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AFFIDAVIT <br />This Affidavit is made with the knowledge that it will be relied upon by the City of Santa Ana, <br />our landlord and the owner of our apartment building, to determine maximum income for eligibility. (1/we) <br />warrant that all information set forth in this document is true, correct and complete and based upon information <br />(I/we) deem reliable and based upon such investigation as (1/we) deemed necessary. <br />(I/We) acknowledge that (1/we) have been advised that the making of any misrepresentation or misstatement in <br />this affidavit will constitute a material breach of (my/our) rental agreement with the property owner to rent the <br />unit and will additionally enable the property owner to initiate and pursue all applicable legal and equitable <br />remedies with respect to the unit and to me/us. <br />(IANe) do hereby swear under penalty of perjury that the foregoing statements are true and correct and that <br />this affidavit has been executed as of the date specified below by each adult member of the household which <br />intends to occupy an Inclusionary Unit located at <br />Signature <br />Printed Name <br />Executed at <br />Signature <br />Printed Name <br />Executed at <br />Affidavit <br />Santa Ana, California <br />Date <br />Santa Ana, California <br />Date <br />Santa Ana, California <br />,Santa Ana, California. <br />Page 6 <br />August 8,2014 <br />