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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

Factor to be Verified ACCEPTABLE SOURCES Verification Tips
Third Partya *Provided by Applicant Self-Declaration
Writtenbandd *Provided by Applicante Oralc *Provided by Applicant Self-Declaration
Assets disposed of
for less than fair
market value.
*(See Chapter 5,
Paragraph 5-7.G.8)*
None required. None required. None required. None required. Certification signed
by applicant *and/or
tenant* that no
*family* member has
disposed of assets
for less than fair
market value during
*the* preceding two
years.
If applicable,
certification signed by
the owner of the
asset disposed of
that shows:
- Type of assets
disposed of;
- Date disposed of;
- Amount received;
and
- Market value of
asset at the time of
disposition.
Only count assets
disposed of within a
two-year period prior
to *certification or
recertification.*

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 3 Appendix 3: Acceptable Forms of Verification

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Appendix 3

4350.3 REV-1

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