CERTIFICATION OF GOVERNING BODY OF THE ANNUAL AUDIT GROUP AFFIDAVIT FORM NO PHOTO COPIES OF SIGNATURES

STATE OF NEW JERSEY COUNTY OF (Insert County Name)

We, members of the governing body of the (Name of local unit) of, in the County of (County Name), being duly sworn according to law, upon our oath depose and say:

  1. We are duly elected (or appointed) members of the (insert name of governing body) of the (name of local unit) in the county of (name of county);
  2. In the performance of our duties, and pursuant to N.J.A.C. 5:30-6.5, we have familiarized ourselves with the contents of the Annual Municipal Audit filed with the Clerk pursuant to N.J.S.A. 40A:5-6 for the year (insert year);
  3. We certify that we have personally reviewed and are familiar with, as a minimum, the sections of the Annual Report of Audit entitled “Comments and Recommendations.”

(L.S.)

NINO BORELLI, COUNCILMAN

___

(L.S.)

MARTIN FLEMMING, COUNCILMAN (L.S.)

QUYTY YTY Y

STEPHEN CHISHOLM, JR., COUNCILMAN ___ (L.S.)

JENNIFER L. KUHN, COUNCILWOMAN (

(L.S.)

SCOTT SARGENT, COUNCILMAN JENNIFER L. KUHN, COUNCILWOMAN

Sworn to and subscribed before me this day of

Notary Public of New Jersey

Notary Public of New Jersey

The Municipal Clerk (or Clerk of the Board of Chosen Freeholders as the case may be) shall set forth the reason for the absence of signature of any members of the governing body. IMPORTANT: This certificate must be sent to the Bureau of Financial Regulation and Assistance, Division of Local Government Services, P.O. Box 803, Trenton, New Jersey 08625.