Incurred and have been or will be paid to the corresponding vendor / provider. I further certify that the following costs were incurred for the HOME Project located at ______________________________________________________________and do not (ADDRESS) (CITY) (ZIP) (COUNTY) duplicate any other services or materials on this project. Vendor / Provider Invoice No. $ Amount 1 2 3 4 5 6 7 8 9 10 * TOTAL Less Retainage $________________* * This will equal Column F of Form No. 2011 ______________.
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How to fill out the AR ADFA Form 2012 online
Filling out the AR ADFA Form 2012 online is a straightforward process that helps ensure proper financial disbursement for HOME projects. This guide provides step-by-step instructions to assist users with little previous experience in completing the form accurately.
Follow the steps to complete the AR ADFA Form 2012 online:
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the pay request number at the top of the form in the designated field.
- Provide the project number in the appropriate section next to ‘Project #.’
- In the HOME Disbursement Certification section, print your name in the space provided.
- Certify that the incurred costs have been paid or will be paid to the corresponding vendor or provider.
- Fill in the address of the HOME project in the designated fields, including street, city, zip code, and county.
- List each vendor or provider in the specified rows with corresponding invoice numbers and amounts for up to ten entries.
- Calculate the total amount and write it down, ensuring it reflects the total less any retainage.
- Sign the form in the designated area for the finance officer or designee.
- Add the date of signing in the respective field.
- Once completed, save your changes, download, print, or share the form as needed.
Complete your AR ADFA Form 2012 online today!
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