Certification Of Alien Employment Form - Missouri Development Finance Board printable pdf download

Certification Of Alien Employment Form - Missouri Development Finance Board

ISSOURI

EVELOPMENT

INANCE

OARD

†

Certification of Alien Employment

I certify that I am an authorized representative of the applicant and as such am

authorized to make the statement of affirmation contained herein.

I certify that the applicant does NOT employ illegal aliens and that the applicant

has complied with federal law (8 U.S.C. §1324a) requiring the examination of an

appropriate document or documents to verify that an individual is not an unauthorized

alien.

I understand if the applicant is found to have employed an illegal alien in

Missouri and did not for that employee examine the document(s) required by federal law,

the applicant shall be ineligible for any state-administered or subsidized tax credit, tax

abatement or loan for a period of five years following any such finding.

__________________________________

Name (signature)

Date

__________________________________

Name (printed or typed)

Applicant/Project Name (printed or typed)

___________________________________________

Title (printed or typed)

Subscribed and sworn to before me this _______ day of _________________, _______.

I am commissioned as a notary public within the County of ________________________, State

of _______________________. My commission expires ______________________________.

_____________________________________

Notary Public

Certification Of Alien Employment Form - Missouri Development Finance Board