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CITY OF ORONO. MINNESOTA <br />Its Mayor <br />Its City Clerk <br />STATE OF MINNESOTA ) <br />COUNTY OF HENNEPIN ) <br />The foregoing inslmnienl was acknowledged before me this <br />___._______, bv_______________________and <br />day of <br />. the Mayor and City C'lerk of the City of Orono. <br />Minnesota, a municipal corporation under the law s of the State of Minnesota, on <br />behalf of the city. <br />Notar\ Public <br />Ml T-fOmii » <br />EXHIBIT E <br />Form of Income CcrtiFication <br />Certification of Tenant Idigibility <br />UNIT NUMBER: <br />EAVe. the undersigned, being first duly sworn, state that Ewe have read and <br />answ ered fully and truthfully each of the follow ing questions for all persons w ho arc <br />to occupy the unit in tlie Orono Woods Apartments development for which <br />application is made, all of w hom are listed below : <br />I.2.3.4.5. Name of Mrnihvni of the Household Relatlonihip fo Head of Household \ge <br />Social Security Number Place of EmploymeniHead___-___-__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 pcriiHl beginning