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<br />EXHIBIT E <br />INCOME VERIFICATION FORM <br />Affordable Unit Address: ________________________________________________________________ <br />Head of Household (Print Name): <br />Current Address (if <br />different from above): <br />Telephone Number: <br />Email address: <br />Home:Work:Cell: <br />Date of Birth:Social Security # or TIN: <br />Household Composition <br />List All Household Members Living in the Affordable Unit <br />Dependent Social Security # <br />(Y/N) or Taxpayer ID #Name Sex Age <br />List additional household members on a separate sheet of paper. <br />Page 64 <br />Exhibit E <br />55394.00101\43423340.1 <br />  <br />  <br />City Council 24 – 76 4/15/2025