Appendix 3 Acceptable Forms of Verification

Transcription

1 Acceptble Forms of Verifiction

2 Age. *(See Chpter 3, Prgrph 3-28.C)* Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c None required. None required. None required. Birth Certificte Bptisml Certificte Militry Dischrge ppers Vlid pssport Census document showing ge Nturliztion certificte Socil Security Administrtion Benefits printout Verifiction Tips b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 1 8/13

3 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Alimony or child support. *(See Chpter 5, Prgrphs 5-6.F nd 5-10.F)* Copy of seprtion or divorce greement provided by exspouse or court indicting type of support, mount, nd pyment schedule. Written sttement provided by exspouse or income source indicting ll of bove. Recent originl letters from the court. contct with ex-spouse or income source documented in file by the owner. Copy of most recent check, recording dte, mount, nd check number. Notrized sttement or ffidvit signed by pplicnt indicting mount received. If pplicble, notrized sttement or ffidvit from pplicnt indicting tht pyments re not being received nd describing efforts to collect mounts due. Amounts wrded but not received cn be excluded from nnul income only when pplicnts hve mde resonble efforts to collect mounts due, including filing with courts or gencies responsible for enforcing pyments. If pplicble, written sttement from court/ttorney tht pyments re not being received nd nticipted dte of resumption of pyments. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 2 8/13

4 Assets disposed of for less thn fir mrket vlue. *(See Chpter 5, Prgrph 5-7.G.8)* Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c None required. None required. None required. None required. Certifiction signed by pplicnt *nd/or tennt* tht no *fmily* member hs disposed of ssets for less thn fir mrket vlue during *the* preceding two yers. Verifiction Tips Only count ssets disposed of within two-yer period prior to *certifiction or recertifiction.* If pplicble, certifiction signed by the owner of the sset disposed of tht shows: - Type of ssets disposed of; - Dte disposed of; - Amount received; nd - Mrket vlue of sset t the time of disposition. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 3 8/13

5 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Auxiliry pprtus. *(See Chpter 5, Prgrph 5-10.C)* Written verifiction from source of costs nd purpose of pprtus. Written certifiction from doctor or rehbilittion gency tht use of pprtus is necessry to employment of ny fmily member. Copies of receipts. contct with these sources documented in file by the owner. Evidence of periodic pyments for pprtus. Not pproprite. The owner must determine if the expense is to be considered medicl or disbility ssistnce. In cse where the disbled person is employed, sttement from employer tht pprtus is necessry for employment. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 4 8/13

6 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Cre ttendnt for disbled fmily members. *(Prgrph 5-10.C)* Written verifiction from ttendnt stting mount received, frequency of pyments, hours of cre. Copies of receipts. contct with source documented in file by the owner. Cncelled checks indicting pyment mount nd frequency. Notrized sttement or signed ffidvit ttesting to mounts pid. The owner must determine if this expense is to be considered medicl or disbility ssistnce. Written certifiction from doctor or rehbilittion gency tht cre is necessry to employment of fmily member. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 5 8/13

7 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Child cre expenses (including verifiction tht fmily member who hs been relieved of child cre is working, ttending school, or looking for employment). *(Prgrph 5-10.B)* Written verifiction from person who provides cre indicting mount of pyment, hours of cre, nmes of children, frequency of pyment, nd whether or not cre is necessry to employment or eduction. Verifiction of employment s required under Employment Income. Copies of receipts contct with these sources (child cre provider, employer, school) documented in file by the owner. Cncelled checks indicting pyments. For school ttendnce, school records, such s pid fee sttements tht show tht the time nd durtion of school ttendnce resonbly corresponds to the period of child cre. For verifiction of looking for work, detils of job serch effort s required by owner s written policy. Allownce provided only for cre of children 12 nd younger. When sme cre provider tkes cre of children nd disbled person, the owner must prorte expenses ccordingly. Owners should keep in mind tht costs my be higher in summer months nd during holidy periods. Verifiction of student sttus (full or prttime) s required under Full-Time Student Sttus. The owner must determine which fmily member hs been enbled to work. Cre for employment nd eduction must be prorted to compre to ernings. Costs must be resonble. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 6 8/13

