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• <br /> EXHIBIT B <br /> Tenant Income Certification <br /> Project: 3272 Rolison Road Date: , 2010 <br /> Affordable Units: X 80_% of Median Income <br /> ❑ % of Median Income <br /> D % of Median Income <br /> Address /Unit Number: Rent: <br /> Tenant/Household Name: Date of Lease: <br /> Size of Household: Expiration: <br /> Total Household Income: per year <br /> The following list includes each member of the household and their income. Attached <br /> are federal or state income tax returns for the most recent tax year, current stubs from <br /> paychecks or other evidence of the income of each income producing member of the <br /> household. <br /> Name of Source of <br /> Household Social Security Annual Income/ <br /> Member Relationship Age Number Income Name of <br /> Employer <br /> I/We the undersigned have read and answered fully, frankly and personally each of the above <br /> questions under penalty of perjury and do hereby swear they are true. <br /> Head of Household Date Owner/ Agent Date <br /> 82483.00000 \5570532-4 <br /> ATTY /AGR/2010.120 EXHIBIT C <br /> 103010 <br />