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MM <br />Owner(s) Name: <br />Address•, <br />We are the Owners of an Inclusionary Unit that was produced under the <br />requirements of the City of Santa Ana Inclusionary Housing Ordinance, We <br />understand and agree that the Inclusionary Unit must be used as our Primary <br />Residence and for no other purpose. <br />By this Certification, we declare under penalty of perjury that: <br />We currently occupy the Inclusionary Unit; and <br />2. We have occupied the Inclusionary Unit for at least 10 out of the past 12 <br />mantis and <br />3, We have not used the Inclusionary Unit for any other purpose than as our <br />Primary Residence; and <br />4. We are not ranting or leasing any part of the Inclusionary Unit to another <br />party, <br />We have attached true and accurate copies of two utility bills or other <br />documentation evidencing our continued occupancy of the InGlUsionary Unit <br />We acknowledge that any intentional or negligent misrepresentation in this <br />Certification may result In civil liability and/or criminal penalties Including, but not <br />limited to, fine or imprisonment, or both, and liability for monetary damages under <br />the provisions of Title 18, United States Code, Section 1001, at seq, <br />NEMM�. .:� <br />Inclustorary Housing covenants Declaration aao 1 <br />Occupincy Romt1ficatlan Form January 2015 <br />32A -110 <br />