8 Citizenship *(See Chpter 3, Prgrph 3-12)* Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Citizens must sign declrtion certifying U.S. Citizenship. Verifiction Tips Owners my require pplicnts/residents to provide verifiction of citizenship. Current net fmily ssets. *(See Chpter 5, Prgrph 5-7.C)* Verifiction forms, letters or documents received from finncil institutions, stock brokers, rel estte gents, employers indicting the current vlue of the ssets nd penlties or resonble costs to be incurred in order to convert nonliquid ssets into csh. Pssbooks, checking, or svings ccount sttements, certifictes of deposit, property pprisls, stock or bond documents, or other finncil sttements completed by finncil institution. Copies of rel estte tx sttements, if tx uthority uses pproximte mrket vlue. Copies of rel estte closing documents tht indicte distribution of sles proceeds nd settlement costs. contct with pproprite source, documented in file by the owner. Quotes from ttorneys, stockbrokers, bnkers, nd rel estte gents tht verify penlties nd resonble costs incurred to convert sset to csh. Notrized sttement or signed ffidvit stting csh vlue of ssets or verifying csh held t pplicnt s home or in sfe deposit box. Use current blnce in svings ccounts nd verge monthly blnce in checking ccounts for lst 6 months. Use csh vlue of ll ssets (the net mount the pplicnt would receive if the sset were converted to csh). NOTE: This informtion cn usully be obtined simultneously when verifying income from ssets nd employment (e.g., vlue of pension). b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 7 8/13

9 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Disbility sttus. *(Prgrph 3-28.B)* Verifiction from *pproprite source of informtion* stting tht individul qulifies under the definition of disbility. Not pproprite. contct with medicl professionl verifying qulifiction under the federl disbility definition nd documenttion in the file of the converstion. Not pproprite. Not pproprite. If person receives Socil Security Disbility solely due to drug or lcohol problem, the person is not considered disbled under housing lw. A person tht does not receive Socil Security Disbility my still qulify under the definition of person with disbilities. Owners must not seek to verify informtion bout person s specific disbility other thn obtining professionl s opinion of qulifiction under the definition of person with disbilities. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 8 8/13

10 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Dividend income nd svings ccount interest income. *(See Chpter 5, Prgrph 5-7)* Verifiction form completed by bnk. Copies of current sttements, bnk pssbooks, certifictes of deposit, if they show required informtion (i.e., current rte of interest). Copies of Form 1099 from the finncil institution, nd verifiction of projected income for the next 12 months. contct with pproprite prty, documented in file by the owner. Notrized sttement or signed ffidvit stting dividend income nd svings ccount interest income. The owner must obtin enough informtion to ccurtely project income over next 12 months. Verify interest rte s well s sset vlue. Broker s qurterly sttements showing vlue of stocks/bonds nd ernings credited to the pplicnt. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 9 8/13

11 Employment Income including tips, grtuities, overtime. *(See Chpter 5, Prgrph 5-5.A nd C nd Prgrph 5-6.)* Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c *EIV Income Report (mndtory)* Verifiction form completed by employer. See Prgrph 9-10 for situtions when this method of verifiction must be used prior to verifying through n originl or uthentic document generted by third-prty source. W-2 Forms, if pplicnt hs hd sme employer for t lest two yers nd increses cn be ccurtely projected. Pycheck stubs or erning sttements. contct with employer, specifying mount to be pid per py period nd length of py period. Document in file by the owner. Notrized sttements or ffidvits signed by pplicnt tht describe mount nd source of income. Verifiction Tips *It is mndtory tht the EIV Income Report be used s third-prty verifiction of employment nd income (24 CFR 5.233).* Alwys verify: frequency of gross py (i.e., hourly, biweekly, monthly, bimonthly); nticipted increses in py nd effective dtes; overtime. Require most recent *4-6* consecutive py stubs; do not use check without stub. For fee, dditionl informtion cn be obtined from The Work Number ; First Americn Registry ; nd Verifx Fees re vlid project expenses. Informtion does not replce thirdprty verifiction. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 10 8/13

