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INCOME VERIFICATION <br />(for employed persons) <br />The undersigned employee has applied for a rental unit located in a project financed under the Housing <br />Authority of the City of Santa Ana Multifamily Housing Program for persons of low income. Every income <br />statement of a prospective tenant must be stringently verified. Please indicate below the employee's <br />current annual income from wages, overtime, bonuses, commissions or any other form of compensation <br />received on a regular basis. <br />Annual wages <br />Overtime <br />Bonuses <br />Commissions <br />Total current income <br />I hereby certify that the statements above are true and complete to the best of my knowledge. <br />Date: <br />Signature: <br />Title: <br />I hereby grant you permission to disclose my income to in order that they may <br />determine my income eligibility for rental of an apartment located in their project which has been financed <br />under the Housing Authority of the City of Santa Ana Multifamily Housing Program. <br />Date: _ <br />Signature <br />Please send form to: <br />INCOME VERIFICATION <br />(for Social Security recipients) <br />