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Exhibit 7-4: Sample Annual Recertification Third Reminder Notice/Notice of Termination

A. Summary Report

HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-07-29 · United States

This report is a summary of information taken from the current, active certifications contained in the TRACS file at the time of the income match. It also provides the Identity Verification Status for each household member.

  1. Identity Verification Status

There are four verification statuses identified:

Verified – personal identifiers (last name, DOB and SSN) match the SSA database

Failed – personal identifiers do not match the SSA database

Not Verified – personal identifiers have not yet been sent to SSA for validation or validation is in process by SSA

Deceased – SSA’s records indicate the person is deceased

  • Owners must use this report:

  • a. At the time of recertification to review and resolve the status of any household member(s) with a “failed” or “deceased” status.

NOTE: Owners do not have to do anything at the time of recertification when the status is “Not Verified”. However, the owner must check the Failed SSA Identity Test report monthly as changes in the Identity Verification Status for these tenants may occur.

  • b. As verification that a tenant’s SSN has been “Verified” by SSA as being a valid SSN.
  1. Owners must retain in the tenant file:

    • a. The Summary Report(s) as verification of the SSN for all household members whose Identity Verification Status is “Verified”.

    • b. If the Summary Report in the tenant file shows an Identity Verification Status of “Verified” for all household members

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required to have a SSN, the owner does not have to continue to print out the Summary Report at recertification unless there is a change in household composition or in a household member’s identity verification status.

NOTE: To minimize the risk of exposing a tenant’s SSN, owners may remove and destroy, at the time of recertification, copies of verification documentation received from the tenant at the time of disclosure of their SSN once the Identity Verification Status shows “Verified”. Owners are encouraged to minimize the number of tenant records that contain documents that display the full ninedigit SSN. Owners must not include the full nine-digit SSN for a tenant in emails or other electronic communications.

See Chapter 3, Paragraph 3-9 for SSN disclosure and verification requirements.

  • c. Any correspondence or documentation received to resolve the “Failed” or “Deceased” status.

  • d. Documentation for household members not required to disclose and provide verification of a SSN:

Exempt from SSN disclosure and verification requirements:

  • Tenants who were 62 years of age or older as of January 31, 2010, and whose initial determination of eligibility was begun before January 31, 2010, and

  • Individuals who do not contend eligible immigration status.

These individuals will continue to have a TRACS generated identification number in the SSN field. No employment or income information will be provided in EIV for these individuals, therefore, third party verification from the income source will have to be obtained.

See Paragraph 9-12 for information on resolving data for tenants with the “failed” or “deceased” Identity Verification Status.

  • B. Income Report

Owners must use the Income Report at the time of recertification (annual and interim) of family composition and income and at other times as indicated in their policies and procedures.

The Income Report:

  • Provides employment and income information reported in the NDNH and SSA databases for all household members who passed the SSA identity

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test, and

  • Identifies household members who may be receiving multiple subsidies by displaying the following message:

    • “This member may be receiving multiple subsidies. See the Multiple Subsidy Report for details.”
  1. Components of the Income Report

The Income Report provides a variety of information about each member of a household. The components of the report are:

  • a. TRACS certification information and tenant personal identifiers

  • b. Employment information

  • c. Quarterly wages

  • d. Quarterly unemployment benefits

  • e. Social Security benefits (SS)

  • f. Dual Entitlement benefits

  • g. Medicare data

  • h. Supplemental Security Income (SSI)

  • i. SSA disability status

See Exhibit 9-3, EIV Income Report Information, for the types of information contained in each of the components of the report.

  1. The Income Report does not include other income the household may receive such as welfare benefits, most pensions, child support, etc. It should also be noted that a tenant may have wages that the employer did not report to the State Workforce Agency (SWA), therefore, not contained in the NDNH database.

See Chapter 5, Paragraph 5-6 for the elements of annual income and Exhibit 5-1 for Income Inclusions and Exclusions.

  1. NDNH (New Hires (W-4), Wage and Unemployment Compensation)

    • a. Owners must use the Income Report identifying the NDNH employment, wage and unemployment income information in the EIV system as third party verification of the tenant’s employment and/or unemployment. The owner must not use the quarterly income reported in the EIV system to calculate the tenant’s income.

