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Sample Move-In/Move-Out Inspection Form

C. Social Security and Supplementary Security Income (SSI)

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

  1. Relevant information to verify Social Security and SSI income. The following information is generally available from EIV or the award or benefit letter or the Proof of Income Letter.

    • a. Name of original annuitant;

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

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Appendix 6-C

4350.3 REV-1

  • b. Pension claim number or social security number of person receiving the pension claim;

  • c. Current monthly gross amount of pension or annuity;

  • d. Deductions from gross amount for medical insurance premiums;

  • e. Date benefits began;

  • f. Effective date of current amount;

  • g. For social security, ask: Has the monthly payment been reduced for overpayment of previous benefits? If so, by how much?

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

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