12 Fmily composition. *(See Chpter 3, Prgrph 3-27)* Third Prty Written b nd d *Provided by Applicnt e Orl c *Provided by Applicnt Self-Declrtion None required. None required. None required. Birth certifictes Divorce ctions Drivers licenses Employer records Income tx returns Mrrige certifictes School records Socil Security Administrtion records Socil service gency records Support pyment records Utility bills Veterns Administrtion (VA) records Verifiction Tips An owner my seek verifiction only if the owner hs cler written policy. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 11 8/13

13 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Fmily type. (Informtion verified only to determine eligibility for project, preferences, nd llownces.) *(See Chpter 3, Prgrph 3-28)* Disbility Sttus: sttement from physicin or other relible source, if benefits documenting sttus re not received. See prgrph 3.25 B.1 for restrictions on this form of verifiction. Displcement Sttus: Written sttement or certificte of displcement by the pproprite governmentl uthority. contct with source documented in file by the owner. Elderly Sttus (when there is resonble doubt tht pplicnt is t lest 62): birth certificte, bptisml certificte, socil security records, driver s license, census record, officil record of birth or other uthorittive document or receipt of SSI old ge benefits or SS benefits. Disbled, blind: evidence of receipt of SSI or Disbility benefits. Elderly Sttus: Applicnt s signture on ppliction is generlly sufficient. *When* the pplicnt receives income or benefits for which elderly or disbled sttus is requirement, such sttus must be verified. Sttus of disbled fmily members must be verified for entitlement to $480 dependent deduction nd disbility ssistnce llownce. Owner my not sk the nture/extent of disbility. Full-time student sttus (of fmily member 18 or older, excluding hed, spouse, or foster children). *(See Chpter 5, Prgrph 5-6.A.3)* Verifiction from the Admissions or Registrr s Office or den, counselor, dvisor, etc., or from VA Office. contct with these sources documented in file by the owner. School records, such s pid fee sttements tht show sufficient number of credits to be considered full-time student by the eductionl institution ttended. Not pproprite. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 12 8/13

14 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Immigrtion Sttus. *(See Chpter 3, Prgrph 3-12)* Verifiction of eligible immigrtion sttus must be received from DHS through the DHS SAVE system or through secondry verifiction using DHS Form G-845. None. Applicnt/resident must provide pproprite immigrtion documents to initite verifiction. Noncitizens must sign declrtion certifying the following: Eligible immigrtion sttus; or Decision not to clim eligible sttus. Owners must require noncitizens requesting ssistnce to provide verifiction of eligible immigrtion sttus. *Immigrtion Sttus (SSN) Individuls who do not contend eligible immigrtion sttus under the Section 221(d)(3) BMIR, Section 202 PAC, Section 202 PRAC, Section 811 PRAC progrms *Self-certifiction tht they do not contend eligible immigrtion sttus.* *This verifiction is for exemption of the requirement to disclose nd provide verifiction of SSN when n individul does not contend eligible immigrtion sttus only for the progrms listed in the column.* (See Chpter 3, Prgrph 3-9.A)* b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 13 8/13

15 Income mintennce pyments, benefits, income other thn wges (i.e., welfre, Socil Security [SS], Supplementl Security Income [SSI], Disbility Income, Pensions). *(See Chpter 5, Prgrph 5-6)* Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c * EIV Income Report for Socil Security benefits (mndtory) * Awrd or benefit notifiction letters prepred nd signed by uthorizing gency. Current or recent check stubs with dte, mount, nd check number recorded by the owner. Awrd *or benefit* letters or computer printout from court or public gency. Most recent qurterly pension ccount sttement. contct with income source, documented in file by the owner. NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of third prty. Copies of vlidted bnk deposit slips or bnk sttements, with identifiction by bnk. Notrized sttement of income received other thn wges. Verifiction Tips *It is mndtory tht the EIV Income Report be used s third-prty verifiction of the Socil Security benefit income received (24 CFR 5.233).* Checks or utomtic bnk deposit slips my not provide gross mounts of benefits if pplicnt hs deductions mde for Medicre Insurnce. Py stubs for the most recent four to six weeks should be obtined. Copying of U.S. Tresury checks is not permitted. Awrd letters/printouts from court or public gency my be out of dte; telephone verifiction of letter/printout is recommended. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 14 8/13