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  • b. The owner must confirm with the tenant that the employment and/or unemployment information in EIV is correct. If the tenant confirms that the employment and/or unemployment information in the EIV system is correct, the owner must:

    • (1) Print the Income Report and use the report as third party verification of the tenant’s employment and/or unemployment.
  • (2) Request the tenant provide documentation, e.g., four current, consecutive check stubs, which will support his/her current income being received.

    • (3) Use the tenant provided documentation for determining the tenant’s income unless additional information is needed or the owner has reason to reject the tenant provided documentation. In these instances, third party verification must be obtained from the income source. (See Chapter 5, Paragraph 5-13 for guidance on tenant provided documents.)

    • (4) Annualize the tenant’s income using the current income projected forward for the next 12 months. (See Chapter 5, Section 1 for instructions on calculating income.)

    • (5) Make copies of any tenant provided documents for the tenant file and return the originals to the tenant.

    • (6) Retain the Income Report and supporting documentation in the tenant file along with the applicable form HUD50059.

  • c. If the tenant disputes the employment, wage or unemployment information in the EIV system or when the tenant reports he/she is employed or receiving unemployment but there is no information in EIV, the owner must obtain third party verification from the employer or SWA.

NOTE: See Chapter 5, Paragraph 5-5.A for calculating income using the EIV system.

  1. Social Security Benefits

    • a. Owners must use the Income Report identifying the SSA benefit information in the EIV system as third party verification of the tenant’s receipt of SS benefits and to calculate the tenant’s income. A copy of the SSA award or benefit letter or Proof of

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Income Letter is not required unless the tenant disputes the SSA information in the EIV system.

  • b. The owner must confirm with the tenant that the SSA benefit information in the EIV system is correct. If the tenant confirms that the SSA information in the EIV system is correct, the owner must:

    • (1) Print the Income Report and use the report as third party verification of the tenant’s SSA benefits.

    • (2) Annualize the tenant’s income using the monthly gross benefit amount projected forward for the next 12 months. (See Chapter 5 for instructions on calculating income.)

NOTE: See Chapter 5, Paragraph 5-6.O for calculating the income for Intermediate Care Facility/Mentally Retarded (ICF/MR) or Intermediate Care Facility/Developmentally Disabled (ICF/DD) and Assisted Living Units in Elderly Projects and Paragraph 5-6.J for Adjustments to Prior Overpayments of Benefits

  • (3) Include the Medicare premium in the medical expense deduction calculation if the premium is being paid by the tenant. (See d below if the Medicare premium is not being paid by the tenant.)

  • (4) Retain the Income Report in the tenant file along with the applicable form HUD-50059.

  • c. If the tenant disputes the SSA information in the EIV system or when the tenant reports he/she is receiving SSA benefits but there is no SSA information in the EIV system, the owner must obtain third party verification by requesting the tenant provide a copy of their benefit or award letter or Proof of Income Letter, dated within the last 120 days from the date of receipt by the owner. If the tenant does not have a current letter from SSA, the owner should ask the tenant to request benefit information from SSA using SSA’s website or using SSA’s toll-free number.

NOTE: See Chapter 5, Paragraph 5-5.A for calculating income using the EIV system.

  • d. When the Medicare premium is being paid by the tenant, the premium is included as a medical expense. If the Medicare Premium is being paid by the tenant, the amount of the premium is listed under “Premium” and an “N” is in the “Buy-in” column of the Medicare Data section of the Income Report.

