Transcription of Tenant Income Certification
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Tenant Income Certification
Tenant Income Certification Effective Date: _____. Initial Certification Recertification Other _____ Move-In Date: _____. (MM-DD-YYYY). PART I - DEVELOPMENT DATA. Property Name: County: _____ TCAC#: BIN#: Address: If applicable, CDLAC#: Unit Number: # Bedrooms: Square Footage: _____. PART II. household COMPOSITION. Vacant (Check if unit was vacant on December 31 of the Effective Date Year). HH Middle Relationship to Head Date of Birth F/T Student Last 4 digits of Mbr # Last Name First Name Initial of household (MM/DD/YYYY) (Y or N) Social Security #. 1 HEAD. 2. 3. 4. 5. 6. 7. PART III. GROSS ANNUAL Income (USE ANNUAL AMOUNTS). HH (A) (B) (C) (D). Mbr # Employment or Wages Soc. Security/Pensions Public Assistance Other Income TOTALS $ $ $ $. Add totals from (A) through (D), above TOTAL Income (E): $.
Household Income as of Move-in: Or Federal A.I.T. at: 80% 70% 60% 50% ... USDA Rural Housing Service, including 514, 515, ... State each household member’s relationship to the head of household by using one of the following definitions:
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