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SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION

Appendix 3: Acceptable Forms of Verification

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

ACCEPTABLESOURCES
Third Partya **Verification Tips **
Factor to be Verified Writtenb and d Provided by Applicant~~*e**~~ Oralc *Provided by Applicant Self-Declaration
Alimony or child
support.
(See Chapter 5,
Paragraphs 5-6.F and
5-10.F)		 Copy of separation or
divorce agreement
provided by ex-
spouse or court
indicating type of
support, amount, and
payment schedule.
Written statement
provided by ex-
spouse or income
source indicating all
of above.
If applicable, written
statement from
court/attorney that
payments are not
being received and
anticipated date of
resumption of
payments.		 Recent original letters
from the court.		 Telephone or in-
person contact with
ex-spouse or income
source documented in
file by the owner.		 Copy of most recent
check, recording date,
amount, and check
number.		 Notarized statement
or affidavit signed by
applicant indicating
amount received.
If applicable,
notarized statement
or affidavit from
applicant indicating
that payments are not
being received and
describing efforts to
collect amounts due.		 Amounts awarded but
not received can be
excluded from annual
income only when
applicants have made
reasonable efforts to
collect amounts due,
including filing with
courts or agencies
responsible for
enforcing payments.

aNOTE : Requests for verification from a third party source must be accompanied by a Consent to Release form HUD-9887-A.

bNOTE : If the original document is witnessed but is a document that should not be copied, the owner should record the type of document, any control or serial numbers, and the issuer. The owner should also initial and date this notation in the file.

cNOTE : For all oral verification, file documentation must include facts, time and date of contact, and name and title of the third party.

d*NOTE: For use of EIV Income Reports as third party verification of employment and income a current Consent for Release form HUD-9887 must be on file.* c[*] NOTE: See examples and requirements found in Paragraph 5-13.B.1

HUD Occupancy Handbook 2 Appendix 3: Acceptable Forms of Verification

8/13

Appendix 3

4350.3 REV-1

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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…
  8. ▸ SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
    Overview
    1. A. Third party to view and/or discuss information for the sole…
    2. B. Enterprise Income Verification (EIV) information to be view…
    3. C. Penalties for Misuse of Information:
    4. D. Certifications:
    5. USE OF EIV REPORTS
    6. Exhibit 9-6: National Directory of New Hires (NDNH) Data Eleme…
    7. Quarterly Wage File
    8. New Hire File
    9. Unemployment Insurance File
    10. Exhibit 9-7: How EIV Calculates Income Discrepancies
    11. 1. Identifying the Period of Income (POI) for Discrepancy Anal…
    12. 2. Identifying Projected Income
    13. 3. Identifying the Actual Income Reported during the Period of…
    14. 4. Prorating Actual Income
    15. 5. Calculating Income Discrepancies
    16. 6. Discrepancy Analysis
    17. 7. Report Generation
    18. Glossary
    19. Adult
    20. Annual Income
    21. Application
    22. Assisted Tenant
    23. Assistance Animals
    24. Disabled
    25. Elderly Family
    26. Elderly Person
    27. Eligible Noncitizen
    28. Eviction
    29. Expected to Reside
    30. Fair Housing Act
    31. Familial Status
    32. Family
    33. Federal Financial Assistance (Section 504)
    34. Federally Assisted Housing
    35. Foster Adult
    36. Fraud
    37. Income Limit
    38. Income-Targeting
    39. From 20 U.S.C. 1001:
    40. (a) Definition of institution of higher education for purposes…
    41. (5) Certification
    42. (6) Loss of eligibility
    43. (1) Principal criteria
    44. (c) Postsecondary vocational institution
    45. Live-in Aide
    46. Market Rent
    47. Parents
    48. (Handicapped person)[1]
    49. Pet Deposit
    50. Physical Disability
    51. (Project Rental
    52. PRAC Operating Rent See Operating Rent (PRAC).
    53. Screening
    54. Stalking
    55. Student
    56. Tenant Consultation
    57. Tenant Rent
    58. Appendix
    59. U.S. Department of Housing and Urban Development Office of Fai…
    60. Multifamily Housing
    61. 3b. Targeted Marketing Activity
    62. 4b. Proposed Marketing Activities: Community Contacts
    63. 5a. Fair Housing Poster
    64. 5b. Affirmative Fair Housing Marketing Plan (AFHM Plan)
    65. 5c. Project Site Sign
    66. 6. Evaluation of Marketing Activities
    67. 7a. Marketing Staff
    68. 7b. Staff Training and Assessment: AFHM Plan
    69. 7c. Tenant Selection Training/Staff
    70. Please Select Yes or No
    71. 7d. Staff Instruction/Training:
    72. 9. Review and Update
    73. Title & Name of Company
    74. INSTRUCTIONS
    75. Part 1- Applicant/Respondent and Project Identification.
    76. Part 2-Type of AFHMP
    77. Part 3-Demographics and Marketing Area.
    78. Part 5- Availability of the Fair Housing Poster, AFHMP, and Pr…
    79. Part 4 - Marketing Program and Residency Preference (if any).
    80. Part 6 -Evaluation of Marketing Activities.
    81. Part 7-Marketing Staff and Training.
    82. Part 8-Additional Considerations.
    83. Part 9-Review and Update.
    84. Notification of Intent to Begin Marketing for Initial
    85. Appendix 2-A
    86. CHAPTER 5: SECONDARY VERIFICATION PROCEDURES
    87. Background
    88. Initiating Secondary Verification
    89. Obtaining Secondary Verification
    90. Attachments
    91. Completing the Document Verification Request
    92. Completing the Document Verification Request Supplement
    93. Mailing Document Verification Requests
    94. USCIS Office Addresses
    95. Appendix 3: Acceptable Forms of Verification
    96. Appendix 3: Acceptable Forms of Verification
    97. Appendix 3: Acceptable Forms of Verification
    98. Appendix 3: Acceptable Forms of Verification
    99. Appendix 3: Acceptable Forms of Verification
    100. Appendix 3: Acceptable Forms of Verification
    101. Appendix 3: Acceptable Forms of Verification
    102. Appendix 3: Acceptable Forms of Verification
    103. Appendix 3: Acceptable Forms of Verification
    104. Appendix 3: Acceptable Forms of Verification
    105. Appendix 3: Acceptable Forms of Verification
    106. Appendix 3: Acceptable Forms of Verification
    107. Appendix 3: Acceptable Forms of Verification
    108. Appendix 3: Acceptable Forms of Verification
    109. Appendix 3: Acceptable Forms of Verification
    110. Appendix 3: Acceptable Forms of Verification
    111. Appendix 3: Acceptable Forms of Verification
    112. Appendix 3: Acceptable Forms of Verification
    113. Appendix 3: Acceptable Forms of Verification
    114. Appendix 3: Acceptable Forms of Verification
    115. Appendix 3: Acceptable Forms of Verification
    116. Appendix 3: Acceptable Forms of Verification
    117. `17. Removal of Subsidy:`
    118. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
    119. WITNESSETH
    120. NOW THEREFORE,
    121. 25. Removal of Subsidy:
    122. `202 PRAC LEASE`
  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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