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Premium Buy-in Buy-in Start Buy-in Stop
Hospital Insurance $0.00 N Not Available Not Available
Supp. Med. Insurance $110.50 N Not Available Not Available
  • e. When the Medicare premium is not being paid by the tenant but is being paid by the state or another entity, there should be a “Y” in the buy-in column and the date when the third party started paying the tenant’s Medicare premium in the “Buy-in Start” column of the Medicare Data section of the Income Report.
Premium Buy-in Buy-in Start Buy-in Stop
Hospital Insurance $0.00 N Not Available Not Available
Supp. Med. Insurance $110.50 Y 10/10/09 Not Available
  • f. When the state or other entity no longer pays the tenant’s Medicare premium, there should be a date in the “Buy-in Stop” column of the Medicare Data section of the Income Report.
Premium Buy-in Buy-in Start Buy-in Stop
Hospital Insurance $0.00 N Not Available Not Available
Supp. Med. Insurance $110.50 Y 10/10/09 03/01/10

NOTE: The “Y” indicator and dates in the Buy-in column is information received from SSA and is not always accurate. If the tenant disputes the EIV data and can provide current documentation as verification to support they are paying the Medicare premium themselves, then the tenant file must be documented with this additional information and the owner can include the Medicare premium in the tenant’s medical expense deduction.

tes in the Buy-in column is information received from SSA and is not always accurate. If the tenant disputes the EIV data and can provide current documentation as verification to support they are paying the Medicare premium themselves, then the tenant file must be documented with this additional information and the owner can include the Medicare premium in the tenant’s medical expense deduction.

  • g. While the SSA provides information on Medicare premiums, it does not provide as part of the computer matching, information on additional deductions such as Medicare Part D (prescription drugs) premiums or garnishments. Therefore, the owner will need to request that tenants disclose any deductions they may have from their SSA benefits. For example, if the tenant is paying his/her Medicare premium and the difference between the gross and the net SSA benefits exceeds the amount of the Medicare premium, the owner must discuss this with the tenant to determine any deductions that may impact the tenant’s income or allowable

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expenses, e.g., Medicare Part D (prescription drugs) premiums are an allowable medical expense.

  • h. The SSA Disability Status is not always accurate, therefore, the owner must not use this status indicator for determining an applicant’s or tenant’s eligibility as disabled for a HUD program or for receiving the elderly/disabled household allowance.

