Appendix 3: HUD Occupancy Handbook, 4350.3 Rev-1
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
1
? Alimony or child support
2
? Assets disposed of for less than fair market value
3
? Auxiliary apparatus
4
? Care attendant for disabled family members
5
? Child care expenses
6
? Citizenship
7
? Current net family assets
7
? Disability status
8
? Dividend income and savings account interest income
9
? Employment income including tips, gratuities, overtime
10
? Family composition
11
? Family type
12
? Full-time student status
12
? Immigration status
13
? Income maintenance payments, benefits, income other than wages
14
? Interest from sale of real property
15
? Medical expenses
16
? Need for an assistive animal
16
? Recurring contributions and gifts
17
? Self-employment, tips, gratuities, etc.
18
? Social security number
19
? Student status
20
? Unborn children
20
? Unemployment compensation
21
? Welfare payments
22
? Zero income
22
Appendix 3 Acceptable Forms of Verification
Appendix 3
4350.3 REV-1
Factor to be Verified
Written b and d
Age.
None required.
*(See Chapter 3, Paragraph 3-28.C)*
Appendix 3: Acceptable Forms of Verification
Third Partya *Provided by Applicante
ACCEPTABLE SOURCES Oralc
*Provided by Applicant
None required.
None required.
Birth Certificate Baptismal Certificate Military Discharge papers Valid passport Census document
showing age Naturalization certificate Social Security
Administration Benefits printout
Self-Declaration
Verification Tips
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
1
8/13
Appendix 3: Acceptable Forms of Verification
Appendix 3
4350.3 REV-1
Appendix 3: Acceptable Forms of Verification
Factor to be Verified
Written b and d
Third Partya *Provided by Applicante
ACCEPTABLE SOURCES Oralc
*Provided by Applicant
Alimony or child support.
*(See Chapter 5, Paragraphs 5-6.F and 5-10.F)*
Copy of separation or divorce agreement provided by exspouse or court indicating type of support, amount, and payment schedule.
Recent original letters from the court.
Telephone or inperson contact with ex-spouse or income source documented in file by the owner.
Copy of most recent check, recording date, amount, and check number.
Written statement provided by exspouse 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.
Self-Declaration
Verification Tips
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
8/13
Appendix 3: Acceptable Forms of Verification
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