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SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION

Quarterly Wage 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 Name

  • Employer Name

  • Employer Address

  • Quarterly employee wage amount

  • Date quarterly wage record processed by NDNH

  • Federal Employee Identification Number (EIN) (optional for an employer to report)

  • State EIN (optional for an employer to report)

  • Department of Defense indicator, if any

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

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