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Item 18 - Permanent Supportive Housing Project at 918 Bewley Street
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Item 18 - Permanent Supportive Housing Project at 918 Bewley Street
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10/8/2024 5:18:01 PM
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10/8/2024 4:57:55 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
18
Date
10/15/2024
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Tenant Income Verification Form Page 4 <br />Santa Ana, California August 8, 2014 <br />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 />Other Adult <br />Household <br />Members Total Value of <br />Assets Value Value <br />1. Bank and Savings accounts $ $ $ <br />2. Stocks and bonds $ $ $ <br />3. Real property (i.e. rental property) $ $ $ <br />4. Other (describe) $ $ $ <br />Total Asset Value $______________________ <br />**Note: Necessary items, such as furniture and automobiles, used for personal use are excluded from <br />household assets. Collections of items for hobby, investment or business purposes must be included in <br />household assets. If the total value of household assets exceeds $5,000, the calculation of the household’s <br />annual income shall include the greater of the actual amount of income, if any, derived from all of the <br />household assets; or 10% of the total value of the assets. <br />EXHIBIT 2
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