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WNMMI10.11IN <br />dcco urrity Resources <br />Orange County Housing Authority <br />Statement of Facts <br />Warnina: It is unlawful to "knowingly and willfully" make any "materially false, fictitious, or fraudulent <br />statements or representation" to a federal agency. Violations can be punished under Section 2 of the <br />False Statements Act by a fine and/or imprisonment of not more than 5 years. [18 U.S.C. § 1001] <br />certify, under penalty of perjury under the laws of the United States of America and the State of <br />California. that the above information is true and correct. <br />Signature <br />Date <br />City Council 31 — 28 7/20/2021 <br />Page 21 of 29 <br />SAHousing Assistance\Residency\Forms\Statement of Facts - Blank 2008-04.doc <br />