Appendix 3: HUD Occupancy Handbook, 4350.3 Rev-1 - IHDA
Appendix 3:
HUD Occupancy
Handbook,
4350.3 Rev-1
ACCEPTABLE FORMS OF VERIFICATION
Community Affairs Department
09/12/2019
Purpose of Appendix 3
Use Appendix 3 of the HUD Occupancy Handbook to identify acceptable forms of verification needed to
comply with the applicable Community Affairs Program¡¯s documentation requirements.
Should you have additional questions, which are not answered here, or within other program materials,
then notify the Community Affairs staff responsible for administering your grant program. Consider
reaching out to your Program Officer via the program¡¯s designated proxy email, listed below:
? Home Accessibility Program
o TFHAPinfo@
? Single Family Rehabilitation Program
o TFSFRinfo@
? Habitat for Humanity Program
o TFCIFinfo@
Contents
Factor to be Verified
? Age
? Alimony or child support
? Assets disposed of for less than fair market value
? Auxiliary apparatus
? Care attendant for disabled family members
? Child care expenses
? Citizenship
? Current net family assets
? Disability status
? Dividend income and savings account interest income
? Employment income including tips, gratuities, overtime
? Family composition
? Family type
? Full-time student status
? Immigration status
? Income maintenance payments, benefits, income other than wages
? Interest from sale of real property
? Medical expenses
? Need for an assistive animal
? Recurring contributions and gifts
? Self-employment, tips, gratuities, etc.
? Social security number
? Student status
? Unborn children
? Unemployment compensation
? Welfare payments
? Zero income
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Appendix 3
Acceptable Forms of Verification
Appendix 3
4350.3 REV-1
Appendix 3: Acceptable Forms of Verification
ACCEPTABLE SOURCES
Factor to be Verified
? Age.
*(See Chapter 3,
Paragraph 3-28.C)*
a
Written b and d
? None required.
Third Partya
*Provided by Applicante
? None required.
Oralc
? None required.
*Provided by Applicant
Self-Declaration
Verification Tips
?
?
?
?
?
Birth Certificate
Baptismal Certificate
Military Discharge papers
Valid passport
Census document
showing age
? Naturalization certificate
? Social Security
Administration Benefits
printout
NOTE: Requests for verification from *a third party source* must be accompanied by a Consent to Release form *HUD-9887-A*.
NOTE: 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.
c
NOTE: 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
1
8/13
Appendix 3: Acceptable Forms of Verification
b
Appendix 3
4350.3 REV-1
Appendix 3: Acceptable Forms of Verification
ACCEPTABLE SOURCES
Factor to be Verified
? Alimony or child
support.
*(See Chapter 5,
Paragraphs 5-6.F and
5-10.F)*
Written b and d
? Copy of separation or
divorce agreement
provided by exspouse or court
indicating type of
support, amount, and
payment schedule.
? Written statement
provided by exspouse or income
source indicating all
of above.
Third Partya
*Provided by Applicante
? Recent original letters
from the court.
Oralc
? Telephone or inperson contact with
ex-spouse or income
source documented in
file by the owner.
*Provided by Applicant
? Copy of most recent
check, recording date,
amount, and check
number.
Self-Declaration
Verification Tips
? Notarized statement
or affidavit signed by
applicant indicating
amount received.
? 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.
? If applicable,
notarized statement
or affidavit from
applicant indicating
that payments are not
being received and
describing efforts to
collect amounts due.
? If applicable, written
statement from
court/attorney that
payments are not
being received and
anticipated date of
resumption of
payments.
a
NOTE: Requests for verification from *a third party source* must be accompanied by a Consent to Release form *HUD-9887-A*.
NOTE: 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.
c
NOTE: 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
8/13
Appendix 3: Acceptable Forms of Verification
b
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