Determination of Income Eligibility. TOTAL ANNUAL HOUSEHOLD INCOME FROM ALL SOURCES $ From Item (L) on page 1 Current Income Limit per Family Size: $ Household Income at Move-in: $ Household Meets Income Restriction at: 40% AMI 60% AMI 80% AMI RECERTIFICATION ONLY: Current Income Limit x 140% $ Household income exceeds 140% at recertification: Yes No Household Size at Move-in: _
Determination of Income Eligibility. Total Annual Household Income from all Sources Enter the number from item (L). Current Income Limit per Family Size Enter the Current Move-in Income Limit for the household size. Household income at move-in Household size at move-in Current Income Limit x 140% For recertifications, only. Enter the household income from the move-in certification. On the adjacent line, enter the number of household members from the move-in certification. For recertifications only. Multiply the Current Maximum Move-in Income Limit by 140% and enter the total. 140% is based on the Federal Set-Aside of 20/50 or 40/60, as elected by the owner for the property, not deeper targeting elections of 30%, 40%, 45%, 50%, etc. Below, indicate whether the household income exceeds that total. If the Gross Annual Income at recertification is greater than 140% of the current income limit, then the available unit rule must be followed. *Units Meets Income Restriction at Check the appropriate box for the income restriction that the household meets according to what is required by the set-aside(s) for the project. Part VI - Rent Tenant Paid Rent Enter the amount the tenant pays toward rent (not including rent assistance payments such as Section 8). Rent Assistance Enter the amount of rent assistance, if any. Utility Allowance Enter the utility allowance. If the owner pays all utilities, enter zero. Other non-optional charges Enter the amount of non-optional charges, such as mandatory garage rent, storage lockers, charges for services provided by the development, etc. Gross Rent for Unit Enter the total of Tenant Paid Rent plus Utility Allowance and other non-optional charges. Maximum Rent Limit for this unit Enter the maximum allowable gross rent for the unit. Unit Meets Rent Restriction at Check the appropriate rent restriction that the unit meets according to what is required by the set-aside(s) for the project.
Determination of Income Eligibility. Total Annual Household Enter the number from item (L). Income from all sources Current Income Limit per Enter the Current Move-in Income Limit for the household size. Family Size Household income at move-in For recertifications only. Enter the household income from the Household size at move-in move-in certification. On the adjacent line, enter the number of household members from the move-in certification. Household Meets Income Check the appropriate box for the income restriction that the Restriction household meets according to what is required by the set-aside(s) for the project. Current Income Limit x 140% For recertification only. Multiply the Current Maximum Move- in Income Limit by 140% and enter the total. Below, indicate whether the household income exceeds that total. If the Gross Annual Income at recertification is greater than 140% of the current income limit, then the available unit rule must be followed.
Determination of Income Eligibility. Total Annual Household Income from all Sources Enter the number from item (L). Current Income Limit per Family Size Enter the Current Move-in Income Limit for the household size. Household income at move-in Household size at move-in For recertifications, only. Enter the household income from the move-in certification. On the adjacent line, enter the number of household members from the move-in certification. Household Meets Income Restriction Check the appropriate box for the income restriction that the household meets according to what is required by the set-aside(s) for the project. Current Income Limit x 140% For recertifications only. Multiply the Current Maximum Move-in Income Limit by 140% and enter the total. Below, indicate whether the household income exceeds that total. If the Gross Annual Income at recertification is greater than 140% of the current income limit, then the available unit rule must be followed. Tenant Paid Rent Enter the amount the tenant pays toward rent (not including rent assistance payments such as Section 8). Rent Assistance Enter the amount of rent assistance, if any. Utility Allowance Enter the utility allowance. If the owner pays all utilities, enter zero. Other non-optional charges Enter the amount of non-optional charges, such as mandatory garage rent, storage lockers, charges for services provided by the development, etc. Gross Rent for Unit Enter the total of Tenant Paid Rent plus Utility Allowance and other non-optional charges. Maximum Rent Limit for this unit Enter the maximum allowable gross rent for the unit. Unit Meets Rent Restriction at Check the appropriate rent restriction that the unit meets according to what is required by the set-aside(s) for the project. Part VII - Student Status If all household members are full time* students, check “yes”. If at least one household member is not a full time student, check “no”. If “yes” is checked, the appropriate exemption must be listed in the box to the right. If none of the exemptions apply, the household is ineligible to rent the unit. *Full time is determined by the school the student attends.
