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Project: <br />��� <br />EXHIBIT B TO DECLARATION OF RESTRICTIVE COVENANTS <br />Certification of Tenant Eligibility <br />(INCOME COMPUTATION AND CERTIFICATION) <br />[Address] <br />Unit Type: 1 BR 2 BR 3 BR <br />1. I/We, the undersigned, being first duly sworn, state that Uwe have read and <br />answered fully, frankly and personally each of the following questions for all persons (including <br />minors) who are to occupy the unit in the above apartment development for which application is <br />made, all of whom are listed below: <br />Name of Relationship <br />Members of the To Head of Place of <br />Household Household Age Employment <br />Income Computation <br />2. The anticipated income of all the above persons during the 12 -month period <br />beginning this date, <br />(a) including all wages and salaries, overtime pay, commissions, fees, tips and <br />bonuses before payroll deductions; net income from the operation of a business or <br />profession or from the rental of real or personal property (without deducting expenditures <br />for business expansion or amortization of capital indebtedness); interest and dividends; the <br />full amount of periodic payments received from social security, annuities, insurance <br />policies, retirement funds, pensions, disability or death benefits and other similar types of <br />periodic receipts; payments in lieu of earnings, such as unemployment and disability <br />compensation, worker's compensation and severance pay; the maximum amount of public <br />assistance available to the above persons; periodic and determinable allowances, such as <br />alimony and child support payments and regular contributions and gifts received from <br />persons not residing in the dwelling; and all regular pay, special pay and allowances of a <br />member of the Armed Forces (whether or not living in the dwelling) who is the head of the <br />household or spouse; but <br />F-9 <br />5193940 1513 ELI 85-49 <br />