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73505919v2 <br /> <br /> <br /> B-1-4 <br /> <br />PART VIII. PROGRAM TYPE <br />Mark the program(s) listed below (a. through e.) for which this household’s unit will be counted toward the <br />property’s occupancy requirements. Under each program marked, indicate the household’s income status as <br />established by this certification/recertification. <br /> <br /> HOME Tax Exempt ADHP Other (specify below) <br /> <br /> (Name of Program) <br /> <br />Income Status <br /> <br />Income Status <br /> <br />Income Status <br /> <br />Income Status <br /> ≤ 50% AMGI <br /> ≤ 60% AMGI <br /> ≤ 80% AMGI <br /> OI** <br /> Eligible <br /> 50% AMGI <br /> OI** <br /> VLI <br /> LI <br /> OI** <br /> __________ <br /> __________ <br /> OI** <br />** Upon recertification, household was determined over-income (OI) according to eligibility requirements of <br />the program(s) marked above. <br />SIGNATURE OF OWNER / REPRESENTATIVE <br /> <br />Based on the representations herein and upon the proofs and documentation required to be submitted, the <br />individual(s) named in Part II of this Tenant Income Certification is/are eligible under the provisions of Section <br />42 of the Internal Revenue Code, as amended, and the Regulatory Agreement (if applicable), to live in a unit in <br />this Project. <br /> <br /> <br />________________________________________________ ________________ <br />SIGNATURE OF OWNER / REPRESENTATIVE DATE <br />