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Get Spectrum Enterprises Unemployment Income Verification 2013-2024

UNEMPLOYMENT INCOME VERIFICATION The use of white out black out or alteration of original information will void this document Project Name Unit ID Applicant/Tenant SSN Date AGENCY PROVIDING BENEFITS Agency Name Contact Name Address Phone Fax City State Zip My Signature Authorizes Verification of my Unemployment Income Information Email The individual named directly above is an applicant/tenant of the IRC 42 Low Income Housing Tax Credit Program. The information provided will be used to determine eligibility for the program and remains confidential to the satisfaction of that stated purpose only. Your prompt response is crucial and would be greatly appreciated. Sincerely RETURN THIS FORM TO Project Owner/Management Agent THIS SECTION TO BE COMPLETED BY BENEFIT ADMINSTRATION PLEASE LIST ALL BENEFITS RECEIVED BY THE ABOVE NAMED APPLICANT/TENANT ATTACH A PAY HISTORY FOR PAST 12 MONTHS Are benefits currently being paid If YES please list gross benefit amount YES NO If NO when did they end Weekly Biweekly Monthly Other When did payments begin When will payments end List any available extensions Please list any expected changes Signature Name and Title of Person Supplying the Information E-Mail NOTE 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 Spectrum Enterprises 2013. UNEMPLOYMENT INCOME VERIFICATION The use of white out black out or alteration of original information will void this document Project Name Unit ID Applicant/Tenant SSN Date AGENCY PROVIDING BENEFITS Agency Name Contact Name Address Phone Fax City State Zip My Signature Authorizes Verification of my Unemployment Income Information Email The individual named directly above is an applicant/tenant of the IRC 42 Low Income Housing Tax Credit Program* The information provided will be used to determine eligibility for the program and remains confidential to the satisfaction of that stated purpose only. Your prompt response is crucial and would be greatly appreciated* Sincerely RETURN THIS FORM TO Project Owner/Management Agent THIS SECTION TO BE COMPLETED BY BENEFIT ADMINSTRATION PLEASE LIST ALL BENEFITS RECEIVED BY THE ABOVE NAMED APPLICANT/TENANT ATTACH A PAY HISTORY FOR PAST 12 MONTHS Are benefits currently being paid If YES please list gross benefit amount YES NO If NO when did they end Weekly Biweekly Monthly Other When did payments begin When will payments end List any available extensions Please list any expected changes Signature Name and Title of Person Supplying the Information E-Mail NOTE 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 Spectrum Enterprises 2013. .

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