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Okaloosa County BOCC — December 4, 2012 — SHIP - Annual Report Certifications - 09-12 — reading text
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Annual Report Certification for
State Housing Initiatives Partnership (SHIP) Program
On Behalf of Okaloosa County, Florida (Local Government), I hereby certify that the
annual reporting information submitted electronically to Florida Housing Finance Corporation for fiscal years
09/10, 10/11, 11/12 (list all three fiscal years) is true
and accurate.
Name of Staff Member responsible for submitting annual report: Elliot Kampert
Witness Signature Date Chief Elected Official or Designee Signature Date
Don R. Amunds, Chairman
Witness Printed Name Chief Elected Official or Designee Printed Name
Witness Signature Date
Witness Printed Name
Or
ATTEST (Seal)
Signature Date
420.9075 (10) Each county or eligible municipality shall submit to the corporation by September 15 of each
year a report of its affordable housing programs and accomplishments through June 30 immediately preceding
submittal of the report. The report shall be certified as accurate and complete by the local government's chief
elected official or his or her desionee.