MARYLAND DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT MULTIFAMILY HOUSING PROGRAMS 2014 ATTACHMENT TO ANNUAL CERTIFICATE OF COMPLIANCE PROJECT NAME: FUNDING/SUBSIDY PROGRAM(S): PROJECT ADDRESS:__________________ LOAN NUMBER(S): ________ Please provide information for each household counted as satisfying the income restrictions for the property, including information for vacant units last occupied by households counted as satisfying the income restrictions for the property that are available for rental to households that satisfy the income restrictions for the property. The information on this attachment is to correspond with the information collected on the Certification/Recertification of Tenant Eligibility form. On-site inspections may be conducted to confirm the accuracy of the information submitted below. RACE CODES MARITAL STATUS 1 1 Single Male 2 Black 2 Single Female 3 American Indian or Alaskan Native 3 Married 4 Asian or Pacific Islander 4 Unmarried, living together 5 Hispanic 5 Separated 6 Other 6 Divorced 7 No Data 7 Widowed 8 Other UNIT ANNUAL SATISFIES INCOME 2013 INCOME HEAD OF HOUSEHOLD UNIT DATE OF AT FAMILY LIMITS OF FAMILY Age Race Sex Marital Disabled Y/N # FAMILY LAST NAME MOVE IN MOVE IN INCOME IRS OR SIZE M/F Status CDA? FOR MULTIFAMILY HOUSING PROGRAM USE ONLY: Project in Compliance? _____Yes _____No Reviewed by:____________________ Date:______________ MARYLAND DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 2014 ATTACHMENT TO ANNUAL CERTIFICATE OF COMPLIANCE (CONT.)
MARYLAND DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT MULTIFAMILY HOUSING PROGRAMS 2014 ATTACHMENT TO ANNUAL CERTIFICATE OF COMPLIANCE PROJECT NAME: FUNDING/SUBSIDY PROGRAM(S): PROJECT ADDRESS:__________________ LOAN NUMBER(S): ________ Please provide information for each household counted as satisfying the income restrictions for the property, including information for vacant units last occupied by households counted as satisfying the income restrictions for the property that are available for rental to households that satisfy the income restrictions for the property. The information on this attachment is to correspond with the information collected on the Certification/Recertification of Tenant Eligibility form. On-site inspections may be conducted to confirm the accuracy of the information submitted below. RACE CODES MARITAL STATUS 1 1 Single Male 2 Black 2 Single Female 3 American Indian or Alaskan Native 3 Married 4 Asian or Pacific Islander 4 Unmarried, living together 5 Hispanic 5 Separated 6 Other 6 Divorced 7 No Data 7 Widowed 8 Other ANNUAL INCOME 2013 UNIT SATISFIES INCOME HEAD OF HOUSEHOLD UNIT # FAMILY LAST NAME DATE OF MOVE IN AT MOVE IN FAMILY INCOME LIMITS OF IRS OR CDA? FAMILY SIZE Age Race Sex M/F Marital Status Disabled Y/N FOR MULTIFAMILY HOUSING PROGRAM USE ONLY: Project in Compliance? _____Yes _____No Reviewed by:____________________ Date:______________ MARYLAND DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 2014 ATTACHMENT TO ANNUAL CERTIFICATE OF COMPLIANCE (CONT.)
attachment_annual_certificate_compliance.docx