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If more space is needed, complete and attach an form C084. A. Certification of Disclosure in Quarterly and Annual Reports. 1.Reasons for Proposal. I. Disclosure Statement-Cost Accounting Practices and Certification. Instructions for Completing the Well Disclosure Certificate. Edit, sign, and share certificate of disclosure online. Here is a sample request for a Certificate of Divestiture. KHC may perform a full criminal, employment, and credit investigation of all development team members to verify credit and criminal history. 2. 4 Certification and disclosure requirements. CERTIFICATE OF DISCLOSURE – ARS § 20-233.