Laserfiche WebLink
By: <br /> Its City Clerk <br /> STATE OF MINNESOTA ) <br /> ) ss <br /> COUNTY OF HENNEPIN ) <br /> The foregoing instrument was acknowledged before me this day of <br /> , by and <br /> , the Mayor and City Clerk of the City of Orono, <br /> Minnesota, a municipal corporation under the laws of the State of Minnesota, on <br /> behalf of the city. <br /> Notary Public <br /> EXHIBIT D <br /> Form of Income Certification <br /> Certification of Tenant Eligibility <br /> • <br /> • <br /> UNIT NUMBER: <br /> I/We, the undersigned, being first duly sworn, state that I/we have read and <br /> answered fully and truthfully each of the following questions for all persons who are <br /> to occupy the unit in the Orono Woods Apartments development for which <br /> application is made, all of whom are listed below: <br /> 1. 2. 3. 4. 5. <br /> Name of Members of the Household Relationship to Head of Household <br /> Age Social Security Number Place <br /> of Employment <br /> Head - - <br /> Spouse - - <br /> Income Computation <br /> 6. Anticipated Annual Income. The anticipated total annual income from all <br /> sources of each person listed in item 1 above for the twelve month period beginning <br /> on the date of this certificate, including income described in (a) below, but excluding <br /> all income described in (b) below, is $ <br /> (a) The amount set forth above includes all of the following income (unless <br /> such income is described in (b) below; <br /> (i) all wages and salaries, overtime pay, commissions, fees, tips and <br /> bonuses before payroll deductions; <br /> (ii) net income from the operation of a business or profession or <br /> from the rental of real or personal property(without deducting <br />