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Exhibit "~_" <br /> <br /> CERTIFICATION OF TENANT ELIGIBILITY <br /> Part I -- General Information <br /> <br /> 1. Proj oct Uame 2. Project Location <br /> <br /> 3. rlo. of Total Units <br /> <br /> 4. 0wner's Name 5. Manager's Name <br /> and Telephone No. <br /> <br /> Part II -- Unit Information <br /> <br /> 6. Apt. Address 7. No. of bedrooms 8. Monthly Rent <br /> <br /> Part III -- Affidavit of Tenant <br /> <br />!, , and I, <br /> , as applicants for rental of a Lower-Income <br /> Uni[ in nhe above-described Project, do hereby represent and <br /> ~.;arrant as follows: <br /> <br />A. (My/Our) adjusted income (anticipated total annual <br /> income) does not exceed 80% of the median gross income <br /> for the San Francisco Bay Area.~ (I/We) understand that <br /> the applicable median gross income is $ The <br /> following computation includes all income (I'/We) <br /> anticipate receiving for the 12-month period beginning <br /> on the date (I/We) execute a rental agreement for a Lower- <br /> Income Unit cr the date of which (1/We) will initially <br /> occupy such unit, whichever is earlier. <br /> <br />i. l"~r ~he t~ant and all family members include: <br /> <br /> (a) -amount of ~vages, salaries, overtime pay, <br /> cormmissions, fees, tips and bonuses <br /> (before payroll deductions) <br /> <br /> (b) net income frora business or profession or <br /> rental of property (without deduction <br /> for repayment of debts or expansion of <br /> business) <br /> <br /> <br />