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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 <br />the Housing Authority of the City of Santa Ana Multifamily Housing Revenue Bond Program for <br />persons of low income. Every income statement of a prospective tenant must be stringently verified. <br />Please indicate below the employee's current annual income from wages, overtime, bonuses, <br />commissions or any other form of compensation received on a regular basis. <br />Annual wages Overtime 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 />Signature Date 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 <br />financed under the Housing Authority of the City of Santa Ana Multifamily Revenue Bonds. <br />Signature <br />Please sent to: <br />F -W <br />Date <br />