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TANGAZO CHINI YA ADHABU YA KIAPO CHA UWONGO LA VITUO VYA KUDHIBITI NA KUZUIA MAGONJWA USITISHAJI WA MUDA WA UHAMISHO ILI KUZUIA KUSAMBAA ZAIDI KWA COVID-19 DECLARATION UNDER PENALTY OF PERJURY FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION’S TEMPORARY HALT IN EVICTIONS TO PREVENT FURTHER SPREAD OF COVID-19 Ninathibitisha chini ya adhabu ya kiapo cha uwongo, kulingana na 28 U.S.C. 1746, kwamba yaliyotangulia ni ya kweli na sahihi: I certify under penalty of perjury, pursuant to 28 U.S.C. 1746, that the foregoing are true and correct: Nimetumia juhudi bora kupata msaada wote unaopatikana wa serikali kwa kodi au nyumba; I have used best efforts to obtain all available government assistance for rent or housing; Aidha ninatarajia kupata sio zaidi ya $99,000 kwa mapato ya kila mwaka kwa Mwaka wa Kalenda 2021 (au sio zaidi ya $198,000 ikiwa ninajaza fomu ya malipo ya kodi ya pamoja), sikuhitajika kuripoti mapato yoyote katika mwaka wa 2020 kwa Huduma ya Mapato ya Ndani ya Marekani, au kupokea Malipo ya Athari za Kiuchumi (hundi ya kichocheo) kulingana na Sehemu ya 2201 ya Sheria ya CARES; I either expect to earn no more than $99,000 in annual income for Calendar Year 2020 (or no more than $198,000 if filing a joint tax return), was not required to report any income in 2019 to the U.S. Internal Revenue Service, or received an Economic Impact Payment (stimulus check) pursuant to Section 2201 of the CARES Act; *Siwezi kulipa kodi yangu kamili au kulipa malipo kamili ya nyumba kwa sababu ya upotezaji mkubwa wa mapato ya nyumba, upotezaji wa masaa ya kulipwa ya kazi au mishahara, kuachishwa kazi, au gharama za matibabu za mfukoni zisizo za kawaida; *I am unable to pay my full rent or make a full housing payment due to substantial loss of household income, loss of compensable hours of work or wages, lay-offs, or extraordinary out-of-pocket medical expenses; Ninatumia juhudi bora kufanya malipo kidogo kwa wakati unaofaa ambayo yanakaribia malipo kamili kulingana na hali ya mtu binafsi inavyoruhusu, nikizingatia gharama zingine zisizo za hiari; I am using best efforts to make timely partial payments that are as close to the full payment as the individual’s circumstances may permit, taking into account other nondiscretionary expenses; Ikiwa nitahamishwa kuna uwezekano nitakosa makao, nitahitaji kuhamia kwenye makao ya wasio na makazi, au nitahitaji kuhamia kwenye makao mapya yanayoshirikiwa na watu wengine ambao wanaishi kwa ukaribu kwa sababu sina chaguzi zingine za makazi zinazopatikana . If evicted I would likely become homeless, need to move into a homeless shelter, or need to move into a new residence shared by other people who live in close quarters because I have no other available housing options. Ninaelewa kuwa bado lazima nilipe kodi au nilipie malipo ya nyumba, na kutii majukumu mengine ambayo ninaweza kuwa nayo chini ya upangaji wangu, makubaliano ya kukodisha, au mkataba kama huo. Ninaelewa zaidi kuwa ada, adhabu, au riba kwa kutolipa kodi au kulipa malipo ya nyumba kwa wakati usiofaa kama inavyotakiwa na upangaji wangu, makubaliano ya kukodisha, au mkataba kama huo bado inaweza kutozwa au kukusanywa. I understand that I must still pay rent or make a housing payment, and comply with other obligations that I may have under my tenancy, lease agreement, or similar contract. I further understand that fees, penalties, or interest for not paying rent or making a housing payment on time as required by my tenancy, lease agreement, or similar contract may still be charged or collected. Ninaelewa zaidi kuwa mwishoni mwa usitishaji huu wa muda wa uhamisho mnamo Machi 31, 2021 mtoa huduma wangu wa nyumba anaweza kuhitaji malipo kamili kwa malipo yote ambayo hayajafanywa kabla ya na wakati wa usitishaji wa muda na kutolipa kunaweza kunifanya nihamishwe kulingana na sheria za Jimbo na mitaa. Ninaelewa kuwa taarifa zozote za uwongo au za kupotosha au upungufu zinaweza kusababisha vitendo vya uhalifu na vya wenyewe kwa wenyewe kwa faini, adhabu, uharibifu, au kifungo. I further understand that at the end of this temporary halt on evictions on March 31, 2021, my housing provider may require payment in full for all payments not made prior to and during the temporary halt and failure to pay may make me subject to eviction pursuant to State and local laws. I understand that any false or misleading statements or omissions may result in criminal and civil actions for fines, penalties, damages, or imprisonment. _________________________ ________________ Saini ya Mtangazaji Tarehe Signature of Declarant Date
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