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Signature of all persons over the age of 18 years listed in number 2 above required] <br />FOR COMPLETION BY APARTMENT OWNER ONLY: <br />1. Calculation of eligible income: <br />(a) Enter amount entered for entire household in 6 above: <br />$ <br />(b) If answer to 7(c) above is yes, enter the total amount entered in 7(d)(1), subtract from that <br />figure the amount entered in 7(d)(2) and enter the remaining balance ($ �) <br />(2) Multiply the amount entered in 7(d)(1) times the current passbook savings rate to determine <br />what the total annual earnings on the amount in 7(d) would be if invested in passbook savings <br />($__ ), subtract from that figure the amount entered in 7(d)(2) and enter the <br />remaining balance ($ <br />(3) Enter at right the greater of the amount calculated under (1) or (2) above: <br />(4)—TOTAL ELIGIBLE INCOME (Line La plus line 1.b(3): <br />(S) The amount entered in 1(c): <br />(6) Qualifies the applicant(s) as a Low - Income Tenant(s). <br />Does not qualify the applicant(s) as a Low - Income Tenant(s). <br />(6) Number of apartment unit assigned: _ Bedroom Size: Rent: <br />Tenant -Paid Utilities: <br />Water <br />Trash <br />Gas Electric <br />Other (list Type) _ __ <br />(7) Was this apartment unit last occupied for a period of 31 consecutive days by persons whose <br />aggregate anticipated annual income as certified in the above manner upon their initial <br />occupancy of the apartment unit qualified them as Very Low - Income Tenants? <br />No _ Yes <br />(8) Method used to verify applicant(s) income: <br />