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ILLUMINATION HEALTH + HOME (FORMERLY ILLUMINATION FOUNDATION)
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ILLUMINATION HEALTH + HOME (FORMERLY ILLUMINATION FOUNDATION)
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Last modified
5/27/2026 4:15:08 PM
Creation date
5/27/2026 4:03:23 PM
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Contracts
Company Name
ILLUMINATION HEALTH + HOME (FORMERLY ILLUMINATION FOUNDATION)
Contract #
A-2026-074
Agency
Community Development
Council Approval Date
5/19/2026
Expiration Date
1/1/1900
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EXHIBIT 2 <br /> TENANT 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 1 )% $ <br /> The Greater of#1 or#2=Investment Income to be Included in Annual Household Income ► <br /> I <br /> i <br /> i <br /> Calculation of the Household's Total Annual Income 1 <br /> Total Annual Household Gross Earned Income $ 1 <br /> I <br /> a <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 two most recent pay <br /> periods BankfSavincgs account verification <br /> Employment verification Self-employment verification <br /> Income tax return Unemployment verification <br /> Social security verification Welfare verification <br /> Alimony/child support verification Disability income verification <br /> Other(Describe) <br /> li <br /> Tenant Income Veriflcation Form Page 5 i <br /> Santa Anna.QiHIQYnta r.pst 8 2014, — ! <br /> City Council 16 — 86 5/19/2026 <br /> i <br />
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