<Set_Left_Margin 1><Set_Ht 1 22 53><Not_Compressed><HT><HT>     ___________________
<Double_Strike><Emphasized>A.<HT><HT>B.<Not_Double_Strike>  |  *PHFA USE ONLY*  |
   <Not_Emphasized>Prior Resident<Emphasized><HT><Double_Strike>        APPENDIX 6 <Not_Double_Strike><HT>    |    HMR _________  |
   <Not_Emphasized>Move-Out Date:<Emphasized>    <Double_Strike>RESIDENT CERTIFICATION FORM<Not_Double_Strike><HT>    |    Date ________  |
    _____________   <Double_Strike>   TAX CREDIT / PennHOMES <Not_Double_Strike><HT>    |___________________|<Not_Emphasized>
                     
 <Set_Ht 1 22 60>
!<IF Am_117 = 3 1>
1.<Compressed>CHECK ONE:<Underlined>  X  <Not_Underlined> Move-in/Initial Certification ______ Recertification <Underlined>  12  <Not_Underlined> Lease Term <Not_Compressed>
!<IF Am_117 = 1 1>
1.<Compressed>CHECK ONE:<Underlined>  X  <Not_Underlined> Move-in/Initial Certification ______ Recertification <Underlined>  12  <Not_Underlined> Lease Term<Not_Compressed>   
!<IF Am_117 = 2 1>
1.<Compressed>CHECK ONE:  _____ Move-in/Initial Certification <Underlined>  X  <Not_Underlined> Recertification <Underlined>  12  <Not_Underlined> Lease Term <Not_Compressed>  
!<IF Am_117 <> 4 3>
!<IF Am_117 <> 3 2>
!<IF Am_117 <> 1 1>
1.<Compressed>  CHECK ONE:   _____ Move-in/Initial Certification      _____ Recertification <Not_Compressed>

2.  <Compressed>Effective Date: <Not_Compressed><Underlined><Date_1><Not_Underlined>           3. <Compressed>Move-in Date: <Not_Compressed><Underlined><Unit_MID><Not_Underlined>

4.  <Compressed>Project Name:<Not_Compressed> <Underlined><Project_Name><Not_Underlined>  5. <Compressed>Unit#: <Not_Compressed><Underlined><Unit_Number><Not_Underlined><Compressed>    No.of Bedrooms:<Not_Compressed> <Underlined><Am_29 #><Not_Underlined>

6.  <Compressed>PHFA# <Not_Compressed><Underlined><St_27><Not_Underlined> 

7.  <Compressed>Building Address:<Not_Compressed> <Underlined><Project_Address_Line_1>, <Project_City_State_Zip><Not_Underlined> <Compressed> County: <Not_Compressed><Underlined><Project_County><Not_Underlined>
!<Set_Ht 1 7 47 66> 

