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EXHIBIT B -6 200109053 <br />VERIFICATION OF SOCIAL SERVICES <br />CLIENT: DATE: <br />ADDRESS: <br />TO WHOM IT MAY CONCERN: <br />The client listed above has indicated that he or she is receiving income from your agency. <br />Information provided will remain confidential and will be used solely for the purpose of determining <br />eligibility for occupancy. <br />Sincerely, <br />LIHTC Project Manager <br />I hereby authorize the above named management agent to make inquiries regarding my income for the <br />purpose of determining my eligibility for occupancy. <br />Signed: Date: <br />Detailed Budget Statement Provided <br />Monthly payment from this Agency: <br />AFDC GA _ <br />Child Support Pass Through <br />Other <br />Other known income <br />Payments over the last 6 months <br />Remarks - Please indicate any anticipated changes in: <br />(1) The monthly payment: <br />(2) The family status of the Client: <br />Signature of Social Worker <br />Title <br />Date Phone <br />PLEASE RETURN TO: <br />01- 351904.01 B -12 <br />