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Exhibit "C" <br /> AFFIDAVIT <br /> This Affidavit is made with the knowledge that it will be relied upon by the City of <br /> Santa Ana, our landlord and the owner of our apartment building, to determine maximum income for <br /> eligibility. (1/we) warrant that all information set forth in this document is true, correct and complete <br /> and based upon information (1/we) deem reliable and based upon such investigation as (1/we) deemed <br /> necessary. <br /> (I/We) acknowledge that (1/we) have been advised that the making of any misrepresentation or <br /> misstatement in this affidavit will constitute a material breach of(my/our) rental agreement with the <br /> property owner to rent the unit and will additionally enable the property owner to initiate and pursue <br /> all applicable legal and equitable remedies with respect to the unit and to me/us. <br /> (I/We) do hereby swear under penalty of perjury that the foregoing statements are true and correct <br /> and that this affidavit has been executed as of the date specified below by each adult member of the <br /> household which intends to occupy an Inclusionary Unit located at ,Santa <br /> Ana, California. <br /> Signature Date <br /> Printed Name <br /> Executed at_ ,Santa Ana, California <br /> Signature Date <br /> Printed Name <br /> Executed at , Santa Ana, California <br /> Tenant Income Verification Form Page 1 <br /> Administrative Procedures Manual:Rental Housing Development June 3,2025 <br />