16 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Interest from sle of rel property (e.g., contrct for deed, instllment sles contrct, etc.) *(See chpter 5, Prgrph 5-7.G.7)* Verifiction form completed by n ccountnt, ttorney, rel estte broker, the buyer, or finncil institution which hs copies of the mortiztion schedule from which interest income for the next 12 months cn be obtined. Copy of the contrct. contct with pproprite prty, documented in file by the owner. Copy of the mortiztion schedule, with sufficient informtion for the owner to determine the mount of interest to be erned during the next 12 months. NOTE: Copy of check pid by the buyer to the pplicnt is not cceptble. Notrized sttement of interest from sle of rel property. Only the interest income is counted; the blnce of the pyment pplied to the principl is merely liquidtion of the sset. The owner must get enough informtion to compute the ctul interest income for the next 12 months. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 15 8/13

17 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Medicl expenses. *(See Chpter 5, Prgrph 5-10.D)* Verifiction by doctor, hospitl or clinic, dentist, phrmcist, etc., of estimted medicl costs to be incurred or regulr pyments expected to be mde on outstnding bills which re not covered by insurnce. Copies of income tx forms (Schedule A, IRS Form 1040) tht itemize medicl expenses, when the expenses re not expected to chnge over the next 12 months. Receipts, or py stubs, which indicte helth insurnce premium costs, or pyments to resident ttendnt. contct with these sources, documented in file by the owner. Copies of cncelled checks tht verify pyments on outstnding medicl bills tht will continue for ll or prt of the next 12 months. Cncelled checks which indicte helth insurnce premium costs, or pyments to resident ttendnt. Notrized sttement or signed ffidvit of trnsporttion expenses directly relted to medicl tretment, if there is no other source of verifiction. Medicl expenses re not llowble s deduction unless pplicnt is n elderly or disbled fmily. Sttus must be verified. Receipts or ticket stubs tht verify trnsporttion expenses directly relted to medicl expenses. Need for n ssistive niml. *(See Chpter 3, Prgrph 3-29)* Letter from *pproprite third prty unless the need is redily pprent or lredy known*. If the owner s policy is to verify this need, owner must implement policy consistently. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 16 8/13

18 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Net Income for business *(See Chpter 5, Prgrph 5-6.H).* Not pplicble. Form 1040 with Schedule C, E, or F. Finncil Sttement(s) of the business (udited or unudited) including n ccountnt s clcultion of strightline deprecition expense if ccelerted deprecition ws used on the tx return or finncil sttement. Not pplicble. Any lon ppliction listing income derived from business during the preceding 12 months. Notrized sttement showing net income for business. For rentl property, copies of recent rent checks, lese nd receipts for expenses, or IRS Schedule E. Recurring contributions nd gifts. *(See Chpter 5, Prgrph 5-6.G)* Notrized sttement or ffidvit signed by the person providing the ssistnce giving the purpose, dtes, nd vlue of gifts. Not pplicble. contct with source documented in file by the owner. Not pplicble. Notrized sttement or ffidvit signed by pplicnt stting purpose, dtes, nd vlue of gifts. Spordic contributions nd gifts re not counted s income. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 17 8/13

19 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Self-employment, tips, grtuities, etc. *(See Prgrph 5-5.C nd Prgrph 5-6.H)* None vilble. Form 1040/1040A showing mount erned nd employment period. None vilble. Notrized sttement or ffidvit signed by pplicnt showing mount erned nd py period. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 18 8/13

