SECTION 3 BUSINESS CONCERN CERTIFICATION FORM
The purpose of this form is to comply with Section 3 of the HUD Act of 1968 Business Certification requirements. To count as a Section 3 Business your company/firm must meet one of the listed categories below. Each category will require additional documentation to support the election. You must provide that supporting documentation with this form properly completed to be confirmed as a Section 3 business. If this form is submitted without the required supplemental data, your certification will not be processed.
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Please select below which category your company meets. *
Required
See below the corresponding documentation required for your selection.
*If you selected 'A business at least 51 percent owned by low- or very low- income persons', you are required to provide proof of ownership showing all owners and their percentages and a completed Section 3 Individual Self-Certification form for all low- and very low-income owners

*If you selected 'Over 75 percent of the labor hours performed for the business are performed by low- or very low-income persons', you are required to provide the last 90 days full payrolls for the entire company, make a list of the names from the payrolls of the Section 3 workers, and provide a completed Section 3 Individual Self- Certification for all low- and very low-income workers you list.

*If you selected 'It is a business at least 51 percent owned by current public housing residents or residents who currently live in Section 8-assisted housing, you are required to provide proof of ownership showing all owners and their
percentages and a Section 3 Individual Self-Certification form for all public housing and/or
Section 8 owners.

***Required documents should be sent to the Section 3 Coordinator at btownsend@mhatoday.org
I hereby certify to the US Department of Housing and Urban Development (HUD) that all of the information on this form is true and correct. I attest under penalty of perjury that my business meets the elected definition and understand proof of this information may be requested. If found to be inaccurate, I understand that I may be disqualified as a certified Section 3 business
Please include your full name, company name, and company's full street address, including city, state, and zip code. *
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