Fillable Ownmanapd Owners Manual Appendix D

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Ownmanapd Owners Manual Appendix D

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____________________________________
[Management Agent Letterhead]
EMPLOYMENT VERIFICATION
To: _______________________________________ Date:
___________________________
_______________________________________
_______________________________________
_____________________________________________ has applied for residency/ is a
resident at
_______________________________________. As part of our processing, it is
necessary that we obtain verification of his/her employment and anticipated GROSS annual
income. The attached release and consent form authorizes the release of information
regarding the applicant's employment and income.
Please complete the section below and return it in the enclosed self-addressed
stamped envelope. (Please mail rather than have the above individual hand deliver.) Thank
you in advance for your prompt attention.
Sincerely,
(Apartment Manager)
THE FOLLOWING TO BE COMPLETED BY EMPLOYER:
Anticipated Gross Income for the Next Twelve Months
Hourly $____________ Weekly $____________
No. of hours per week_____
Bi-weekly $____________ Monthly$____________
Overtime: Average per $____________ $____________
$___________________
Day Week Month
D-1
Tips, Commissions, Bonuses:
Average per $____________ $____________ $___________________
Day Week Month
Year
$______________
- or -
Total anticipated gross annual income for the next twelve months (including tips, bonuses or
overtime if applicable) $_________________________.
Employer's Signature Date
(____)_________________________________
Title Telephone
WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements
or misrepresentations to any Department or Agency of the United States as to any matter within its
jurisdiction.
D-2
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_
__________________________________________________________________
________________________
_____________________________________________________________________
__
_____________________________________________________________________
_________________________
[Management Agent Letterhead]
ASSET VERIFICATION
Name and
Address of Bank:
RE: __________________________________ SSN:
Applicant/Tenant Name
Applicant/Tenant Address City, State Zip Code
The above person(s) has applied for tenancy/is a resident at
________________________________. As part of our processing we require
verification of the household's income, expenses and other information related to
eligibility. The individual has authorized below your release of the required information.
The information you provide will be used only for the purpose of determining the
household's eligibility for tenancy. We are required to complete our verification
process in a short time period and would appreciate your prompt response. If you have
any questions, please feel free to contact our office.
Permission by:
(Applicant) (Date)
Please complete the section below and return it in the enclosed self-addressed
stamped envelope. (Please mail rather than have the above individual hand deliver.)
Thank you in advance for your prompt attention.
Sincerely,
(Apartment Manager)
D-3
TO BE COMPLETED BY INSTITUTION
CHECKING ACCOUNT
Account Number(s) Average 6 Month Balance(s)
__________________ $ ________________________
____________________%
__________________ $ ________________________
____________________%
__________________ $ ________________________
____________________%
Interest Rate, If Any
D-4
__________________
__________________
__________________
__________________
__________________
__________________
Account Number(s)
Account Number(s)
Present Account
Balance(s) Rate
$______________
$______________
$______________
TRUST
Value of Trust Fund Administered:
Anticipated Amount of Income to be earned by
Trust over next 12 months:
ASSET VERIFICATION
PAGE 2
SAVINGS ACCOUNT
Present Account
Balance(s) Rate
$______________
$______________
$______________
Annual Interest Withdrawal
Penalty
___________% __________
___________% __________
___________% __________
CERTIFICATE OF DEPOSIT
Annual Interest Withdrawal
Penalty
___________% __________
___________% __________
___________% __________
$ __________________________
$ __________________________
PROPERTY
Value of Equity in Real Property $ __________________________
I certify that the above information is true and correct.
________________________________________ ______________________________
Name of Official Title of Official
________________________________________ ______________________________
Name of Institution Signature
________________________________________ ______________________________
Address Date
________________________________________ ______________________________
City, State, Zip Code Telephone Number
WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful
false statements or misrepresentations to any Department or Agency of the United
States as to any matter within its jurisdiction.
D-5
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TENANT INCOME VERIFICATION FORM
Documentation of Telephone Verification
Tenant Name: ______________________________ Date: _______________________
Address: ______________________________
_____________________________________________ has applied for residency/is a resident at
_______________________________________. This form documents employer's verification of his/her
employment and gross annual income.
INCOME REPORT BY:
Anticipated Gross Income for the Next Twelve Months
Hourly $____________ Weekly $____________
No. of hours per week_____
Bi-weekly $____________ Monthly $____________
Overtime: Average per $____________ $____________ $_____________
Day Week Month
Tips, Commissions, Bonuses:
Average per $____________ $____________ $_____________
$__________ Day Week Month
Year
- or -
D-6
_________________________________________
_________________________________________
_________________________________________
_______________________________________
_______________________________________
Total anticipated gross annual income for the next twelve months (including tips, bonuses or overtime
if applicable)
$_________________________.
Name of Employer
Contact Person
Title
Date and Time
(________)_____________________________
Telephone
Management Staff (Signature)
WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false
statements or misrepresentations to any Department or Agency of the United States as to any
matter within its jurisdiction.
D-7
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Ownmanapd Owners Manual Appendix D

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Completed 1 July 2020

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