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OLIVE CREST (4)
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Last modified
8/12/2025 5:15:03 PM
Creation date
8/12/2025 5:14:24 PM
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Contracts
Company Name
OLIVE CREST
Contract #
A-2025-121
Agency
Community Development
Council Approval Date
7/15/2025
Expiration Date
1/1/1900
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EXHIBIT "B" <br /> INCOME VERIFICATION FORM <br /> If the total asset value exceeds $5,000, perform the calculations in the following table. If the total asset value <br /> is less than $5,000, the amount of investment income to be included in annual household income is $0. <br /> Calculation of Investment Income to be Included in Annual Household Income <br /> 1. Total Annual Household Investment Income $ <br /> 2, Total Asset Value $ x 10% $ <br /> The Greater of#1 or#2 = Investment Income to be Included in Annual Household Income $ <br /> Calculation of the Household's Total Annual Income <br /> Total Annual Household Gross Earned Income $ <br /> Total Investment Income to be Included in Annual Household Income $ <br /> Total Household Income $ <br /> Documentation <br /> Attach True Copies of the Relevant Documents Listed Below <br /> Paycheck stubs from three most recent <br /> pay periods Bank/Savings account verification <br /> Employment verification Self-employment verification <br /> Three years Income tax returns for Title <br /> Holders Unemployment verification <br /> Social security verification Welfare verification <br /> Alimony/child support verification Disability income verification <br /> Other(Describe) <br /> Income Verification Form Page 5 <br /> Santa Ana, California <br />
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