"In accordance with RSA 130-A:8-a and He-P 1609.04, I, do hereby certify that I am the owner of the property identified below as defined by RSA 130-A:1, XVIII.";
I further certify that the dwelling identified above is currently:
Vacant and will remain vacant until the Order(s) has been satisfied;
Converted to non-residential use (explain and provide documentation); or
Destroyed (explain and provide documentation to indicate abatement of soils, any other outbuildings, or other structures under Order).";
"I hereby certify as:
Owner;
Co-Owner; or
Owner's Agent
That the information is true and accurate, on this day.";
"I further certify that I have read, understand, and agree to comply with the New Hampshire Lead Poisoning Prevention Rules (He-P 1600) and the Lead Poisoning Prevention Statute (RSA 130-A)."
N.H. Admin. Code § He-P 1609.04
#5920, eff 1-1-95; ss by #7181, eff 12-24-99; ss by #7495, eff 5-23-01; ss by #8039, eff 2-13-04; ss by #8932, eff 7-6-07; ss by #9986, eff 9-1-11 (from He-P 1605.02 )