Zero Income Verification Form Kentucky

Use of the information collected based on this verification form is restricted to the purposes cited above.

Zero income verification form kentucky. The 2020 22 action components center operations information and advisory council membership will be entered in the frysc counts data system prior to march 1. I hereby certify that i do not individually receive income from any of the following sources. Social security number ref id. Self certification of zero income.

Zero income step 1 tell us about yourself please print. I agree to notify the housing agency. Last name last 4 numbers of. Applicant or member printed name.

Free lunch counts will be downloaded by the ky department of education by dec. Certification of zero income to be completed by adult household members only if appropriate household name. I do not receive any income at this time. Step 2 read and sign this form.

First name middle initial. Participant name participant address city state zip code ssn. Participants who are part of the housing choice voucher program must provide verification of zero income. Department of agriculture office of the assistant secretary for civil rights.

Income certification instructions pdf annual eligibility certification 100 ahp or lihtc properties only must obtain approval annual eligibility certification instructions pdf verification forms. Wages from employment including commissions tips bonuses fees etc. Application pdf asset verification pdf certification of zero income pdf. Submit your completed form or letter to the usda by postal mail fax or email.

This form should be completed by every adult household member of households claiming zero income. Failure to do so will result in my losing my housing assistance. Certification of zero income to be completed by adult household members only if appropriate. I currently have no income of any kind and there is no imminent change expected in my financial status or.

Kentucky housing corporation created by the 1972 general assembly is a self supporting public corporation of the commonwealth of kentucky that works with many partners across the state including lenders government agencies nonprofit housing providers builders real estate agents community organizations and developers to create affordable housing opportunities through an array of. I understand that if i claim zero income for housing assistance i must complete this form every 60 days and return it to the housing office. The form should be completed prior to admission and at each recertification which may be monthly or quarterly depending on the pha s policy on re examination of tenants with minimum rents or zero income.