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TENANT INCOME VERIFICATION FORM <br />If the total asset value exceeds $5,000, perform the calculations in the following table. If the total asset value <br />is less than $5,000, the amount of investment income to be included in annual household income is $0. <br />Income to be Included in Annual Household Income <br />1. I Total Annual Household Investment Income <br />2. 1 Total Asset Value $ x 10% <br />The Greater of #1 or #2 = Investment Income to be Included in Annual Household Income <br />Calculation <br />'s Total <br />Total Annual Household Gross Earned Income <br />Total Investment Income to be Included ir" <br />Total Household Income <br />stubs from <br />periods <br />Employment verification <br />Income tax return <br />Social security verification <br />Alimony/child support verification <br />Other (Describe) <br />Santa Ana, California <br />imentation <br />Relevant Documents Listed Below <br />pay <br />Bank/Savings account verification <br />Self-employment verification <br />Unemployment verification <br />Welfare verification <br />Disability income verification <br />Page 5 <br />August 8, 2014 <br />60A-210 <br />