Authorizing Signatures and Dates Sample Clauses

Authorizing Signatures and Dates. The signatories below warrant and represent that they have the competent authority on behalf of their respective agencies or companies to enter into the obligations set forth in this User Agreement.
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Authorizing Signatures and Dates. The signatories below warrant and represent that they have the competent authority on behalf of their respective entities to enter into the obligations set forth in this Reimbursable Agreement. _________________________________ Date __________ (Signature) Printed name: ________________________________ Title: _______________________________________ Social Security Administration
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Authorizing Signatures and Dates. SWhen M.ooNCConttngr fin ficer
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Authorizing Signatures and Dates. ‌ The signatories below warrant and represent that they have the competent authority on behalf of their respective entities to enter into the obligations set forth in this User Agreement. Date (Signature) Printed Name: Laura Train Associate Commissioner, Office of Data Exchange, Policy Publications, and International Negotiations Date (Signature) Printed Name: Title: Company Name: Attachment A - Form SSA-89 and Form SSA-89 SP‌ Attachment B – Form SSA-88 Pre-Approval Form for CBSV‌ Attachment C - Form SSA-200 CBSV Enrollment Application‌ Attachment D - Form SSA-1235 Agreement Covering Reimbursable Services‌ Atta‌ Name and address of company requesting services: The Requesting Party understands that the Social Security Administration (SSA) will verify Social Security Numbers (SSN) solely to ensure that the records of my Clients or my Principal’s Clients are correct for the purpose(s) indicated on the Form SSA-89 (Authorization for SSA to Release SSN Verification – Attachment A), obtained from the Clients. The information received from records maintained by SSA is protected by Federal statutes and regulations, including 5 U.S.C. § 552a(i)(3) of the Privacy Act. Under this section, any person who knowingly and willfully requests or obtains any record concerning an individual from an agency under false pretenses must be guilty of a misdemeanor and fined not more than $5,000. The Requesting Party must inform all authorized personnel with access to confidential information of the confidential nature of the information and the administrative, technical and physical safeguards required to protect the information from improper disclosure. All confidential information must at all times be stored in an area that is physically safe from unauthorized access. The Requesting Party must restrict access to all confidential information to the minimum number of employees and officials who need it to perform the process. Name Title Phone Number Signature Date
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Authorizing Signatures and Dates. Each signatory below warrants and represents that he/she has the competent authority on behalf of his/her respective agency to enter into the obligations and agree to the terms set forth in this Memorandum of Understanding between FHFA and HUD regarding Fair Lending Coordination.
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Authorizing Signatures and Dates. APPROVED AND ACCEPTED BY APPROVED AND ACCEPTED
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Authorizing Signatures and Dates. The signatories below warrant and represent that they have the competent authority on behalf of their respective entities to enter into the obligations set forth in this User Agreement. (Signature) Printed Name: Xxxxxxx Xxxxxxxxxxx Associate Commissioner, Office of Data Exchange & Policy Publications (Signature) Printed Name: Title: Company Name: SAMPLE Attachment B - Form SSA 89‌ SAMPLE Page 25 of 46 Nombre en letra de molde Fecha de nacimiento Número de Seguro Social Quiero que esta información sea divulgada porque estoy llevando a cabo la siguiente transacción de negocios Razones para solicitar el CBSV: (Favor de marcar todo lo que aplique a esta divulgación) Empresa hipotecária Investigación de antecedentes Investigación crediticia con la siguiente empresa (“la Empresa”): Servicios bancarios Requisito para obtener una licencia Otra razón (explique) Nombre de la Empresa Dirección SAMPLE Yo autorizo a la Administración del Seguro Social a que verifique mi nombre y número de Seguro Social (SSN, sus siglas en inglés) a la Empresa o al agente de la Empresa, si procede, para el propósito que he identificado. El nombre y la dirección del agente de la Empresa es: Yo soy la persona a quien el número de Seguro Social fue emitió o el representante legal de un menor o el representante legal de una persona quien ha sido declarado por la corte un adulto incompetente. Yo declaro y afirmo bajo xxxx de perjurio que la información contenida aquí es verdadera y correcta. Yo reconozco que si hago alguna representación, que yo sé que es falsa, para obtener información de los registros del Seguro Social, puedo ser declarado culpable de un delito menor y penalizado con una multa de hasta $5,000. Este consentimiento xx xxxxxx por xxxx de la fecha en que es firmado. (Sus iniciales, por favor.) Firma Fecha en que firmó Parentesco (si no es la persona a quien le pertenece el SSN): Información de contacto de la persona que firma esta autorización: Dirección Cuidad/Estado/Zona Postal Número telefónico Formulario SSA-89 (Página 1 de 2)
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Authorizing Signatures and Dates 
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Related to Authorizing Signatures and Dates

  • SIGNATURES AND DATES This Attachment E is agreed to by:

  • SIGNATURES AND SEALS 18 ACKNOWLEDGMENTS ................................................ 19

  • Counterpart Signatures This Agreement may be executed in several counterparts, including via facsimile, each of which shall be deemed an original for all purposes, including judicial proof of the terms hereof, and all of which together shall constitute and be deemed one and the same agreement.

  • Signatures and Counterparts Facsimile transmission of any signed original document and/or retransmission of any signed facsimile transmission shall be the same as delivery of an original. At the request of Buyer or the Selling Parties, the parties will confirm facsimile transmission by signing a duplicate original document. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original and all of which together shall be considered one and the same agreement.

  • Counterparts and Signatures This Agreement may be executed in several identical counterparts, all of which taken together shall constitute one single agreement between the parties. Facsimile signatures and signatures transmitted via portable document format (PDF) shall be considered as original signatures.

  • Counterparts; Fax Signatures This Agreement may be executed in any number of counterparts (including executed counterparts delivered and exchanged by facsimile transmission) with the same effect as if all signing parties had originally signed the same document, and all counterparts shall be construed together and shall constitute the same instrument. For all purposes, signatures delivered and exchanged by facsimile transmission shall be binding and effective to the same extent as original signatures.

  • Counterparts; Signatures; Delivery This Deposit Agreement may be executed in any number of counterparts, each of which shall be deemed an original and all of those counterparts shall constitute one and the same instrument. Copies of this Deposit Agreement shall be filed with the Depositary and the Custodians and shall be open to inspection by any Owner or Holder during regular business hours. The exchange of copies of this Deposit Agreement and manually-signed signature pages by facsimile, or email attaching a pdf or similar bit-mapped image, shall constitute effective execution and delivery of this Deposit Agreement as to the parties to it; copies and signature pages so exchanged may be used in lieu of the original Deposit Agreement and signature pages for all purposes and shall have the same validity, legal effect and admissibility in evidence as an original manual signature; the parties to this Deposit Agreement hereby agree not to argue to the contrary.

  • Counterpart Signature This Agreement may be signed in counterpart, and the signed copies will, when attached, constitute an original Agreement.

  • COUNTERPARTS; FACSIMILE AND SIGNATURES This Settlement Agreement may be executed in counterparts and by facsimile or pdf signature, each of which shall be deemed an original, and all of which, when taken together, shall constitute one and the same document.

  • Facsimile and Email Signatures The use of facsimile signatures and signatures delivered by email in portable document format (.pdf) affixed in the name and on behalf of the transfer agent and registrar of the Partnership on certificates representing Common Units is expressly permitted by this Agreement.

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