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<br /> 10 <br />INCOME VERIFICATION <br />(for employed persons) <br />The undersigned employee has applied for a rental unit located in a project financed under the <br />Housing Authority of the City of Santa Ana Multifamily Housing Revenue Bond Program for persons of low <br />income. Every income statement of a prospective tenant must be stringently verified. Please indicate <br />below the employee’s current annual income from wages, overtime, bon uses, commissions or any other <br />form of compensation received on a regular basis. <br />Annual wages _____ Overtime _____ Bonuses _____ Commissions _____ <br />Total current income <br />I hereby certify that the statements above are true and complete to the best of my knowledge. <br /> _________________________ _________________________ _________________________ <br />Signature Date Title <br /> <br />I hereby grant you permission to disclose my income to in order that they may determine my <br />income eligibility for rental of an apartment located in their project which has been financed under the <br />Housing Authority of the City of Santa Ana Multifamily Revenue Refunding Bonds. <br /> _______________________________________ _______________________________________ <br />Signature Date <br /> <br />Please send to: _______________________________________ <br /> _______________________________________ <br /> _______________________________________ <br /> _______________________________________ <br /> <br />EXHIBIT 1 <br />4-36