Sample Move-In/Move-Out Inspection Form
Recurring Gifts
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-07-29 · United States
Acceptable forms of verification:
Notarized statement or affidavit signed by the person providing the assistance. It must give the purpose, dates and value of gifts.
Applicant's notarized statement or affidavit that provides the purpose, dates and value of gifts.
J. Family Assets Now Held
- Relevant information to verify with third party:
For non-liquid assets, collect enough information to determine the current cash value—the net amount the family would receive if the asset were converted to cash. (See paragraph 5.7.)
a. Type of account;
b. Current balance or, for checking accounts, the average balance for the last six months;
c. Date account opened;
d. Date account closed;
e. Is this an interest bearing account? If so, what is the interest rate?
f. For trusts:
(1) What is the value of the trust fund?
(2) What is the anticipated amount of income to be earned by the trust over the next 12 months?
(3) What is the amount anticipated to be distributed over the next 12 months?
g, For property, what is the equity value?
- Acceptable forms of verification:
HUD Occupancy Handbook Appendix 6-C: Guidance About Types of Information to Request When Verifying Eligibility and Income
6/07
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Appendix 6-C
4350.3 REV-1
- a. Verification forms, letters, or documents from a financial institution, broker, etc.;
NOTE: When financial institutions charge a fee to the applicant or tenant for providing verifications, the forms of verification in paragraph b) below would be the preferred method.
- b. Account statements, passbooks, broker's quarterly statements showing value of stocks or bonds, etc., and the earnings credited to the applicant’s account statements, or financial statements completed by a financial institution or broker;
NOTE: The owner must adjust the information provided by the financial institution to project earnings expected for the next 12 months.
c. Quotes from a stockbroker or realty agent as to net amount family would receive if they liquidated securities or real estate;
d. Copy of IRS Form 1099 prepared by the financial institution showing the amount of income provided by the asset;
e. Real estate tax statements if tax authority uses approximately market value;
f. Copies of closing documents showing the selling price, the distribution of the sales proceeds and the net amount to the individual;
g. Appraisals of personal property held as an investment; and
h. Applicant's notarized statements or signed affidavits describing assets or verifying cash held at the applicant's home or in safe deposit boxes.
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Ask AI about this code▸ Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs
- HUD Handbook 4350.3: Occupancy Requirements of Subsidized Mult…
- Exhibit 3-12: Section 8, RAP, and Rent Supplement Programs – S…
- Exhibit 3-13: Section 236 Without Additional Assistance – Spec…
- Exhibit 3-14: Section 236 With Benefit of Additional Assistanc…
- Document Package for Applicant's/Tenant's Consent to the Relea…
- Exhibit 7-2: Sample Annual Recertification First Reminder Notice
- Exhibit 7-4: Sample Annual Recertification Third Reminder Noti…
- SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
- Applying the Model Lease for Subsidized Programs to Individual…
- Applying the Model Leases for Section 202 PRAC and Section 811…
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▸ Sample Move-In/Move-Out Inspection Form
Overview- Appendix 5: Sample Move-In/Move-Out Inspection Form
- APPENDIX 6: VERIFICATION AND CONSENT – GUIDANCE AND SAMPLE FOR…
- Appendix 6-A: Guidance for Development of Individual Consent F…
- EXAMPLE – Information That Is Not Necessary to Determine Eligi…
- 2. SAMPLE VERIFICATION CONSENT FORMAT
- SAMPLE VERIFICATION CONSENT
- INFORMATION BEING REQUESTED
- PENALTIES FOR MISUSING THIS CONSENT:
- Appendix 6-B: Verification of Disability – Instructions to Own…
- 1. EXPLANATION TO THE APPLICANT
- 2. SAMPLE FORMATS
- FOR USE WITH SECTION 202/8 , SECTION 202 PAC , Section 202 PRA…
- Appendix 6-C: Guidance About Types of Information to Request W…
- 1. Relevant information to verify with third party:
- 2. Acceptable forms of verification:
- B. Date Employment Terminated
- C. Social Security and Supplementary Security Income (SSI)
- 2) Acceptable forms of verification:
- D. Pensions and Disability Income Other Than from the Social S…
- 1. Relevant information to verify with third party:
- E. Unemployment Compensation
- 2. Acceptable forms of verification:
- G. Alimony or Child Support Payments
- H. Net Income from a Business
- Recurring Gifts
- K. Assets Disposed of for Less than Fair Market Value During T…
- L. Income from Sale of Real Property Pursuant to a Purchase Mo…
- M. Rental Income from Property Owned by Applicant/Tenant
- Full-Time Student Status
- O. Child Care Expenses
- S. Family Type and Membership in Family
- T. Statutory and HUD Regulatory Preferences – Displacement by …
- 1. Relevant information to verify with third party:
- Memorandum February 5, 2002: Fact Sheets for Project-Based Ass…