20 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Socil security number. *(See Chpter 3, Prgrph 3-31)* None required. None Required Originl Socil Security crd *Originl document issued by federl or stte government gency which contins the nme, SSN, nd other identifying informtion of the individul* Driver s license with SSN Identifiction crd issued by medicl insurnce provider, or by n employer or trde union. Ernings sttements on pyroll stubs Bnk sttement Form 1099 Benefit wrd letter Retirement benefit letter Life insurnce policy Court records N/A Individuls who hve pplied for legliztion under the Immigrtion Reform nd Control Act of 1986 will be ble to disclose their socil security numbers but unble to supply crds for documenttion. Socil security numbers re ssigned to these persons when they pply for mnesty. The crds go to DHS until the persons re grnted temporry lwful resident sttus. Until tht time, their cceptble documenttion is letter from the DHS indicting tht socil security numbers hve been ssigned. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 19 8/13

21 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips *Student Sttus (Section 8 only) (See Chpter 3, Prgrphs 3-13.A nd 3-33.A)* *Enrolled full-time nd/or prt-time t n institution of higher eduction Verifiction of independence from prents Finncil ssistnce received* *Signed declrtion nd certifiction of income from prents Certifiction of income provided by prent or from persons not living in the unit with the student* *My lso need to verify ge; dependent children; mritl sttus; tuition; vetern sttus nd /or disbility sttus.* *Student sttus (Section 221(d)(3) BMIR, Section 202 PAC, Section 202 PRAC nd Section 811 PRAC) See Chpter 3, Prgrph 3-13.B nd 3-33.B)* *Enrolled full-time nd/or prt-time t n institution of higher eduction Verifiction of independence from prents Finncil ssistnce received* *Certifiction of income provided by prent or from persons not living in the unit with the student* Unborn children. None required. None required. None required. Applicnt/tennt selfcertifies to pregnncy. Owner my not verify further thn selfcertifiction. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 20 8/13

22 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Unemployment compenstion. *(See Chpter 5, Prgrphs 5-5.A, 5-6.J nd Q)* *EIV Income Report (mndtory) * Verifiction form completed by source. Copies of checks or records from gency provided by pplicnt stting pyment mounts nd dtes. Benefit notifiction letter signed by uthorizing gency. contct with gency documented in file by n owner. Notrized sttement of unemployment compenstion received. *It is mndtory tht the EIV Income Report be used s third-prty verifiction of employment nd income (24 CFR 5.233).* Frequency of pyments nd expected length of benefit term must be verified. Income not expected to lst full 12 months must be clculted bsed on 12 months nd interim recertifiction completed when benefits stop. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 21 8/13

23 Third Prty *Provided by Applicnt Self-Declrtion Written b nd d *Provided by Applicnt e Orl c Verifiction Tips Welfre pyments (s-pid sttes only). *(See Chpter 5, Prgrph 5-6.K)* Verifiction form completed by welfre deprtment indicting mximum mount fmily my receive. Mximum shelter schedule by household size with rtble reduction schedule. contct with income source, documented in file by the owner. Mximum shelter llownce schedule with rtble reduction schedule provided by pplicnt. Notrized sttement of welfre pyments received. Actul welfre benefit mount not sufficient s proof of income in s-pid sttes or loclities since income is defined s mximum shelter mount. Zero Income. *(See Chpter 9, Prgrph 9-11.D)* Not pplicble. Not pplicble. Not pplicble. Not pplicble. Applicnt/Tennt selfcertifies to zero income. Owners my require pplicnt/tennt to sign verifiction relese of informtion forms for stte, locl, nd federl benefits progrms, s well s the HUD 9887 nd HUD 9887-A. Owners my require the tennt to reverify zero income sttus t lest every 90 dys. b NOTE: If the originl document is witnessed but is document tht should not be copied, the owner should record the type of document, ny control or seril numbers, nd the issuer. The owner should lso initil nd dte this nottion in the file. c NOTE: For ll orl verifiction, file documenttion must include fcts, time nd dte of contct, nd nme nd title of the third prty. d* NOTE: For use of EIV Income Reports s third prty verifiction of employment nd income current Consent for Relese form HUD-9887 must be on file.* c* NOTE: See exmples nd requirements found in Prgrph 5-13.B.1 HUD Occupncy Hndbook 22 8/13