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Agenda Packet_2023-10-17
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Agenda Packet_2023-10-17
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10/16/2023 11:11:29 AM
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Date
10/17/2023
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EXHIBIT “B” <br />Affidavit Page 6 <br />Santa Ana, California <br />AFFIDAVIT <br />This Affidavit is made with the knowledge that it will be relied upon by _____________ and the City of Santa <br />Ana to determine maximum income for eligibility to purchase the Inclusionary Unit listed above . (I/we) warrant <br />that all information set forth in this document is true, correct and complete and based upon information (I/we) <br />deem reliable and based upon such investigation as (I/we) deemed necessary. <br />(I/We) acknowledge that (I/we) have been advised that the making of any misrepresentation or misstatement in <br />this affidavit will constitute a material breach of (my/our) purchase agreement and will additionally enable the <br />seller to terminate the purchase cont ract and sell the Inclusionary Unit to another party. <br />(I/We) do hereby swear under penalty of perjury that the foregoing statements are true and correct and that <br />this affidavit has been executed as of the date specified below by each adult member of the household which <br />intends to occupy an Inclusionary Unit located at ______________________ ,Santa Ana, California. <br />Signature Date <br />Printed Name <br />Executed at __________________________________, Santa Ana, California <br />Signature Date <br />Printed Name <br />Executed at __________________________________, Santa Ana, California <br /> <br /> <br />City Council 23 – 116 10/17/2023
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