Laserfiche WebLink
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 />Head of <br />Household <br />Other Adult <br />Household <br />Members <br />Total Value of <br />Value <br />Value <br />Assets <br />1. <br />Bank and Savings accounts <br />$ <br />$ <br />$ <br />2. <br />Stocks and bonds <br />$ <br />$ <br />$ <br />3. <br />Real property (i.e. rental property) <br />$ <br />$ <br />$ <br />4. <br />Other (describe) <br />$ <br />$ <br />$ <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 />