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ATTACHMENT 2. Optional Assurance Certification Form for State Official

___________________________

(NAME OF STATE)

State Plan Amendments

For

Older Americans Act Amendments of 2000

I, the undersigned, affirm and give the assurances required by sections 305, 306, and 307 of the Older Americans Act, as amended in 2000 (P.L. 106-501).

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Signature of Authorized State Official

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Typed Name of Authorized State Official

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Title of Authorized State Official

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Date



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