NORTH BROADWAY HOUSING PARTNERS LP (C/O OF JAMBOREE AND WISEPLACE)

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Part III - Annual Income See HUD Handbook 4350.3 for complete instructions on verifying and calculating income, including acceptable foams of verification. From the third party verification forms obtained from each income source, enter the gross amount anticipated to be received for the twelve months from the effective date of the (re)centification. Complete a separate line for each income -earning member. List each respective household member number from Part Il. Include anticipated income only if documentation exists verifying pending employment. If any adult states zero -income, please note "zero" in the columns of Part III, Column (A) Enter the annual amount of wages, salaries, tips, commissions, bonuses, and other income from employment; distributed profits and/or net income from a business. Column (B) Eater the annual amount of Social Security, Supplemental Security Income, pensions, military retirement, etc. Column (C) Enter the annual amount of income received from public assistance (i,e., TANF, general assistance, disability, etc.). Column (D) Enter the annual amount of alimony, child support, unemployment benefits, or any other income regularly received by the household. Row (E) Add the totals from columns (A) through (D), above. Enter this amount. Part IV - Income from Assets See HUD Handbook 4350.3 for complete instructions on verifying and calculating income from assets, including acceptable forms of verification. From the third party verification forms obtained from each asset source, list the gross amount anticipated to be received during the twelve months from the effective date of the certification. If individual household member income is provided, list the respective household member number from Pall Il and complete a separate line for each member. Column (F) List the type of asset (i.e., checking account savings account etc.) Column (G) Enter C (for current, if the family currently owns or holds the asset), or I (for imputed, if the family has disposed of the asset for less than fair madcet value within two years of the effective date of (re)certification). Column (FI) Enter the cash value of the respective asset. Column (1) Enter the anticipated annual income from the asset (i.e., savings account balance multiplied by the annual interest rate). TOTALS Add the total of Column (H) and Column (I), respectively. If the total in Column (H) is greater than $5,000, you must do an imputed calculation of asset income. Enter the Total Cash Value, multiply by 0.06% and enter the amount in Q), Imputed Income. Row (K) Enter the greater ofthe total in Column (1) or O Row (L) Total Annual Household Income From all Sources Add (E) and (K) and enter the total HOUSEHOLD CERTIFICATION AND SIGNATURES After all verifications of income and/or assets have been received and calculated, each household member age 18 or older must sign and date ire Tenant Income Certification. For move -in, it is recommended that the Tenant Income Certification be signed no earlier than 5 days prior to the effective date of the certification. Part V — Determination of Income Eligibility Total Annual Household Income from all Enter the number from item (L). Sources Current Federal LIHTC Income Limit per Enter the Current Move -in Income Limit for the household size — specifically, the max income Unit Meets Federal Income Restriction at limit for the federal 60%, 50% or A.I.T (20%- 800%) set aside. 60%, 50% or A.I.T (20%- 80%) Current Bond Income Limit per Family Enter the Current most restrictive Move -in Income Limit for the household size — specifically, the Size max income limit incorporating both federal and in some instances more restrictive state standards as reflected in the 50%or 60%set aside detailed in the Bond Regulatory Agreement. Tenant Income Certification (April 2021)