CHN Housing Partners



Documents ChecklistWe may be able to use an income self-certification for your income. You can find a copy of that form HERE. If you choose to use the self-certification, you certify that information provided is complete and accurate and agree to provide, upon request, documentation on all income sources to the HUD Grantee/Program Administrator. If you do not wish to opt-out, please see income document requirements below (2). Accepted Identification and Citizenship DocumentationPhoto IDs for all adults in the homeSocial Security cards for all household members If a household member does not have a Social Security card, we can also accept the following proof of US Citizenship for all household members (see full list below):Proof of US CitizenshipProof of Legal Resident/Qualified Alien1. Birth Certificate/Hospital Birth Records 2. Baptismal Records (Only when place and date of birth is shown) 3. Indian Census Record 4. Military Service Record 5. U.S. Passport 6. Verified Citizenship for Ohio Work First (OWF) Program 7. Voter Registration Cards 8. Social Security Cards (Social Security Cards administered by Social Security Administration that do not include notes regarding work authorization status will be accepted).1. Naturalization Papers/Certifications of Citizenship 2. INS ID Card 3. Alien Registration Cards/Re-entry permits 4. INS Form I-151 or I-551 (Form I-151 will not be valid after August 1, 1993) 5. INS Form I-94 if annotated with either: a) Sections 203(a)(7), 207, 208, 212(d)(5), 243(h), or 241(b)(3) of the Immigration and Nationality Act: or b) One or a combination of the following terms: Refugee, Parolee, or Asylee 6. Permanent Visa INS Form G-641, “Application for verification of Information from INS Records”, when annotated at bottom by INS representative as lawful admission for humanitarian reasons 7. Documentation that alien is classified pursuant to Sections: 101(a)(2), 203(a), 204(a)(1)(a), 207, 208, 212(d)(5), 241(b)(3), 243(h), or 244(a)(3), of the Immigration and Nationality Act 8. Court order stating that deportation has been withheld pursuant to Section 241(b)(3) or of the Immigration and Nationality Act 9. INS Form I-688Accepted Proof of IncomeFixed IncomeEarned Employment IncomeSupplemental IncomeOther Sources of IncomeOther Earned IncomeAward/Benefit letter Payment printout/ statement from issuing agency Copy of check or bank statement showing deposit Most recent filed IRS Form 1040 Most recent IRS Form1099All pay stubs received 30 days from the date of the application that include gross and year-to-date amounts received Completed and signed Employment Verification FormCopy of check/ award amount letter ODJFS documents/ eligibility letter with amounts and dates Most recent IRS Form 1099 Housing Authority Documentation Lease/rental agreement Payment printout/ statement from issuing agencyStatement from Financial Institution Copy of check or bank statement showing deposit Most recent filed IRS Form 1040 Most recent IRS Form 1099Pay stubs indicating amount received within the previous 12 months from the date of the application Self-Employment Income and Expense Form for the previous 12 months (form can be found at energyhelp.ohio. gov)Most recent filed IRS Form 1040 and Schedule 1 Most recent IRS Form 1099Accepted Hardship Verification HardshipSupporting Documentation Loss of Income – Layoff or Furlough Unemployment award letter / unemployment application notice Letter from employerLoss of Income – Reduced HoursPaystubs – Current + Prior to COVID-related hardshipLetter from employerLoss of Income – Business Owner 2019 Federal Tax Return + current ledger If 1099 Employee: 1099 + current ledger receipts (e.g. Uber, Lyft)Loss of Income – Sick from COVID19 Medical bills Doctor’s certification Loss of Income – Not able to work due to child and/or family care Notice from daycare or school regarding closure Notice from nursing home or hospital Increase in Expenses – Child / Family Care Bill / receipt for expenseIncrease in Expenses – Medical / Utilities / etc. Medical bill(s) Current utility bill + bill prior to hardship Other Supporting DocumentsFrom Tenant:From Landlord: Lease Agreement (If you not have a lease agreement, you can find a template HERE.)Signed W9 Form Utility Bills – Gas, Electric, and Water/Sewer (if applying for Utility Discount and Payment programs)Signed Delinquency Verification Form Tenant ledger, if available ................
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