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<br />~ <br />~ <br /> <br />CITY OF SANTA ANA <br />Housing & Neighborhood Development <br />20 Civic Center Plaza 13'd Floor 1 P.O. Box 19881 M-26 1 Santa Ana, CA 92702 <br />(714) 667-2250 <br /> <br />. <br /> <br />REQUEST FOR RETENTION FUNDS <br /> <br />Date: <br /> <br />Project Address: <br /> <br /> <br />V OFFICE USE ONLY V <br /> <br />NSP Grant Services Agreement <br />ANR Homes, Inc. (Developer) <br /> <br />AMOUNT: <br /> <br />PAYABLE TO: ANR Homes, Inc. <br /> <br />DEVELOPER <br />The undersigned DEVELOPER certifies that to the best of their knowledge, information and belief, all charges for labor and <br />material incurred and used in construction pursuant to the NSP Grant Services Agreement have been paid in full, and that <br />no liens and/or legitimate claims have been reported. <br /> <br />Date <br /> <br />Print Name 1 Title <br /> <br />Signature <br /> <br />Date <br /> <br />Homeowner (Signature) <br /> <br />CITY OF SANTA ANA <br />The undersigned Senior Residential Construction Specialist (SRCS) certifies that to the best of their knowledge, information <br />and belief, the DEVELOPER has complied with the NSP Grant Service Agreement and is entitled to receive the retention <br />funds withheld during construction. <br /> <br />Date <br /> <br />Senior Residential Construction Specialist (Signature) <br /> <br />The undersigned certifies that to the best of their knowledge, information and belief, this Request for Retention Funds has <br />been properly prepared and documented and authorizes the disbursement of funds in the amount requested. <br /> <br />Date <br /> <br />Housing Programs Coordinator (Signature) <br /> <br />Required Attachments: Unconditional Lien Release <br />May 2009 <br />