Get Hud 50071

18 U.S.C. 1001 1010 1012 31 U.S.C. 3729 3802 Name of Authorized Official Signature Title Date mm/dd/yyyy Previous edition is obsolete form HUD 50071 01/14 ref. Handbooks 7417. Certification of Payments to Influence Federal Transactions OMB Approval No* 2577-0157 Exp* 01/31/2017 U*S* Department of Housing and Urban Development Office of Public and Indian Housing Applicant Name Program/Activity Receiving Federal Grant Funding The undersigned certifies to the best of his or her knowledge and belief that 1 No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or employee of an agency a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with the awarding of any Federal contract the making of any Federal grant the making of any Federal loan the entering into of any cooperative agreement and the extension continuation renewal amendment or modification of any Federal contract grant loan or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of an agency a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with this Federal contract grant loan or cooperative agreement the undersigned shall complete and submit Standard Form-LLL Disclosure Form to Report Lobbying in accordance with its instructions. certification be included in the award documents for all subawards at all tiers including subcontracts subgrants and contracts under grants loans and cooperative agreements and that all sub recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352 Title 31 U*S* Code. Any person who fails to file the required 10 000 and not more than 100 000 for each such failure. I hereby certify that all the information stated herein as well as any information provided in the accompaniment herewith is true and accurate. Warning HUD will prosecute false claims and statements. Con viction may result in criminal and/or civil penalties. Certification of Payments to Influence Federal Transactions OMB Approval No* 2577-0157 Exp* 01/31/2017 U*S* Department of Housing and Urban Development Office of Public and Indian Housing Applicant Name Program/Activity Receiving Federal Grant Funding The undersigned certifies to the best of his or her knowledge and belief that 1 No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or employee of an agency a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with the awarding of any Federal contract the making of any Federal grant the making of any Federal loan the entering into of any cooperative agreement and the extension continuation renewal amendment or modification of any Federal contract grant loan or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of an agency a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with this Federal contract grant loan or cooperative agreement the undersigned shall complete and submit Standard Form-LLL Disclosure Form to Report Lobbying in accordance with its instructions.