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10-08-2001 Council Packet
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10-08-2001 Council Packet
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L <br />EXHIBIT E <br />Form of Income Certificntloa <br />Certification of Tenant Eligibility <br />UNIT MEMBER: <br />lAVe, the undersigned, being first duly sworn, slate that lAvc have read and answered <br />Ailly and truthfully each of the following questions for all persons who are to occupy the unit <br />In the Orono Woods Apartments development for which application is made, all of w hom are <br />listed below: <br />1.2.3.4.5. <br />Name of Members Relationship Social <br />of the to Head of Secarit}’Place of <br />Household lloasehold Number Fmplovmcat <br />Head <br />Spouse <br />Income Computation <br />6. Anticipated Annual Income. The anticipated total annual income from all sources <br />of each person listed in item 1 abo\ e for the tw elve month period beginning on the dale of <br />this certificate, including income described in (a) below, but excluding all income described <br />in (b) below , is $________________. <br />(a) The amount set forth abi>\ c includes all of the follow ing income (unless such <br />income is described in (b) below; <br />(i) all wages and salaries, overtime pay, commissions, fees, tips and <br />bonuses before pa>n>ll deductions; <br />(ii) net income from the operation of a business or profession or from Uie <br />rental of real or personal property (without deducting expenditures for business <br />expansion or amortization of capital indebtedness or any allow ance for <br />depreciation of capital assets); <br />(Hi) interest and dividends (including income from assets as set forth in item 7(b) <br />below); <br />(iv)the full amount of periodic payments received from social security, annuities, <br />insurance policies, retirement funds, pensions, disability or death benefits and <br />other similar types of periodic receipts;
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