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Attachment No. 12- Certification of Identity Template-c1.pdf

Fontana City Council
October 28, 2025

Document
Attachment No. 12- Certification of Identity Template-c1.pdf
Meeting
October 28, 2025
Body
Fontana City Council
Original file
91 KB
Text extracted from the city's file for reading and search. Open the original on fontana.legistar1.com. That file is the official record.

City of Fontana’s Empowerment Revolving Loan Fund Program Administered by AmPac Tri-State CDC, Inc. dba AmPac Business Capital Certification of Identity
[Borrower’s Legal Name]- [Loan Product] Loan #[Loan Number]

Certification of Identity Page 1 of 1

I, [Signer’s Legal Name], hereby certify:

THAT, [Signer’s Legal Name], whose name appears on the loan papers and [Variations of Signer’s Legal Name on Application Forms] , whose name appears on various other documents in connection with said [Loan ] are on and the same person.

I FURTHER CERTIFY, that my date of birth is [Signer’s Date of Birth] , and my social security number is [Signer’s Social Security Number].

This Certification is dated: [Date]

_____________________________________
[Signer’s Legal Name], individually

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