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I PART V. DETERMINATION OF INCOME ELIGIBILITY I <br />TOTAL ANNUAL HOUSEHOLD Unit Meets Federal <br />INCOME FROM ALL SOURCES: Income Restriction at: <br />From item (L) on page 1 $ ❑ 60% 0 50% <br />Current Federal LIHTC Income Limit per <br />Family Size (Federal Income Restriction at <br />60%, 50% or A.I.T. (20%- 80%)): <br />If Applicable, Current Federal Bond <br />Income Limit per Family Size: <br />Household Income as of Move -in: <br />RECERTIFICATION ONL <br />Current Federal LIHTC <br />Income Limit x 140%: <br />Or Federal A.I.T. at: <br />❑ 80% 0 70% 0 60% 0 50% <br />❑ 40% 0 30% 0 20% <br />Unit Meets State Deeper <br />Targeting Income Restriction <br />at: <br />❑ Other % <br />Household Income exceeds <br />140% at recertification: <br />❑ Yes ❑ No <br />Household Size at Move -in: <br />PART VI. RENT <br />Tenant Paid Monthly Rent: <br />$ <br />Federal Rent Assistance: $ *Source: <br />Monthly Utility Allowance: <br />$ <br />Non -Federal Rent Assistance: $ (*0-8) <br />Other Monthly Non -optional charges: <br />$ <br />Total Monthly Rent Assistance: $ <br />GROSS MONTHLY RENT FOR UNIT: <br />*Source of Federal Assistance <br />(Tenant paid rent plus Utility Allowance & <br />1 **HUD Multi -Family Project Based Rental Assistance (PBRA) <br />other non -optional charges) <br />$ <br />2 Section 8 Moderate Rehabilitation <br />3 Public Housing Operating Subsidy <br />Maximum Federal LIHTC Rent Limit for <br />4 HOME Rental Assistance <br />this unit: <br />$ <br />5 HUD Housing Choice Voucher (HCV), tenant -based <br />6 HUD Project -Based Voucher (PBV) <br />If Applicable, Maximum Federal & State <br />7 USDA Section 521 Rental Assistance Program <br />LIHTC Bond Rent Limit for this unit: <br />$ <br />8 Other Federal Rental Assistance <br />Unit Meets Federal Rent Restriction at: <br />❑ 60% 0 50% <br />0 Missing <br />Or Federal A.I.T. at: <br />❑ 80% 0 70% 0 60% <br />** (PBRA) Includes: Section 8 New Construction/Substantial Rehabilitation; <br />❑ 50% 0 40% 0 30% <br />Section 8 Loan Management, Section 8 Property Disposition; Section 202 <br />0 20% <br />Project Rental Assistance Contracts (PRAC) <br />If Applicable, Unit Meets Bond Rent <br />Restriction at: <br />❑ 60% ❑ 50% <br />Unit Meets State Deeper <br />Targeting Rent Restriction at: <br />❑ Other: % <br />PART VII. STUDENT STATUS <br />*Student Explanation: <br />ARE ALL OCCUPANTS FULL TIME STUDENTS? <br />If yes, Enter student explanation* 1 AFDC VFANF Assistance <br />(also attach documentation) 2 Job Training Program <br />❑ Yes ❑ No <br />3 Single Parent/Dependent Child <br />Enter 4 Married/Joint Return <br />1-5 5 Former Foster Care <br />PART VIII. PROGRAM TYPE <br />Identify the program(s) for which this household's unit will be counted toward the property's occupancy requirements. <br />Select one of the following. Select all that apply. <br />❑ 9% Allocated Federal Housing Tax Credit ❑ HOME (including TCAP) <br />❑ 4% Allocated Federal Housing Tax Credit ❑ CDBG <br />❑ Tax -Exempt Bond Only (No tax credits) ❑ Other HUD, including 202, 811, and 236 <br />❑ National Housing Trust Fund <br />❑ USDA Rural Housing Service, including 514, 515, and 538 <br />❑ Other state or local housing programs <br />SIGNATURE OF OWNER/REPRESENTATIVE <br />Based on the representations herein and upon the proof and documentation required to be submitted, the individualist named in Prat II of this Tenant <br />Income Certification is/are eligible under the provisions of Section 42 of the Internal Revenue Code, as amended, and the Land Use Restriction <br />Agreement (if applicable), to live in a unit in this Project. <br />SIGNATURE OF OWNER/REPRESENTATIVE DATE <br />2 Tenant Income Certification (April 2021) <br />