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<br /> 5 <br />EXHIBIT B <br /> <br />INCOME COMPUTATION AND CERTIFICATION <br />NOTE TO APARTMENT OWNER: This form is designed to assist you in computing Annual Income <br />in accordance with the method set forth in the Department of Housing and Urban Project (“HUD”) <br />Regulations (24 CFR 813). You should make certain that this form is at all times up to date with the HUD <br />Regulations. <br />Re: 2901 N. Bristol <br />Santa Ana, California <br />I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of <br />the following questions for all persons who are to occupy the unit being applied for in the above apartment <br />project. Listed below are the names of all persons who intend to reside in the unit: <br />1. 2. 3. 4. 5. <br />Name of Members <br />of the Household <br />Relationship to <br />Head of <br />Household Age <br />Social Security <br />Number <br />Place of <br />Employment <br /> <br /> HEAD <br /> SPOUSE <br /> <br /> <br /> <br /> <br /> <br />Income Computation <br />6.The total anticipated income, calculated in accordance with the provisions of this Certification, of <br />all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan <br />to move into a unit is $_________________. <br />Included in the total anticipated income listed above are: <br />(a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other <br />compensation for personal services, before payroll deductions; <br />(b) the net income from the operation of a business or profession or from the rental of real or <br />personal property (without deducting expenditures for business expansion or amortization of capital <br />indebtedness or any allowance for depreciation of capital assets), <br />(c) interest and dividends (including income from assets excluded below); <br />(d) the full amount of periodic payments received from social security, annuities, insurance <br />policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, <br />including any lump sum payment for the delayed start of a periodic payment: <br />EXHIBIT 1 <br />4-31