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Get Loccs Fillable Authorization Form

Statements on back before completing this form This form is to be approved by the recipient's (or grantee's) chief executive officer. For new users and reinstate users, retain a copy and send a notarized original and one copy to your local HUD Field Office for review. The Field Office will forward the original form f to: U.S. Dept. of Housing and Urban Development Chief Financial Officer, FYM PO Box 23774 Washington, DC 20026-3774 1. Type of Function (mark one) 1 2 3 4 New User Reinstate Use.

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