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EXHIBIT 2 <br />TENANT INFORMATION FORM <br />Part 1: Household (Continued) <br />1, Does your family lack a regular nighttime residence, live in a shelter, or other non residential place? —]Yes No <br />Do you currently live or have you previously lived in, public housing, housing assisted by the Section 8 <br />2. program, or any other type of federally subsidized housing? LJ Yes No <br />Have you or any member of your household been evicted from Public housing, Indian housing, Section 23 LJ Yes No <br />housing, or housing assisted by the Section 8 program, for drug -related criminal activity during the past three <br />3, years? <br />Do you or any member of your household have a history of controlled substance or alcohol abuse that has LJ Yes No <br />4, not been abated through rehabilitation? <br />Have you or any member of your household been convicted of drug -related criminal activity for manufacture <br />5. or production of methamphetamine on the premises of federally assisted housing? LJ Yes No <br />Are you or any member of your household subject to a lifetime sex offender registration under a State sex <br />6. offender registration program? �� Yes No <br />If any child or foster child under age six residing in the assisted unit tested positive for an EBL (Elevated Blood Lead Level) <br />7. list the first name of each child with an EBL here: <br />Part 2: Asset Information <br />Has any member of the family given away or disposed of assets valued at more than $1,000 for <br />less than fair market value during the past two years? ] Yes [ No <br />Review and update household assets held by any family member, irrespective of age. Add new assets in the space provided below. <br />An asset is any one of the following types without limitation: <br />401(k) or 403(h) Individual Retirement Accounts (IRA) Mutual Funds Stocks <br />Bonds Inheritances Pensions Trust Funds <br />Certificate of Deposit Life Insurance Policies Real Property (land) <br />Checking Account Money Market Account Savings Account <br />DOCUMENTATION REQUIRED: Provide 3 current statements showing the value and interest rate of each asset and check the <br />Documentation Attached box for each asset. <br />Account Holder <br />Type of Account <br />Account Number <br />Current Balance <br />Account Status <br />$ <br />L Open _ Closed <br />Verification Source <br />Name <br />and <br />Address <br />Documentation Attached <br />LYes _ No <br />Account Holder <br />Type of Account <br />Account Number <br />Current Balance <br />Account Status <br />$ <br />L Open _ Closed <br />Verification Source <br />Name <br />and <br />Address <br />Documentation Attached <br />— Yes L No <br />Account Holder <br />Type of Account <br />Account Number <br />Current Balance <br />Account Status <br />$ <br />C Open ` Closed <br />Verification Source <br />Name <br />and <br />Address <br />Documentation Attached <br />Yes L No <br />Account Holder <br />Type of Account <br />Account Number <br />Current Balance <br />Account Status <br />$ <br />C Open ` Closed <br />Verification Source <br />Name <br />and <br />Address <br />Documentation Attached <br />Yes C No <br />Account Holder <br />Type of Account <br />Account Number <br />Current Balance <br />Account Status <br />$ <br />C Open ` Closed <br />Verification Source <br />Name <br />and <br />Address <br />Documentation Attached <br />Yes C No <br />Attach Additional Sheets if Necessary <br />City Council <br />31 — 16 7/20/2021 <br />Page 9 of 29 <br />