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Tenant Income Verification Form Page 2 <br />Administrative Procedures Manual: Rental Housing Development June 3, 2025 <br /> <br /> <br />Table 2A: Household Assets 2 <br />List the Value of All Assets Owned by all Adult Household Members Living in the Inclusionary Unit <br /> <br />Head of <br />Household <br />Other Adult <br />Household <br />Members Total <br />Return @ 10% <br />of Total <br />1. Bank & savings accounts $ $ $ $ <br />2. Stocks and bonds $ $ $ $ <br />3. Real property $ $ $ $ <br />4. Other $ $ $ $ <br /> <br />Table 2B: Income Earned Annually from Household Assets <br />List the Actual Annual Return on All Assets <br />Owned by all Adult Household Members Living in the Inclusionary Unit <br /> <br />Head of <br />Household <br />Other Adult <br />Household <br />Members Total <br />1. Bank and savings accounts $ $ $ <br />2. Stocks and bonds $ $ $ <br />3. Real property $ $ $ <br />4. Other $ $ $ <br /> <br />The return on Household assets to be included in the Gross Income calculation is set at the greater of <br />the two amounts shown on the following page: <br /> <br /> <br />2 Necessary items, such as furniture and automobiles, used for personal use are excluded from household assets. <br />Collections of items for hobby, investment or business purposes must be included in household assets. Under California <br />Government Code Section 6914, if the total value of household assets exceeds $5,000, the calculation of the household’s <br />annual income shall include the greater of the actual amount of income, if any, derived from all of the household assets; or <br />10% of the total value of the assets. <br />