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Form No. A-1146 Rev. 8/05. FINANCIAL STATEMENT. Certification of Social and ... Complete this form each disadvantaged individual that is an owner of a DBE or .... I authorize the New Mexico Department.

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How to fill out the Keogh Nmdot Form online

Filling out the Keogh Nmdot Form is an essential step for individuals applying for participation in the Disadvantaged Business Enterprise (DBE) Program. This guide will provide you with clear, step-by-step instructions to complete the form accurately and efficiently online.

Follow the steps to fill out the Keogh Nmdot Form online effectively.

  1. Press the ‘Get Form’ button to acquire the Keogh Nmdot Form and open it within your preferred editing tool.
  2. Begin by providing the required personal information, including your name, business phone number, residence address, and fax number. Ensure all details are accurate.
  3. In the ‘Determination of Social Disadvantage’ section, read the statement carefully. Mark all applicable categories where you believe you have faced social disadvantage.
  4. Sign and include your title in the designated areas to certify your claims regarding social disadvantage.
  5. Move to the ‘Personal Financial Statement’ section. List all personal assets, including cash, savings, and real estate. Ensure to include a description where required.
  6. Next, document your liabilities, such as accounts payable and notes payable. Be precise and detail the monthly payments where applicable.
  7. Calculate your net worth by subtracting total liabilities from total assets. Omit cents in your final figure.
  8. Detail your sources of income, including salary and investment income. Be comprehensive in this section, including any other relevant income.
  9. Under ‘Contingent Liabilities’, itemize any additional financial obligations, providing necessary details for each.
  10. Complete sections for stocks and bonds, real estate owned, other personal property, unpaid taxes, other liabilities, and life insurance as applicable.
  11. Once all sections are filled out, review your form for accuracy. Save your changes.
  12. Finally, you can download, print, or share the completed form as needed.

Complete your documents online today to ensure seamless participation in the DBE Program.

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