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SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION

DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

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

____________________________ Project Name

____________________________ HUD Project Number

Model Lease For Use Under:

(1) The Section 202 Program of Housing for the Elderly or Handicapped in conjunction with the Section 8 Housing Assistance Payments Program; and (2) the Section 202 Program for Nonelderly Handicapped Families and Individuals in conjunction with Section 162 assistance and Project Assistance Contracts.

This agreement made and entered into this (A) _____ day of _________, 20��, between (B) ______________________________________, as LANDLORD, and

(C) __________________________________________, as TENANT.

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

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