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INDIAN RIVER CO BD OF CO COMM <br />FL132 <br />PHA Name PHA Number/HA Code <br />I hereby certify that all the statement above, as well as any information provided in the accompaniment herewith, is true and accurate. Warning: HUD will prosecute false claims and statements. <br />Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012, 31 U.S.C. 3729, 3802) <br />Name of Executive Director: Cindy Emerson <br />Date: <br />Exe tive Director Signature: <br />Name of Board Chairperson: Joseph E. Flescher <br />Date: Iib udxr 20, 2025 <br />Bow Chfiirperson Signature: <br />...pt`1MlSS�• <br />t <br />The United States Department of Housing and Urban Development is authorized to collect the information requested in this form by virtue of Title 12, U.S. Code, Sem 1R eq., a! gJations <br />promulgated thereunder at Title 12, Code of Federal Regulations. Responses to the collection of information are required to obtain a bene it or to retain a bene it The i le(ifb}ibstpd"does not <br />lend itself to con identiality. The information is collected to ensure that PHAs carry out applicable civil rights requirements. ........ <br />Public reporting burden for this information collection is estimated to average 0.16 hours per response, including the time for reviewing instructions, searching e3dsting data sources, gathering, and <br />maintaining the data needed, and completing and reviewing the collection of information. HUD may not collect this information, and respondents are not required to complete this form, unless it <br />displays a currently valid OMB Control Number. <br />Form identification: FL132-INDIAN RIVER CO BD OF CO COMM form HUD -50077 -CR (Form ID - 3594) for CY <br />2025 printed by Stacey Bush in HUD Secure Systems/Public Housing Portal at 05/21/2025 04:10PM EST <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />By: <br />eputy Clerk <br />