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R2021-15 Resolution Authorizing Acceptance and Approval of a Strong Community Grant Agreement with Illinois Housing Development Authority (IHDA)
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R2021-15 Resolution Authorizing Acceptance and Approval of a Strong Community Grant Agreement with Illinois Housing Development Authority (IHDA)
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Last modified
4/13/2021 1:52:18 PM
Creation date
2/2/2021 4:12:40 PM
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Resolution/Ordinance
Res Ord Num
R2021-15
Res Ord Title
R2021-15 Resolution Authorizing Acceptance and Approval of a Strong Community Grant Agreement with Illinois Housing Development Authority (IHDA)
Department
Econ and Com Dev
Approved Date
2/1/2021
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EXHIBIT B <br /> TAXPAYER IDENTIFICATION NUMBER CERTIFICATION <br /> I certify that: <br /> 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for <br /> a number to be issued to me),and <br /> 2. I am not subject to backup withholding because: (a)I am exempt from backup withholding,or(b) <br /> I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup <br /> withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me <br /> that I am no longer subject to backup withholding,and <br /> 3. I am a U.S.person(including a U.S.resident alien). <br /> Name(Printed): CITY OF DECATUR <br /> Taxpayer Identification Number: <br /> Social Security Number <br /> or <br /> Employer Identification Number 37-6001308 <br /> Legal Status(check one): <br /> Individual -X-Governmental <br /> Sole Proprietorship Nonresident alien <br /> Partnership/Legal Corporation Estate or Trust <br /> Tax-exempt Pharmacy(non-corporate) <br /> Corporation providing or billing medical Pharmacy/Funeral Home/ <br /> and/or health care services Cemetery(Corp.) <br /> Corporation NOT providing or billing Limited Liability Company(select <br /> medical and/or health care services applicable tax classification) <br /> D=disregarded entity <br /> C=corporation <br /> P=partnership <br /> Other: <br /> Wil0m A% 7aV <br /> Re fent Signatur Date <br />
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