Determination of Income Eligibility. RECERTIFICATION ONLY: TOTAL ANNUAL HOUSEHOLD Unit Meets Income Current Income Limit x 140%: INCOME FROM ALL SOURCES: Restriction at: From item (L) on page 1 $ 60% 50% $ 40% 30% Household Income exceeds 140% % at recertification:Yes No Current Income Limit per Family Size: $ Household Income at Move- $ Household Size at Move-in: in:
Determination of Income Eligibility. For a household to be eligible for the CBRA program the combined household income must not exceed 50% of area median gross income as defined by HUD. Area Median Income (AMI) Limits can be located for each county at: xxx.xxxxxxx.xxx (Data Sets, Income Limits). Xxxxxx is money that is paid to, or on behalf of, any household member. Income includes the current gross income (annualized) of all adult (18 years and older) household members and unearned income attributable to a minor. Income eligibility determinations are based on the household’s income at program enrollment. Income inclusions and exclusions are listed in the Electronic Code of Federal Regulations, xxx.xxxx.xxx, Title 24 – Housing and Urban Development: Subtitle A 0-99: Part 5: Subpart F: Section 5.609 Annual Income. Gross Income is the amount of income earned before any deductions (such as taxes and health insurance premiums) are made. Current Income is the income that the household is currently receiving. Income recently terminated should not be included.
Determination of Income Eligibility. For a household to be eligible for the CBRA program the combined household income must not exceed 50% of area median gross income as defined by HUD. Area Median Income (AMI) Limits can be located for each county at: xxx.xxxxxxx.xxx (Data Sets, Income Limits). Xxxxxx is money that is paid to, or on behalf of, any household member. Income includes the current gross income (annualized) of all adult (18 years and older) household members and unearned income attributable to a minor. Income eligibility determinations are based on the household’s income at program enrollment. Income inclusions and exclusions are listed in the Electronic Code of Federal Regulations, xxx.xxxx.xxx, Title 24 – Housing and Urban Development: Subtitle A 0-99: Part 5: Subpart F: Section 5.609 Annual Income. Gross Income is the amount of income earned before any deductions (such as taxes and health insurance premiums) are made. Current Income is the income that the household is currently receiving. Income recently terminated should not be included. Annualizing Wages and Periodic Payments Use the CBRA Income Eligibility Worksheet (or equivalent) to calculate income based on hourly, weekly, or monthly payment information. Add the gross amount earned in each payment period that is documented and divide by the number of payment periods. This provides an average wage per payment period. Depending on the schedule of payments, use the following calculations convert the average wage into annual income: ✓ Hourly wage multiplied by hours worked per week multiplied by 52 weeks. ✓ Weekly wage multiplied by 52 weeks. ✓ Bi-weekly (every other week) wage multiplied by 26 bi-weekly periods. ✓ Semi-monthly wage (twice a month) multiplied by 24 semi-monthly periods. ✓ Monthly wage multiplied by 12 months. Eligibility Recertification Eligibility criteria must be reviewed annually for households enrolled in CBRA to determine whether the household remains eligible for the program. Documentation of Recertification of Eligibility Grantees must provide the CBRA Eligibility Recertification form with the final determination of eligibility and documentation to support the determination in the client file. Documentation must be dated within 45 days of recertification date.
Determination of Income Eligibility at Recertification For a household to remain eligible for the CBRA program after losing eligibility for an approved long-term supports program, the combined household income must not exceed 50 percent of area median gross income as defined by HUD. Income limits are based on Area Median Income (AMI) which can be located for each county at: xxx.xxxxxxx.xxx (Data Sets, Income Limits). Xxxxxx is money that is paid to, or on behalf of, any household member. Income includes the current gross income (annualized) of all adult (18 years and older) household members and unearned income attributable to a minor. Income eligibility determinations are based on the household’s income at program recertification. Income inclusions and exclusions are listed in the Electronic Code of Federal Regulations, xxx.xxxx.xxx, Title 24 – Housing and Urban Development: Subtitle A 0-99: Part 5: Subpart F: Section 5.
