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Proj ect: <br />Owner: <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 answered <br />fully, frankly and personally each of the following questions for all persons (including minors) who <br />are to occupy the unit in the above apartment development for which application is made, all of whom <br />are listed below: <br />Name of <br />Members of the <br />Household <br />Relationship <br />To Head of <br />Household Age <br />Income Computation <br />Place of <br />Employment <br />2. The anticipated income of all the above persons during the 12-month period beginning <br />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 profession <br />or from the rental of real or personal property (without deducting expenditures for business <br />expansion or amortization of capital indebtedness); interest and dividends; the full amount of <br />periodic payments received from social security, annuities, insurance policies, retirement <br />funds, pensions, disability or death benefits and other similar types of periodic receipts; <br />payments in lieu of earnings, such as unemployment and disability compensation, worker's <br />compensation and severance pay; the maximum amount of public assistance available to the <br />above persons; periodic and determinable allowances, such as alimony and child support <br />payments and regular contributions and gifts received from persons not residing in the <br />dwelling; and all regular pay, special pay and allowances of a member of the Armed Forces <br />(whether or not living in the dwelling) who is the head of the household or spouse; but <br />F-9 <br />EL185-70-769416.d7 <br />