Disclosure Form. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with federal contracts, grants, loans, or cooperative agreements, the signatory for the Funding Agency shall complete and submit the federal Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
Disclosure Form. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a DocuSign Envelope ID: 4F9A8FEF-B719-472C-BF25-DD3B0F7B4A55 Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with federal contracts, grants, loans, or cooperative agreements, the signatory for the Funding Agency shall complete and submit the federal Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
Disclosure Form. A disclosure of sales information form as required by the State of Indiana. At the Closing, Purchaser shall deliver to Vendor the balance of the Purchase Price and provide all documentation as may be necessary or required to consummate the Transaction. All costs of Closing, other than Vendor's legal fees, shall be paid by Purchaser.
Disclosure Form. BUYER acknowledges receipt of the Real Property Disclosure Form as the only representations, or statements whatsoever concerning the property, including without limitation its use or condition, other than as written in this agreement, or any attached addendum.
Disclosure Form. The Director shall make this disclosure at the earliest possible time in order to avoid misunderstanding or misrepresentation of his or her motives or interests related to participation in the discussion or vote on the matter.
Disclosure Form. The Disclosure of Ownership and Control Interest Form required by the Department to be completed by Hospital/Provider as a condition of participation in this Agreement.
Disclosure Form. The San Antonio Water System Discretionary Real Estate Contracts Disclosure form is attached hereto as Exhibit “C” and must be signed by bidder and enclosed in the seal bid package.
Disclosure Form. (Required by California Welfare and Institutions Code Section 14452)
Disclosure Form. A disclosure of sales information form as required by the State of Indiana; and
Disclosure Form. Attached hereto and forming a part hereof as Schedule “C” is a questionnaire entitled “Required Disclosure of Relationships to County.” Simultaneous with its execution of this Agreement, the Licensee shall provide the County with a completed copy of Schedule “C”. The Licensee agrees that the terms of Schedule “C” have been accepted and agreed to by the Licensee by virtue of its execution of this Agreement, and the Licensee represents and warrants that it has completed Schedule “C” accurately and completely. In the event that any information provided in Schedule “C” changes during the term of this Agreement, Licensee agrees to notify County in writing within ten (10) business days of such event and provide an updated version of the Schedule “C”.
