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19H - INCLUSIONARY AGMT 1901 E FIRST ST
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19H - INCLUSIONARY AGMT 1901 E FIRST ST
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Last modified
11/13/2014 6:36:09 PM
Creation date
11/13/2014 3:30:47 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
19H
Date
11/18/2014
Destruction Year
2019
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TENANT INCOME VERIFICATION FORM <br />* *Note: Necessary items, such as furniture and automobiles, used for personal use are excluded from <br />household assets. Collections of items for hobby, Investment or business purposes must be included in <br />household assets. If the total value of household assets exceeds $6,000, the calculation of the household's <br />annual income shall include the greater of the actual amount of income, if any, derived from all of the <br />household assets; or 10% of the total value of the assets. <br />Tenant Income Verification Form Page 4 <br />Santa Ana, California 19H-69 August 8, 2014 <br />Assets <br />List the Current Value of All Assets of All Household Members Living In the Incluslonary Unit <br />If the Asset generates income, that income must be specified In Park 2 above <br />Head of <br />Household <br />Other Adult <br />Household <br />Members <br />Total Value of <br />Value <br />Value <br />Assets <br />1. <br />Bank and Savings accounts <br />$ <br />$ <br />$ <br />2. <br />Stocks and bonds <br />$ <br />$ <br />$ <br />3. <br />Real property (i.e. rental property) <br />$ <br />$ <br />$ <br />4. <br />Other (describe) <br />$ <br />$ <br />$ <br />Total Asset Value $ <br />* *Note: Necessary items, such as furniture and automobiles, used for personal use are excluded from <br />household assets. Collections of items for hobby, Investment or business purposes must be included in <br />household assets. If the total value of household assets exceeds $6,000, 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 <br />household assets; or 10% of the total value of the assets. <br />Tenant Income Verification Form Page 4 <br />Santa Ana, California 19H-69 August 8, 2014 <br />
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