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What We Do

Assets Certification Form
Please indicate which assets you have and provide documentation for each. Thanks for your time and effort in completing this form. (Indicate which assets you have by checking lines below):

Under penalty of perjury, I certify that the information presented in this certification is true and accurate to the best of my knowledge. I further understand that providing false representations herein constitutes an act of fraud. False, misleading or incomplete information may result in the loss of the AHP subsidy.

First Name *
Last Name *
Agreement

Thank you to our generous sponsors.

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