Name	
     	     	
Organization	Title