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By submitting this form, I agree to make my financial records available to the City of Omaha, its designee, or HUD for verification of above information. I certify that the information above is, to the best of my knowledge and belief, a true, correct and complete statement of my financial conditions as of the date stated herein. I am aware that Section 1001 of Title18 of the U.S. Code makes it a criminal offense to make false statements or misrepresentation to any Department or Agency of the U.S. as to matters within its jurisdiction.