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SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION

Unemployment Insurance File

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

  • Claimant SSN

  • Claimant Last Name

  • Claimant First Name

  • Claimant’s Address (optional for an employer to report)

  • Benefit Amount

  • Unemployment reporting period

HUD Occupancy Handbook Exhibit 9-6

8/13

1

Exhibit 9-7

4350.3 REV-1

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

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