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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. (I/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 (I/we) deemed necessary. <br /> (I/We) acknowledge that(I/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 /> (I/We) 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 ,Santa Ana, California. <br /> Signature Date <br /> Printed Name <br /> Executed at , Santa Ana, California <br /> Signature Date <br /> Printed Name <br /> Executed at , Santa Ana, California <br /> Affidavit Page 6 <br /> Santa Ana, California August 8,2014 <br />