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TENANT INCOME VERIFICATION FORM <br /> <br />Head of Household (Print Name): <br /> <br />Address: <br /> <br />Telephone Number: Home: Work: Cell: <br /> <br />Date of Birth: Social Security #: <br /> <br />Household Composition <br /> <br />List All Household Members Living in the Inclusionary Unit <br /> <br />Name Sex Age <br />Dependent <br />(Y/N) Social Security # <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />List additional household members on a separate sheet of paper. <br /> <br />EXHIBIT 6