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Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs
  1. HUD Handbook 4350.3: Occupancy Requirements of Subsidized Mult…
  2. Exhibit 3-12: Section 8, RAP, and Rent Supplement Programs – S…
  3. Exhibit 3-13: Section 236 Without Additional Assistance – Spec…
  4. Exhibit 3-14: Section 236 With Benefit of Additional Assistanc…
  5. Document Package for Applicant's/Tenant's Consent to the Relea…
  6. Exhibit 7-2: Sample Annual Recertification First Reminder Notice
  7. Exhibit 7-4: Sample Annual Recertification Third Reminder Noti…
    Overview
    1. Exhibit 7-5: Sample Recertification Interview and Verification…
    2. Dear Tenant:
    3. Exhibit 7-7: Sample Interim Adjustment Initial Notice
    4. Exhibit 7-8: Sample Interim Adjustment Termination of Assistance
    5. CHAPTER 8. TERMINATION
    6. 8-1 Introduction
    7. 8-2 Key Terms
    8. Section 1: Termination of Assistance
    9. 8-3 Key Regulations
    10. Applicability
    11. 8-5 Key Requirements: When Assistance Must Be Terminated
    12. 8-6 Procedures for Terminating or Reinstating Assistance
    13. B. Reinstating Assistance
    14. 8-7 Termination of Assistance Related to Establishing Citizens…
    15. C. Termination of Assistance When Unable to Establish Citizens…
    16. D. Termination of Assistance When a Tenant Allows an Ineligibl…
    17. Section 2: Termination of Tenancy by Lessees
    18. 8-8 Key Regulations
    19. 8-9 Key Requirements
    20. 8-10 Allowable Use of Security Deposits
    21. Section 3: Termination of Tenancy by Owners
    22. 8-11 Key Regulations
    23. 8-12 Overview
    24. 8-13 Material Noncompliance with the Lease
    25. Figure 8-3: Tenant Errors versus Fraud
    26. 4. Repeated minor violations that:
    27. Example – Minor Violations
    28. 5. Nonpayment of rent due under the lease .
    29. B. Procedures for Terminating Tenancy and Providing Notice
    30. 4. Manner of service for all other Section 8 programs.
    31. 8-14 Drug Abuse and Other Criminal Activity
    32. B. Factors to Consider When Terminating Tenancy for Drug Abuse…
    33. Procedures for Accessing Criminal Records
    34. D. Procedures for Terminating Tenancy and Providing Notice
    35. A. Key Requirements
    36. Example – Material Failure to Carry Out Obligations under a St…
    37. B. Procedures for Terminating Tenancy and Providing Notice
    38. 8-16 Other Good Cause
    39. Example – Other Good Cause
    40. Procedures for Terminating Tenancy and Providing Notice
    41. Section 4: Discrepancies, Errors, and Fraud
    42. 8-17 Key Regulations
    43. A. Overview
    44. Program Violations
    45. Investigating and Discovering the Facts
    46. Notifying and Meeting with the Tenant
    47. Determining the Outcome of the Investigation
    48. Example – Unintentional Program Violation
    49. A. Overview
    50. Criminal Violation (Fraud)
    51. C. Documenting Fraud
    52. Taking Action to Address Fraud
    53. A. Requirements Regarding Discrepancies Reported in the EIV Sy…
    54. Nondisclosure of Income Information
    55. Opportunity to Contest
    56. A. Tenant’s Obligation to Repay
    57. 8-22 Tenant Repayment Options
    58. 8-23 Repayment Agreements
    59. 8-24 Reimbursement to Tenant for Overpayment of Rent
    60. 8-25 Reimbursement for Errors Discovered During a Monitoring R…
    61. CHAPTER 9. ENTERPRISE INCOME VERIFICATION (EIV)
    62. 9-1 Introduction
    63. 9-2 Key Terms
    64. Section 1: Enterprise Income Verification (EIV) System
    65. Key Regulations
    66. 9-4 Introduction to the EIV System
    67. 9-5 Mandatory Use of the EIV System
    68. Section 2: EIV Source Data
    69. 9-6 EIV Data
    70. Section 3: EIV Reports
    71. 9-7 Key Regulations
    72. 9-8 Using EIV Reports
    73. 9-9 Documentation to Demonstrate Owners Compliance with Use of…
    74. 9-10 Independent Third Party Verification
    75. 9-11 EIV Income Reports
    76. A. Summary Report
    77. 5. New Admissions
    78. 6. Applicants
    79. C. Income Discrepancy Report
    80. analysis.)
    81. 3. Discrepancy Examples. Example 1: Valid discrepancy
    82. Example 2: Valid discrepancy
    83. Example 3: Invalid discrepancy
    84. D. Other EIV Income Reports
    85. New Hires Report
    86. 9-12 EIV Verification Reports
    87. A. Existing Tenant Search
    88. C. Identity Verification Report
    89. 1. Failed EIV Pre-Screening Report
    90. 2. Failed Verification Report (Failed the SSA Identity Test)
    91. D. Deceased Tenant Report
    92. E. New Hires Report
    93. A. Unreported or Underreported Income
    94. Over-reported income
    95. 9-14 Retention of EIV Reports
    96. 9-15 Requesting Verification of Information from SSA
    97. 9-16 EIV Income Incorrect or Does Not Belong to the Tenant
    98. National Credit Reporting Agencies Contact Information
    99. Section 4: Security of EIV Data
    100. 9-17 Disclosure of EIV Data
    101. C.
    102. 9-18 EIV Rules of Behavior (ROB)
    103. NOTE: HUD staff will check the “CA” box at the bottom of the f…
    104. Section 5: Penalties for Failure to Have Access to or Failure …
    105. 9-19 Penalties for Failure to Have Access To and/or Failure to…
    106. 9-20 Security Training
    107. 9-21 Safeguarding EIV Data
    108. Administrative Safeguards
    109. Physical Safeguards
    110. Section 6: EIV Resources
    111. 9-22 Resource Materials
    112. Chapter 9 Exhibits
    113. Exhibit 9-3: EIV Income Report Information
  8. SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
  9. Applying the Model Lease for Subsidized Programs to Individual…
  10. Applying the Model Leases for Section 202 PRAC and Section 811…
  11. Sample Move-In/Move-Out Inspection Form
  12. Memorandum February 5, 2002: Fact Sheets for Project-Based Ass…

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