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EXHIBIT B <br />© Illitig <br />TENrL�i'T"IltiGi-iECERTIFICATION EffeeiireDate <br />Cert catim O Recerfiflcatim Q (]thee: Ir3oc2-In Da#e::- <br />P...RT I =DE'tt EI UPN1E-N T DATA <br />PropertyNarnff Crit DtT.: <br />Ad€ n <br />Unit Nu6ber: # Bedrooms':. Square Faotase <br />TART H. HOUSEHOLD COMPOSITION <br />IIVacdm#(ClgdifunitxarizcantnaDecEmber3lof&--Efnecti Da#e3%ar} <br />HH" - <br />Mbr <br />Middie-RelaWonshiptoHPad' Date ofEinh-- 5tudemtStatus Last digiUof: <br />I ast lame ": Firstl Name Initial ofHo-us�iold ' PBiDD,71 (Ch=ck Dne}" Sacial Secmi <br />1: <br />BEAD Ki❑ yr❑iNhG <br />3 <br />a❑ Va❑ NdC <br />�4' <br />z7❑!VSQ!liAQ <br />-� <br />E7❑Ii'7❑lrr.hQ <br />6QhQa;hQ <br />s7GPsQ NC <br />P_-%R.Tim GRQ55-ILNNMJil D co''_1IE:tu-SY-iP;�L�e1L.Alliin TS) <br />3nrr, <br />Employmenrorwages-Soc:Securitvlpensions PublirAssisluce Other Income <br />TOTALS* <br />Add. totah from (A) t11t61t211(D). aboye TOTAL q.COTVE (F): <br />� <br />FART IST. PXOMP FROM ASSETS <br />26r <br />ivp,of Amt CIT task Value of Asset Annuallucome from _Asset <br />TOYALS. $ <br />Ifincome unknoarns <br />S Cash Value from (M :.X use current Passbook Raze = (fi InVuted Iacome <br />_Add totals frnmt (M and ($: TOTAL MCOME FROM ASSETS Q ) Is 77771 <br />F- <br />(L) Total A=W Household Iwoate from all Sources [Add (I=} 1(K)] <br />$ <br />HOUSEHOLD CERTIFICATION & ,SIGINN?kTURFS <br />k&rmittiou an this fvmwin be used lo d-lernikema-mmumiucome, eligibilfty. 'I've have pxmrided for eacbperma(s)(s)set forth'raparill acceptable voif€cariamof <br />cmentimicipamdanowl.'rrieme I•Wea=elo.oaifrt almOoTdimmpdutftupDnauvmem Er of d!a housebe.dmovin; = efdieunkormynesemember <br />mining is Dore agree to notify the tandlard:anm4liely upon am} meurberbecamMg a f rll time srndec#. <br />Underpenaltiesaf peru3,Tn ecvsdir ther>N,a information presented is tbs Certi&irdon 6true ad atmuft to tbabetof my makoowladgz and belief. 3i a aodenizped <br />Amberunderstan&- tbatproiidingrusereptmeotationsheigncomicindesanactoffraud. False,mislr ivgorinconm3toinforrnananmayr-ulsintheterminaaa¢of <br />the lease a - sent, _ - <br />S€gear !Dara) Siemuae Marc) <br />$iFnarilre 1DL1f4i . Si_emadrre (Dar@f <br />1 Ten2at Income Certification (--April 2U21) <br />REV: 05-21-25 LF <br />ATTY/A(,R-9025-100/HFART-SV (417 Stamhauah St -1 (Pane 81 of 85) <br />