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

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