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Click ‘Get Form’ to open the asset certification form in the editor.
Begin by entering your household name, unit number, and development name in the designated fields.
Select whether you have any assets. If you do not, check the appropriate box and draw a line through the asset information below. If you do have assets, list them in the provided sections, ensuring to input values for cash and interest rates where applicable.
Complete each asset category by filling in the cash value, interest rate, and annual income for each type of asset listed. Remember to put a zero in any columns that do not apply.
Indicate if you have sold or given away any assets below fair market value within the past two years by selecting the appropriate option and providing total amounts if necessary.
Finally, confirm that your net family assets do not exceed $5,000 and calculate your total annual income from these assets. Sign and date the form at the bottom to certify its accuracy.
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