SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
New Hire File
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-10-05 · United States
Employee SSN
Employee Last Name
Employee First Name
Employee Address (optional for an employer to report)
Employer Name
Employer Address
Employee Date of Hire (optional for an employer to report)
Employee State of Hire (optional for an employer to report)
Employer Federal EIN (optional for an employer to report)
Employer State EIN (optional for an employer to report)
Employer’s Second Address, if any (optional for an employer to report)
Department of Defense indicator, if any
Date New Hire Record processed by NDNH
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