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SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION

Appendix 3: Acceptable Forms of Verification

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

ACCEPTABLESOURCES
Third Partya **Verification Tips **
Factor to be Verified Writtenb and d Provided by Applicant~~*e**~~ Oralc *Provided by Applicant Self-Declaration
Net Income for a
business
(See Chapter 5,
Paragraph 5-6.H).
Not applicable. Form 1040 with
Schedule C, E, or F.
Financial Statement(s)
of the business
(audited or unaudited)
including an
accountant’s
calculation of straight-
line depreciation
expense if accelerated
depreciation was used
on the tax return or
financial statement.
For rental property,
copies of recent rent
checks, lease and
receipts for expenses,
or IRS Schedule E.
Not applicable. Any loan application
listing income derived
from business during the
preceding 12 months.
Notarized statement
showing net income
for a business.
Recurring
contributions and
gifts.
(See Chapter 5,
Paragraph 5-6.G)
Notarized statement
or affidavit signed by
the person providing
the assistance giving
the purpose, dates,
and value of gifts.
Not applicable. Telephone or in-
person contact with
source documented
in file by the owner.
Not applicable. Notarized statement
or affidavit signed by
applicant stating
purpose, dates, and
value of gifts.
Sporadic contributions
and gifts are not
counted as income.

aNOTE : Requests for verification from a third party source must be accompanied by a Consent to Release form HUD-9887-A.

bNOTE : If the original document is witnessed but is a document that should not be copied, the owner should record the type of document, any control or serial numbers, and the issuer. The owner should also initial and date this notation in the file.

cNOTE : For all oral verification, file documentation must include facts, time and date of contact, and name and title of the third party.

d*NOTE: For use of EIV Income Reports as third party verification of employment and income a current Consent for Release form HUD-9887 must be on file.* c[*] NOTE: See examples and requirements found in Paragraph 5-13.B.1

HUD Occupancy Handbook 17 Appendix 3: Acceptable Forms of Verification

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Appendix 3

4350.3 REV-1

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