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EXHIBIT 1 7-I.I. LEVEL 1: NON -THIRD -PARTY VERIFICATION: SELF -CERTIFICATION [Notice PIH 2O23-27] Non -third -party verification consists of a signed statement of reported income and/or expenses. This verification method should be used as a last resort when the PHA has not been successful in obtaining information via all other required verification techniques. Self -certification, however, is an acceptable form of verification when: • A source of income is fully excluded • Net family assets are less than or equal to the HUD -published threshold ($50,000 for 2024, and $51,600 for 2025) and the PHA has adopted a policy to accept self certification • The family declares that they do not have any present ownership in any real property • A family reports zero income; • A family states that they have non -recurring income that will not be repeated in the coming year; and/or • The PHA has adopted a policy to implement streamlined verification for fixed sources of income (See Chapter 11) When the PHA was required to obtain third -party verification but instead relies on self - certification, the family's file must be documented to explain why third -party verification was not available. HUD does not require that a self -certification be notarized; however, HUD recommends including language on any self -certification to ensure the certifier understands the consequences of knowingly providing false information. SAHA Polic When information cannot be verified by a third party or by review of documents, family members will be required to submit self -certifications attesting to the accuracy of the information they have provided to SAHA. SAHA may require a family to certify that a family member does not receive a particular type of income or benefit. The self -certification must be made in a format acceptable to SAHA and must be signed by the family member whose information or status is being verified. SAHA will not adopt self -certification of assets. All self -certifications will include the following language: "I/We, the undersigned, certify under penalty of perjury that the information provided here is true and correct, to the best of my knowledge and recollection. WARNING: Anyone who knowingly submits a false claim or knowingly makes a false statement is subject to criminal and/or civil penalties, including confinement for up to five years, fines, and civil and administrative penalties (18 U.S.C. 287, 1001, 1010, 1012; 31 U.S.C. 3279, 3802)." 025 City Council — 386 7M5 2 25