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FOR COMPLETION BY APARTMENT OWNER ONLY: <br />1. calculation of eligible income: <br />a. Enter amount entered for entire <br />household in 6 above: $ <br />b. (1) If answer to 7(c) above is yes, enter the total amount entered in <br />7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the <br />remaining balance ($ ); <br />(2) Multiply the amount entered in 7(c) times the current passbook <br />savings rate to determine what the total annual earnings on the amount in <br />7(c) would be if invested in passbook savings ($ ), subtract from that <br />figure the amount entered in 7(d)(2) and enter the remaining balance <br />(3) Enter at right the greater of the amount calculated under (1) or (2) <br />above: $ <br />C. TOTAL ELIGIBLE INCOME <br />Line 1.a plus line l.b(3)): $ <br />2. The amount entered in 1.c: <br />Qualifies the applicant(s) as a Low Income Tenant(s). <br />Does not qualify the applicant(s) as a Low Income Tenant(s). <br />3. Number of apartment unit assigned: _ <br />Bedroom Size: _ Rent $ <br />4. This apartment unit [was/was not] last occupied for a period of 31 consecutive days by <br />persons whose aggregate anticipated annual income as certified in the above manner upon their <br />initial occupancy of the apartment unit qualified them as Low Income Tenants. <br />5. Method used to verify applicant(s) income: <br />Employer income verification. <br />Copies of tax returns. <br />Other ( ) <br />Manager <br />RM <br />