Ny Home Improvement Contract - DOC

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Ny Home Improvement Contract - DOC Powered By Docstoc
					Form AHC D-3

                                  (On Letterhead of Grantee)

                          Subsequent Disbursements Certification
                                          For
                               Home Improvement Projects


         In accordance with the provisions of the Grant Agreement dated                          ,

for                                               I                      ,                       ,
         (AHC# and Project Name)                         (Name)                  (Title)

of the                                                              , hereby certify as follows:
                             (Grantee)

(all terms used herein will have the same meaning as defined in the Grant Agreement):

         (a)     That $___________ has been disbursed by the Corporation to the Grantee;

         (b)     That at least 75% (or $________) of the amount set forth in (a) above has
                 been expend or committed pursuant to Home Improvement Contracts and
                 Plans, where such Plans are required by law; and

         (c)*    That the Grantee has received for each unit improved or to be improved,
                 evidence of site control and a Home Improvement Contract and Plans, if
                 such Plans are required by law. (or)

         (c)*    That the Grantee has received evidence from a Participating Party (Parties)
                 that the Participating Party (Parties) has received, for each unit improved
                 or to be improved, evidence of site control and a Home Improvement
                 Contract and Plans, if such Plans are required by law.



Signature


Dated

         * Please select the alternatives (c) certification that applies to Grantee’s project.

				
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