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): $. PART IV. Income FROM ASSETS. HH (F) (G) (H) (I). Mbr # Type of Asset C/I Cash Value of Asset Annual Income from Asset TOTALS: $ $. Enter Column (H) Total Passbook Rate If over $5000 $_____ X = (J) Imputed Income $.
and Economic Recovery Act (HERA) of 2008, which requires all Low Income Housing Tax Credit (LIHTC) properties to collect and submit to the U.S. Department of Housing and Urban Development (HUD), certain demographic and economic information on tenants residing in LIHTC financed properties.
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