Hud 5282 Certificate From Contractor Appointing Officer To Supervise
Download a blank fillable Hud 5282 Certificate From Contractor Appointing Officer To Supervise in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Hud 5282 Certificate From Contractor Appointing Officer To Supervise with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1U.S. Department of Housing
Certificate from Contractor Appointing
and Urban Development
Officer or Employee to Supervise
Office of Public and Indian Housing
Payment of Employee
Project Name ___________________________________________________________
Date (mm/dd/yyyy) ____________________
Location _______________________________________________________________
Project No. ___________________________
(I) (We) hereby certify that (I am) (we are) (the prime contractor) (a subcontractor) for _______________________________________
in connection with construction of the above-mentioned Low-Rent Housing Project,
(specify “General Construction,” “Plumbing,” “Roofing,” etc.)
and that (I) (we) have appointed _______________________________________________________________, whose signature
appears below, to supervise the payment of (my) (our) employees beginning (Date: mm/dd/yyyy) ___________________________ ;
That he/she is in a position to have full knowledge of the facts set forth in the payroll documents and in the statement of compliance
required by the so-called Kick-Back Statue which he/she is to execute with (my) (our) full authority and approval until such time as (I)
(we) submit to the (Name of Local Authority) ______________________________________________________________________
a new certificate appointing some other person for the purposes hereinabove stated.
___________________________________________________
(Identifying Signature of Appointee)
Attest (If required)
______________________________________________________
(Name of Firm or Corporation)
___________________________________________________
By ___________________________________________________
(Signature)
(Signature)
___________________________________________________
______________________________________________________
(Title)
(Title)
________________________________________________________________
___________________________________________________________________
(Date: mm/dd/yyyy)
(Date: mm/dd/yyyy)
Note: This certificate must be execute by an authorized officer of a corporation or by a member of a partnership, and shall be executed
prior to and be submitted with the first payroll. Should the appointee be changed, a new certificate must accompany the first payroll for
which the new appointee executes a statement of compliance required by the Kick-Back Statue.
Replaces form PHA-282, which is obsolete
form HUD-5282 (8/67)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Certificate Of Authority (coa) Application To Collect Transient Occupancy Tax - San Francisco Office Of The Treasurer & Tax Collector
Financial
Certificate Of Conversion From A Delaware Partnership To A Non-delaware Entity - Delaware Division Of Corporations
Business
Related Categories
Parent category: Legal