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The following footnotes pertain to noncitizens that declare eligible immigration status in <br />one of the following categories: <br />Eligible immigration status and 62 years of age or older: For noncitizens who are 62 years of <br />age or older or who will be 62 years of age or older and receiving assistance under a Section 214 <br />covered program on June 19, 1995. If you are eligible and elect to select this category, you must <br />include a document providing evidence of proof of age. No further documentation of eligible <br />immigration status is required. <br />Immigrant status under 101(a)(15) or 101(a)(20) of INA: A noncitizen lawfully admitted for <br />permanent residence, as defined by 101(a)(20) of the Immigration and Nationality Act (INA), as <br />an immigrant, as defined by 101(a)(15) of the INA <br />(8 U.S.C. 1101(a)(20) and 1101(a)(15), respectively [immigrant status]. This category includes a <br />noncitizen admitted under 210 or 210A of the INA (8 U.S.C. 1160 or 1161), [special agricultural <br />worker status] who has been granted lawful temporary resident status. <br />Permanent residence under 249 of INA: A noncitizen who entered the U.S. before January 1, <br />1972, or such later date as enacted by law, and has continuously maintained residence in the U.S. <br />since then, and who is not ineligible for citizenship, bur who is deemed to be lawfully admitted <br />for permanent residence as a result of an exercise of discretion by the Attorney General under 249 <br />of the INA (8 U.S.C. 1259) [amnesty granted under INA 249]. <br />Refugee, asylum or conditional entry status under 207, 208 or 203 of INA: A noncitizen who <br />is lawfully present in the U.S. pursuant to an admission under 207 of the INA (8 U.S.C. 1157) <br />[refugee status]; pursuant to the granting of asylum (which has not been terminated under 208 of <br />the INA (8 U.S.C. 1158) [asylum status]; or as a result of being granted conditional entry under <br />203(a)(7) of the INA (U.S.C. 1153(a)(7) before April 1, 1980, because of persecution or fear of <br />persecution on account of race, religion or political opinion or because of being uprooted by <br />catastrophic national calamity [conditional entry status]. <br />Parole status under 212(d)(5) of INA: A noncitizen who is lawfully present in the U.S. as a <br />result of an exercise of discretion by the Attorney General for emergent reasons or reasons <br />deemed strictly in the public interest under 212(d)(5) of the INA (8 U.S.C. 1182(d)(5) [parole <br />status]. <br />. <br />Threat to life or freedom under 245(a) of INA: A noncitizen who is lawfully present in the <br />U.S. as a result of the Attorney General’s withholding deportation under 243(h) of the INA (8 <br />U.S.C. 1253(h)) [threat to life or freedom]. <br />Amnesty under 245(a) of the INA: A noncitizen lawfully admitted for temporary or permanent <br />residence under 245(a) of the INA (8 U.S.C. 1255(a)) [amnesty granted under INA 245(a)]. <br />Instructions to Housing Authority: Following verification of status claimed by persons <br />declaring eligible immigration status (other than for noncitizens age 62 or older and receiving <br />assistance on June 19, 1995), the HA must enter INS/SAVE Verification Number and date that <br />it was obtained. An HA signature is not required. <br />Instructions to Family Member for Completing Form:On opposite page, print or type first <br />name, middle initial(s) and last name. Place an “x” in the appropriate boxes. Sign and date at <br />bottom page. Place an “X” in the box below the signature if the signature is by the adult <br />residing in the unit who is responsible for the child. <br />Page 13 of 29 <br />EXHIBIT 2