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Sample Move-In/Move-Out Inspection Form

2. SAMPLE FORMATS

HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-10-05 · United States

The two sample formats on the next page can be used to verify an applicant/tenant’s disability status for purposes of eligibility for occupancy in properties/units where occupancy is restricted to disabled families or persons with disabilities, or for income deductions based on disability when determining an applicant/tenant’s adjusted income.

Please note that if Item 4, on either sample format, is checked “YES”, the applicant/tenant does not meet HUD’s definition of disability.

HUD Occupancy Handbook Appendix 6-C: Guidance About Types of Information to Request When Verifying Eligibility and Income

6/07

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4350.3 REV-1

Appendiix 6-B

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▸Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs

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