Free VA Form VA40-0895-6 - Certification of State or Tribal Government Matching Architectual & Engineering - Federal

CERTIFICATION OF STATE OR TRIBAL GOVERNMENT MATCHING ARCHITECTURAL AND ENGINEERING FUNDS TO QUALIFY FOR GROUP 1 ON THE PRIORITY LIST (As required by 38 USC 2408 and 38 CFR Part 39)
AMOUNT OF DEPARTMENT OF VETERANS AFFAIRS ESTIMATED YEAR FUNDS AVAILABLE OR EXPECTED TO BE AVAILABLE ARCHITECTURAL AND ENGINEERING STATE MATCHING FUNDS (FROM THE APPROVED PRE-APPLICATION) August 15, PROJECT FAI (Federal Application Identifier) NO. FUNDS WILL REMAIN AVAILABLE UNTIL (mm/dd/yyyy)

$

CERTIFICATION STATEMENT: I certify that the above information is correct and that no further State or Tribal Government action, other than administrative, is required to make these funds available.
NAME OF AUTHORIZED STATE OR TRIBAL GOVERNMENT BUDGET OFFICIAL TITLE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT BUDGET OFFICIAL

SIGNATURE

DATE (mm/dd/yyyy)

ENCLOSURE: Copy of Act, as approved by the Governor, authorizing the project and making available the State or Tribal Government matching funds for the project. (If the State has not appropriated the State or Tribal Government matching funds, then sufficient documentation must be provided to show that the State or Tribal Government has available matching funds for the project.)
VA FORM JUL 2009

40-0895-6

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