Ulster County, NY · Ulster County
Application Certification and Execution
This certification and signature page is completed by an applicant submitting an application to the Ulster County Housing Action Fund.
At a glance
- Issued by
- City of Ulster County · Ulster County, Ulster County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- ulstercountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This page provides the certification and signature section to include at the end of a Housing Action Fund application. The applicant certifies that they will report material project changes, meet the stated tax and assessment condition, and authorize a credit check if requested. The page asks for the date, applicant name, signature, printed signer name, and official title.
Who needs it
Applicants submitting a Housing Action Fund application complete and execute this certification page on the applicant’s behalf.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the certification.
How to submit this form
- 1
Download the PDF
Download the Application Certification and Execution PDF.
- 2
Complete the Certification
Enter the date and applicant name, then provide the signer’s printed name and official title.
- 3
Sign the Page
Have the authorized signer sign the certification.
- 4
Submit to the County
Include the page at the end of the application and submit it to the county department named on the form.
Frequently asked questions
- What is the Application Certification and Execution page for?
- It is the dated certification and signature page to include at the end of a Ulster County Housing Action Fund application.
- Who completes this certification page?
- The applicant, or an authorized representative signing on the applicant’s behalf, completes the page and provides the requested name, signature, and title.
- Do I need a notary for the Application Certification and Execution?
- No. The document contains no notary block; the signer just signs and dates the certification.
- How do I submit the certification page?
- Submit it to the county department named on the form; check the county website for current contact details.