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r <br />i <br />PART v. DETERMINATION OF <br />TOTAL ANNUAL HOUSEHOLD MCOME <br />FROM ALL SOURCES: <br />From (L) on Previous page l 1 S <br />Current Income Limit per Family Sear <br />Household laconre at Movam: <br />PART VI. <br />Tenant paid Rent e <br />Utility Allows= <br />GROSS RENT FOR UNIT: <br />Cranarx paid rent pica Utility Allowance dl; <br />other ncaoptionslcharges) S <br />Maximum Rent Limit for This Unit S - <br />PART VU. STU] <br />Household Moen <br />lncome Restriction <br />at S <br />RECERTEnCATION ONLY. <br />Currant income Limit x 140%: <br />60% ❑ SOY. Houses id Iwo==coeds 140% at <br />❑ 40% ❑ 30% recerti5aadow <br />E3 ---% ❑ Yea ❑ No <br />Household Size at Movo-W <br />Red Assists= S <br />OtherNonoptionalCones: $ <br />Unit Manta Rent Raftiction at <br />1360% ❑ 50% ❑ 400A ❑ 30% ❑ 9t <br />ARE ALL OCCUPANTS PUL I-TM E STUDENTS? If yes, eutm student explanation.* <br />❑ Yes ❑ No (Also attach doatnner ation.) <br />Butter <br />1-4 <br />"Student Exphuaation: <br />I AFDCrrANP assistance <br />2 )TPA Prognua or cquival cot <br />3 Sin& paraat/depeodeat child <br />4 ManiWoint tax remra <br />PART VU1. PROGRAM TYPE <br />Mark the programs) listed below (s. thm e.) for which this household's unit will be counted town rd the propmty's occupancy requirements. <br />Under each progrsm maead, indics to the household's income status as established by thin cetti5oadon/recestificatiom <br />a. Tax Credit ❑ I b. HOME ❑ 1 c. Tax Exempt ❑ I d. AHDP ❑ I <br />See Pout V above <br />Income stator <br />❑ 50% AMGI <br />❑ 5 60% AMGI <br />❑ S 80% AMGI <br />❑ dl" <br />Incoms Stahv <br />❑ 50% AMG1 <br />© 60% AMGI <br />❑ 80% AMGI <br />❑ al" <br />Income Stattu <br />❑ 50X. AMGI <br />© 80% AMGI <br />❑ OI" <br />(Name ajP►ngram) <br />Income Slants <br />❑ <br />❑ Ol- <br />%1 n reccrtification, household was determined over-income(01) according to eli ibifity Enirements of the progra*s j marked above. <br />SIGNATURE OF OWNZWREPRPSENTATIVE <br />Based on the representations herein and upon the proofs and do w- cntation required to be submitted, the individual(s) named in Part 11 of this Tenant Income Certification <br />is are eligible under the provisions of Section 42 of the Internal Revenue Cade, as amended, and the Land Use Restriction Agreement (if applicable), to live in a unit in this <br />Pto,ect. <br />SIGNATURE OF QWNEP.,REPRESFNTATIVE <br />DA's E <br />