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EXHIBIT B-1 9 � �a s � � � <br /> APPLICATION AND INCOME CERTIFICATION <br /> FEDERAL TAX CREDIT PROGRAM <br /> Project Name Initial Application <br /> Unit No. No.of Bedrooms Annual Recertification <br /> 1. List all occupants of the unit,their relationship to each other(if any),ages,and whether they are students. If a student,state whether <br /> full-time(FT)or part-time(PT)and provide evidence for all college-level student tenants. (A full-time student is anyone who is enrolled for at least <br /> five calendar months for the number of hours or courses which is considered full-time attendance by that institution. The five calendar months need <br /> not be consecutive. By definition,all tenants of elementary or high school age are considered fu(1-time students.) Further,school attendance by <br /> correspondence,exclusively at night,or enrollment in a Job Training Partnership Act(JTPA)program,does not constitute full-time attendance. <br /> Occupant Relationship Soc.Sec.Number Age Student?Y/N <br /> 2. If all the occupants listed above are students,do any ofthe students file a joint return for federal income tax purposes? Yes_ (If yes,obtain <br /> a copy of their most recent year's tax retum) No_ Not Applicable_ <br /> 3. Please answer each of the following questions. For each"Yes"answer provide details in the chart on the next page. <br /> Annual <br /> Yes No Amount <br /> Is any member of your household employed full-time,part-time or seasonally? <br /> Does any member of your household expect to work for any period during the next 12 <br /> months? <br /> Does any member of your household work for someone who pays them in cash? <br /> Is any member of your household on leave of absence from work due to lay-off,medical, . <br /> matemity or military leave? <br /> Does any member of your household now receive or expect to receive unemployment <br /> benefits? <br /> Does any member of your household now receive or expect to receive child support? <br /> Is any member of your household entitled to child support that he/she is not now <br /> receiving? <br /> Does any member of your household receive or expect to receive welfare assistance? <br /> Does any member of your household receive or expect to receive Social Security benefits? <br /> Does any member of your household receive or expect to receive income from a pension <br /> or annuity? <br /> Does any member of your household receive regular cash contributions from individuals <br /> not living in the Dwelling Unit or from agencies? <br /> Does any member of your household receive income from assets including interest on <br /> checking or savings accounts,interest and dividends from certificates of deposit,stocks <br /> or bonds,or income from the rental of property? <br /> B-1-1 <br />