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TENANT INCOME VERIFICATION FORM <br />Assets ** <br />List the Current Value of All Assets of All Household Members Living in the Inclusionary Unit <br />If the Asset generates income, that income must be specified In Part 2 above <br />Head of <br />Household <br />Value <br />1. Bank and Savings accounts <br />2. Stocks and bonds <br />3. Real property (i.e. rental pro <br />Utner (describe) <br />Total Asset Value <br />$ <br />Other Adult <br />Household <br />Members <br />Total Value of <br />Assets <br />**Note: Necessary items, such as' re ar*r miles, used for personal use are excluded from <br />household assets. Collections of it—ns i� obi vestment or business purposes must be included in <br />household assets. If the total yr lus Id assets exceeds $5,000, the calculation of the household's <br />annual income shall include the5 tt actual amount of income, if any, derived from all of the <br />household assets; or 10% of the ,ue of the assets <br />Tenant Income Verification <br />Santa Ana, California <br />August 8, 2014 <br />60A-209 <br />