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Tenant Income Certification (April 2021)6 <br />For recertifications only. Enter the household income from the move-in certification. <br />Enter the number of household members from the move-in certification. <br />For recertifications only. Multiply the current LIHTC Maximum Move-in Income Limit by <br />140% and enter the total. 140% is based on the Federal Set-Aside of 20/50 or 40/60, or <br />A.I.T. (20% - 60% = 140% X 60%, 70% = 140% X 70% and 80% = 140% X 80%) as <br />elected by the owner for the property, not deeper targeting elections of 30%, 40%, <br />45%, 50%, etc. Below, indicate whether the household income exceeds that total. If the <br />Gross Annual Income at recertification is greater than 140% of the LIHTC Income Limit per <br />Family Size at Move-in date (above), then the available unit rule must be followed. <br />Check the appropriate box for the income restriction that the household meets according to <br />what is required by the federal set-aside(s) for the project. <br />If your agency requires an income restriction lower than the federal limit, enter the percent <br />required. <br />Part VI - Rent <br />Household Income at Move-in <br />Household Size at Move-in <br />Current Federal LIHTC Income Limit x <br />140% <br />Unit Meets Federal Income Restriction <br />at or Federal A.I.T. at <br />Unit Meets State Deeper Targeting <br />Income Restriction at <br />Tenant Paid Monthly Rent <br />Federal Rent Assistance <br />Non-Federal Rent Assistance <br />Total Monthly Rent Assistance <br />Source of Federal Rent Assistance <br />Monthly Utility Allowance <br />Other Monthly Non-Optional Charges <br />Gross Monthly Rent for Unit <br />Maximum LIHTC Rent Limit for this <br />unit <br />Maximum LIHTC Bond Rent Limit for <br />this unit <br />Unit Meets Federal Rent Restriction at <br />or Federal A.I.T. at <br />Unit Meets Bond Rent Restriction at <br />Unit Meets State Deeper Targeting Rent <br />Restriction at <br />Enter the amount the tenant pays toward rent (not including rent assistance payments such as <br />Section 8). <br />Enter the amount of rent assistance received from a federal program, if any. <br />Enter the amount of non-federal rent assistance received, if any. <br />Enter the amount of total rent assistance received, if any. <br />If federal rent assistance is received, indicate the single program source. <br />Enter the utility allowance. If the owner pays all utilities, enter zero. <br />Enter the amount of non-optional charges, such as mandatory garage rent, storage lockers, <br />charges for services provided by the development, etc. <br />Enter the total of Tenant Paid Rent plus Utility Allowance and other non-optional charges. <br />The total may NOT include amounts other than Tenant Paid Rent, Utility Allowances and <br />other non-optional charges. In accordance with the definition of Gross Rent in IRC <br />§42(g)(2)(B), it may not include any rent assistance amount. <br />Enter the maximum allowable gross rent for the unit. This amount must be the maximum <br />amount allowed by the Current Income Limit per Family Size – specifically, the max rent <br />limit for the federal 50%, 60% or A.I.T. (20% - 80%) set aside. This does not include state <br />deeper targeting levels. <br />Enter the maximum allowable gross rent for the unit. This amount must be the maximum <br />amount allowed by the Current Income Limit per Family Size – specifically, the max rent <br />incorporating both federal and in some instances more restrictive state standards as reflected <br />in the 50% or 60% set aside detailed in the Bond Regulatory Agreement. <br />Indicate the appropriate rent restriction that the unit meets according to what is required by <br />the federal set-aside(s) for the project. <br />Indicate the appropriate rent restriction that the unit meets according to what is required by <br />the federal and state law for the project. <br />If your agency requires a rent restriction lower than the federal limit, enter the percent <br />required. <br />Part VII - Student Status <br />If all household members are full time* students, check “yes”. Full-time status is determined by the school the student attends. If at least one <br />household member is not a full-time student, check “no.” <br />If “yes” is checked, the appropriate exemption must be listed in the box to the right. If none of the exemptions apply, the household is ineligible to <br />rent the unit. <br />EXHIBIT 5