ANNUAL REPORT CERTIFICATION (2)Annual Report Certification for
State Housing Initiatives Partnership (SHIP) Program
On behalf of the City of Clearwater, I hereby certify that the annual reporting information
submitted electronically to Florida Housing Finance Corporation for the fiscal years 2011 -2012,
2012 -2013 and 2013 -2014 is true and accurate.
Name of Staff Member responsible for submitting annual report: Ms. Terry Malcolm -Smith
Witness Signature Date
Chief Elected Official or Designee Signature Date
George N. Cretekos (Mayor)
Witness Printed Name Chief Elected Official or Designee Printed Name
Witness Signature Date
Witness Printed Name
Or
LaUlt l CI a /Q/•y
Signature Date
ATTEST (Seal
420.9075 (10) Each county or eligible municipality shall submit to the corporation by
September 15 of each year a report of its affordable housing programs and accomplishments
through June 30 immediately preceding submittal of the report. The report shall be certified as
accurate and complete by the local government's chief elected official or his or her designee.
October 2012