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<br />D-9 <br />516911v4 JAE MU205-47 <br />EXHIBIT B TO DECLARATION OF RESTRICTIVE COVENANTS <br /> <br />Certification of Tenant Eligibility <br /> <br />(INCOME COMPUTATION AND CERTIFICATION) <br /> <br /> <br />Project: [Address] <br /> <br />Owner: <br /> <br />Unit Type: ______ 1 BR _____ 2 BR _____ 3 BR <br /> <br />1. I/We, the undersigned, being first duly sworn, state that I/we 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 /> <br />Name of <br />Members of the <br />Household <br /> Relationship <br />To Head of <br />Household <br /> <br /> <br />Age <br /> <br />Place of <br />Employment <br />_____________ _____________ ___ _________________ <br />_____________ _____________ ___ _________________ <br />_____________ _____________ ___ _________________ <br />_____________ _____________ ___ _________________ <br />_____________ _____________ ___ _________________ <br /> <br />Income Computation <br /> <br /> 2. The anticipated income of all the above persons during the 12-month period beginning this <br />date, <br /> <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 /> <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