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EXHIBIT"B" <br /> INCOME VERIFICATION FORM <br /> Inclusionary Unit Address: <br /> Head of Household (Print Name): <br /> Current Address (if <br /> different from above): <br /> Telephone Number: Horne: Work: Cell: <br /> Email address: <br /> Date of Birth: Social Security#or TIN: <br /> Household Composition <br /> List All Household Members Living in the Inclusionary 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 /> Income Verification Form Page 1 <br /> Santa Ana, California <br />