Laserfiche WebLink
<br />INCOME VERIFICATION FORM <br />Assets ** <br />List the Current Value of All Assets of All Household Members Living in the Affordable Unit <br />If the Asset generates income, that income must be specified In Part 2 above <br />Other Adult <br />Head of <br />Household <br />Value <br />Household <br />Members <br />Value <br />Total Value of <br />Assets <br />$1. <br />2. <br />3. <br />4. <br />Bank and Savings accounts <br />Stocks and bonds <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Real property (i.e. rental property) <br />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 />Page 67 <br />Exhibit E <br />55394.00101\43423340.1 <br />  <br />  <br />City Council 24 – 79 4/15/2025