Common use of I understand that Clause in Contracts

I understand that. INITIALS (Optional)  if it is determined that I cannot reasonably be expected to be discharged from a medical institution, the State will file a lien against real property I own, including my home, unless any of the following individuals resides in my home:  My spouse;  My child who is under age 21, or who is blind or permanently and totally disabled; or  My sibling who has an equity interest in the home and who was residing in the home for at least one year prior to my admission to the medical institution.  if the State intends to file a lien on my real property, written notification will be sent to me and any other joint owner(s) and I will have an opportunity to appeal the lien placement.  any lien placed on my home will be removed upon my discharge from a medical institution. I have read and understand my rights and responsibilities as explained on this Form and have had the opportunity to ask questions about this information. (Optional) Signature of Applicant/Parent (Optional) Signature of Spouse/Parent

Appears in 2 contracts

Samples: Reimbursement Agreement and Acknowledgment, Reimbursement Agreement and Acknowledgment

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I understand that. INITIALS (Optional) if it is determined that I cannot reasonably be expected to be discharged from a medical institution, the State will file a lien against real property I own, including my home, unless any of the following individuals resides in my home: My spouse; My child who is under age 21, or who is blind or permanently and totally disabled; or My sibling who has an equity interest in the home and who was residing in the home for at least one year prior to my admission to the medical institution. if the State intends to file a lien on my real property, written notification will be sent to me and any other joint owner(s) and I will have an opportunity to appeal the lien placement. any lien placed on my home will be removed upon my discharge from a medical institution. I have read and understand my rights and responsibilities as explained on this Form and have had the opportunity to ask questions about this information. (Optional) Signature of Applicant/Parent (Optional) Signature of Spouse/Parent

Appears in 2 contracts

Samples: Reimbursement Agreement and Acknowledgment, Reimbursement Agreement and Acknowledgment

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