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Form 230 ACEP ALE <br />come from additional donations, payments, loans, or fees made by or charged to the above - mentioned <br />Grantor, immediate family members, or organizations controlled or funded by the Grantor, either through <br />formal or informal agreements. I understand that false certification has serious consequences and will <br />result in ineligibility of the entity for the ACEP. <br />Cooperating Entity Name (please print): AL <br />Authorized Official (please print): <br />Signature by Authorized Official: <br />Date: <br />NRCS <br />I certify that I have met in person with the landowner and confirmed all of the information listed above <br />true, correct, and complete. The landowner has certified that the entity's estimate of cash contribution of <br />the matching funds listed will not come from additional donations, payments, loans, or fees made by or <br />charged to the above - mentioned Grantor, immediate family members, or organizations controlled or <br />funded by the Grantor, either through formal or informal agreements. The landowner understands that the <br />purchase price is the amount he or she should receive at closing for the purchase of the easement. The <br />landowner further understands that the GRP does not require a landowner donation or contributions to <br />stewardship or acquisition funds. <br />NRCS Representative (please print): <br />Signature by NRCS Representative: <br />Date: <br />LI <br />2 <br />Attachment number 1 <br />F -7 <br />Page 179 <br />