Laserfiche WebLink
EXHIBIT B TO DECLARATION OF RESTRICTIVE COVENANTS <br />Certification of Tenant Eligibility <br />(INCOME COMPUTATION AND CERTIFICATION) <br />Project: [Address] <br />Owner: <br />Unit Type: 1 BR 1 BR + Den 2 BR <br />1. I/We, the undersigned, being first duly sworn, state that Uwe have read and answered fully, <br />frankly and personally each of the following questions for all persons (including minors) who are to occupy <br />the unit in the above apartment development for which application is made, all of whom are listed below: <br />Name of Relationship <br />Members of the To Head of Place of <br />Household Household Age Employment <br />date, <br />Income Computation <br />2. The anticipated income of all the above persons during the 12 -month period beginning this <br />(a) including all wages and salaries, overtime pay, commissions, fees, tips and bonuses <br />before payroll deductions; net income from the operation of a business or profession or from the <br />rental of real or personal property (without deducting expenditures for business expansion or <br />amortization of capital indebtedness); interest and dividends; the full amount of periodic payments <br />received from social security, annuities, insurance policies, retirement funds, pensions, disability or <br />death benefits and other similar types of periodic receipts; payments in lieu of earnings, such as <br />unemployment and disability compensation, worker's compensation and severance pay; the <br />maximum amount of public assistance available to the above persons; periodic and determinable <br />allowances, such as alimony and child support payments and regular contributions and gifts received <br />from persons not residing in the dwelling; and all regular pay, special pay and allowances of a <br />member of the Armed Forces (whether or not living in the dwelling) who is the head of the <br />household or spouse; but <br />(b) excluding casual, sporadic or irregular gifts; amounts which are specifically for or in <br />reimbursement of medical expenses; lump sum additions to family assets, such as inheritances, <br />insurance payments (including payments under health and accident insurance and workmen's <br />compensation), capital gains and settlement for personal or property losses; amounts of educational <br />scholarships paid directly to the student or the educational institution, and amounts paid by the <br />government to a veteran for use in meeting the costs of tuition, fees, books and equipment, but in <br />either case only to the extent used for these types of purposes; special pay to a serviceman head of a <br />D-8 <br />516911v1 JAE MU205-47 <br />