<p>Form AHC D-3</p><p>(On Letterhead of Grantee)</p><p>Subsequent Disbursements Certification For Home Improvement Projects</p><p>In accordance with the provisions of the Grant Agreement dated , for I , , (AHC# and Project Name) (Name) (Title) of the , hereby certify as follows: (Grantee)</p><p>(all terms used herein will have the same meaning as defined in the Grant Agreement):</p><p>(a) That $______has been disbursed by the Corporation to the Grantee;</p><p>(b) That at least 75% (or $______) of the amount set forth in (a) above has been expend or committed pursuant to Home Improvement Contracts and Plans, where such Plans are required by law; and</p><p>(c)* That the Grantee has received for each unit improved or to be improved, evidence of site control and a Home Improvement Contract and Plans, if such Plans are required by law. (or)</p><p>(c)* That the Grantee has received evidence from a Participating Party (Parties) that the Participating Party (Parties) has received, for each unit improved or to be improved, evidence of site control and a Home Improvement Contract and Plans, if such Plans are required by law.</p><p>Signature</p><p>Dated</p><p>* Please select the alternatives (c) certification that applies to Grantee’s project.</p>