Determination of Income Eligibility. TOTAL ANNUAL HOUSEHOLD INCOME FROM ALL SOURCES $ From Item (L) on page 1 Current Income Limit per Family Size: $ Household Income at Move-in: $ Household Meets Income Restriction at: 40% AMI 60% AMI 80% AMI RECERTIFICATION ONLY: Current Income Limit x 140% $ Household income exceeds 140% at recertification: Yes No Household Size at Move-in: _ HOUSEHOLD CERTIFICATION & SIGNATURES Based on the representations herein and upon the proofs and documentation required to be submitted, the individual(s) named in Part II of this Tenant Income Certification is/are eligible under the provisions of the Special Source Credit Agreement between Xxxxxx Street Affordable, LP and Greenville County, South Carolina, dated August 15, 2023, as amended (the “Agreement”), to live in a 40% AMI Housing Unit 60% AMI Housing Unit 80% AMI Housing Unit. XXXXXX STREET AFFORDABLE, LP Date: By: Name: Title: INSTRUCTIONS FOR COMPLETING TENANT INCOME CERTIFICATION This form is to be completed by the owner or an authorized representative. Part I – Development Data Check the appropriate box for Initial Certification (move-in), Recertification (annual recertification), or Other. If Other, designate the purpose of the recertification (i.e., a unit transfer, a change in household composition, or other state-required recertification). Move-in Date Enter the date the tenant has or will take occupancy of the unit. Effective Date Enter the effective date of the certification. For move-in, this should be the move-in date. For annual recertification, this effective date should be no later than one year from the effective date of the previous (re)certification. Property Name Enter the name of the development. County Enter the county (or equivalent) in which the building is located. Address Enter the unit number. Unit Number Enter the unit number. # Bedrooms Enter the number of bedrooms in the unit. Part II – Household Composition List all occupants of the unit. State each household member’s relationship to the head of the household by using one of the following coded definitions: H Head of household S Spouse A Adult co-tenant O Other family member C Child F Xxxxxx child L Live-in caretaker N None of the above Enter the date of birth, student status, and Social Security number or alien registration number for each occupant. If there are more than four occupants, use an additional sheet of paper to list the remaining household members and attach it to the certification.
Determination of Income Eligibility. Total Annual Household Income from Enter the number from item (L). all Sources Current LIHTC Income Limit per Enter the Current Move-in Income Limit for the household size – specifically, the max Family Size income limit for the federal 50% or 60% set aside. Household Income at Move-in For recertifications only. Enter the household income from the move-in certification. Household Size at Move-in Enter the number of household members from the move-in certification. Current Federal LIHTC Income Limit x 140% For recertifications only. Multiply the current LIHTC Maximum Move-in Income Limit by 140% and enter the total. 140% is based on the Federal Set-Aside of 20/50 or 40/60, as elected by the owner for the property, not deeper targeting elections of 30%, 40%, 45%, 50%, etc. Below, indicate whether the household income exceeds that total. If the Gross Annual Income at recertification is greater than 140% of the LIHTC Income Limit per Family Size at Move-in date (above), then the available unit rule must be followed. Unit Meets Federal Income Restriction Check the appropriate box for the income restriction that the household meets according to at what is required by the federal set-aside(s) for the project. Unit Meets Deeper Targeting Income Restriction If your agency requires an income restriction lower than the federal limit, enter the percent required. Part VI - Rent Tenant Paid Monthly Rent Enter the amount the tenant pays toward rent (not including rent assistance payments such as Section 8). Monthly Rent Assistance Enter the amount of rent assistance, if any. Monthly Utility Allowance Enter the utility allowance. If the owner pays all utilities, enter zero. Other Monthly Non-Optional Charges Enter the amount of non-optional charges, such as mandatory garage rent, storage lockers, charges for services provided by the development, etc. Gross Monthly Rent for Unit Enter the total of Tenant Paid Rent plus Utility Allowance and other non-optional charges. The total may NOT include amounts other than Tenant Paid Rent, Utility Allowances and other non-optional charges. In accordance with the definition of Gross Rent in IRC §42(g)(2)(B), it may not include any rent assistance amount. Maximum LIHTC Rent Limit for this unit Enter the maximum allowable gross rent for the unit. This amount must be the maximum amount allowed by the Current Income Limit per Family Size – specifically, the max rent limit for the federal 50% or 60% set aside. Unit Meets Federal Rent Rest...
