UNIT ANNUAL TOTAL SATISFIES INCOME 2012 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? Page ______ of _______ In the case of vacant 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, please insert next to the Family “VACANT” Last Name.
ANNUAL INCOME TOTAL 2012 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 Page ______ of _______ In the case of vacant 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, please insert “VACANT” next to the Family Last Name.
attachment_annual_certificate_compliance.docx