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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: Home: Work: Cell: <br /> Email address: <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 /> Name Sex Age (YIN) or Taxpayer ID# <br /> List additional household members on a separate sheet of paper. <br /> Page 64 <br /> Exhibit E <br /> 5 5394.00 10 1\43724951.1 <br />