Fillable A PROGRAM INFORMATION PPLICANT INFORMATION P *For homebuyer (City of Duluth)

Fill Online, Printable, Fillable, Blank A PROGRAM INFORMATION PPLICANT INFORMATION P *For homebuyer (City of Duluth) Form

Use Fill to complete blank online CITY OF DULUTH (MN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

A PROGRAM INFORMATION PPLICANT INFORMATION P *For homebuyer (City of Duluth)

On average this form takes 6 minutes to complete

The A PROGRAM INFORMATION PPLICANT INFORMATION P *For homebuyer (City of Duluth) form is 2 pages long and contains:

  • 0 signatures
  • 22 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Duluth

BROWSE CITY OF DULUTH (MN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Income Verification Checklist for HUD Funded Projects Page | 1
City of Duluth, Planning & Development Division Updated August 26, 2020
PROGRAM INFORMATION
Program Name:
Organization/Agency Name:
P
reparer Name: Preparer Email:
A
PPLICANT INFORMATION
Applicant Last Name(s):
Address*:
*For homebuyer assistance, use the address of the home to be purchased
Is
the applicant seeking assistance for residential rehab?
☐ No → Skip to narrative section below.
☐ Yes → Does the building/structure contain more than one housing unit?
☐ No → Skip to narrative section below.
☐ Yes → Total number of housing units in the building/structure: → Does the
applicant (buildng owner) reside in one of the units?
☐ No
☐ Yes
N
arrative explaining household composition for the applicant or each tenant household as applicable,
sources of income, any calculations you made to determine annual income, and any unique
circumstances (ex: recent changes in employment, patterns of seasonal employment, recent changes in
household composition that may not be reflected on tax returns, etc.)
Income Verification Checklist for HUD Funded Projects Page | 2
City of Duluth, Planning & Development Division Updated August 26, 2020
SUBMITTING YOUR INCOME VERIFICATION REQUEST
S
ubmit your income verification request to the City by emailing this document and any backup
documentation to duluthcommdev@duluthmn.gov
T
o complete income verification request, submit ALL of the following for the applicant or for each
tenant household as applicable:
□ Most recent year’s tax return. If no tax return is available, provide an explanation in the narrative on
the first page of this document.
☐ H
UD Income Calculator Summary Sheet listing all sources of household income (IRS 1040 Method):
https://www.hudexchange.info/incomecalculator/
☐ I
ncome documentation. Provide income documentation for all sources of income listed on the HUD
Income Calculator and for each adult member of the household. If an adult member of the household
does not have income, include that information in the narrative on the first page of this document.
Check applicable boxes below to indicate all sources of household income and the correspondin
g
documentation included in this submission:
Type of Income
Income Documentation
☐
Wages
☐
2 months’ worth of the most recent paystubs for jobs with the same
number of hours and pay rate every paycheck
☐ 3 months’ worth of the most recent paystubs for jobs with varied
ho
urs/overtime
☐ Other, explain:
☐
Government or
retirement benefits
☐
SS or VA benefits letter
☐ Retirement fund statement/letter detailing monthly payment amount
☐ Other, expla
in:
☐
Self-employment
☐
2 years’ worth of the most recent tax returns with business profit/loss
information
☐ Other, explain:
☐
Other
☐
Explain:
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

A PROGRAM INFORMATION PPLICANT INFORMATION P *For homebuyer (City of Duluth)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 12 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document