8.  <Compressed>Head of House Race: (Enter One)<Not_Compressed><HT> 9. <Compressed>Head of House Ethnicity:<Not_Compressed>  
       <Compressed>1 = White<HT><Not_Compressed>  
       <Compressed>2 = Black <Not_Compressed>   <Underlined><Am_115 #><Not_Underlined><HT><Compressed>1 = Hispanic <Underlined><Not_Compressed><Am_116 #><Not_Underlined>  <Compressed>          
       <Compressed>3 = American Indian or Alaskan Native<Not_Compressed><HT><Compressed>                  2 = NonHispanic<Not_Compressed>      
       <Compressed>4 = Asian or Pacific Islander<Not_Compressed>                                              
<Compressed><Set_Ht 1 10 30 39 47 62 72 90 102>
<Not_Compressed>11.<Compressed><HT><HT><HT><HT><HT>Occupant   <HT>Birthdate<HT><Not_Compressed>   <Compressed>     Social
<HT>Household Members<HT>First<HT><HT>Relationship<HT>M/F<HT>   Status,Code<HT>   MM/DD/YY          Security.
<HT>   Last Name<HT>Name<HT>MI<HT>  to Head<HT>   S,E,SP,TP,O   <HT><HT>         Number
<HT><HT><HT><HT><HT>             <Not_Emphasized>
!<Set_Ht 1 12 54 78 93 110 132>
Head <HT><Underlined><St_1><Not_Underlined><HT><Underlined><St_13><Not_Underlined><HT><Underlined><St_41><Not_Underlined><HT><Underlined><St_81><Not_Underlined><HT><Underlined><St_61><Not_Underlined><HT><Underlined><St_101><Not_Underlined>
  2  <HT><Underlined><St_2><Not_Underlined><HT><Underlined><St_14><Not_Underlined><HT><Underlined><St_42><Not_Underlined><HT><Underlined><St_82><Not_Underlined><HT><Underlined><St_62><Not_Underlined><HT><Underlined><St_102><Not_Underlined>
  3  <HT><Underlined><St_3><Not_Underlined><HT><Underlined><St_15><Not_Underlined><HT><Underlined><St_43><Not_Underlined><HT><Underlined><St_83><Not_Underlined><HT><Underlined><St_63><Not_Underlined><HT><Underlined><St_103><Not_Underlined>
  4  <HT><Underlined><St_4><Not_Underlined><HT><Underlined><St_16><Not_Underlined><HT><Underlined><St_44><Not_Underlined><HT><Underlined><St_84><Not_Underlined><HT><Underlined><St_64><Not_Underlined><HT><Underlined><St_104><Not_Underlined>
  5  <HT><Underlined><St_5><Not_Underlined><HT><Underlined><St_17><Not_Underlined><HT><Underlined><St_45><Not_Underlined><HT><Underlined><St_85><Not_Underlined><HT><Underlined><St_65><Not_Underlined><HT><Underlined><St_105><Not_Underlined>
  6  <HT><Underlined><St_6><Not_Underlined><HT><Underlined><St_18><Not_Underlined><HT><Underlined><St_46><Not_Underlined><HT><Underlined><St_86><Not_Underlined><HT><Underlined><St_66><Not_Underlined><HT><Underlined><St_106><Not_Underlined>
  7  <HT><Underlined><St_7><Not_Underlined><HT><Underlined><St_19><Not_Underlined><HT><Underlined><St_47><Not_Underlined><HT><Underlined><St_87><Not_Underlined><HT><Underlined><St_67><Not_Underlined><HT><Underlined><St_107><Not_Underlined>
  8  <HT><Underlined><St_8><Not_Underlined><HT><Underlined><St_20><Not_Underlined><HT><Underlined><St_48><Not_Underlined><HT><Underlined><St_88><Not_Underlined><HT><Underlined><St_68><Not_Underlined><HT><Underlined><St_108><Not_Underlined>
  9  <HT><Underlined><St_9><Not_Underlined><HT><Underlined><St_21><Not_Underlined><HT><Underlined><St_49><Not_Underlined><HT><Underlined><St_89><Not_Underlined><HT><Underlined><St_69><Not_Underlined><HT><Underlined><St_109><Not_Underlined>
!<Not_Compressed>  

12.<Compressed><Not_Emphasized> Number of Household Members <Not_Compressed> <Underlined><Am_11 #><Not_Underlined>                13.<Compressed> Number of Dependents <Not_Compressed> <Underlined><Am_13 #><Not_Underlined>
* ************************************** Income and Assets *****************************************
!<Am_135=Am_94+Am_95+Am_96+Am_97+Am_98+Am_99>         *** TOTAL Cash Value of Assets             ***                  
!<Am_136=Am_100+Am_101+Am_102+Am_103+Am_104+Am_105>   *** TOTAL Actual Yearly Income from Assets ***
!<Am_137=Am_10*Am_135>                                *** Imputed Income from Assets             *** 
!<Am_138=Am_31+Am_32+Am_33+Am_34+Am_35>               *** Total income from employment           ***      
!<Am_139=Am_41+Am_42+Am_43+Am_44+Am_45>               *** Total income from Soc. Sec             *** 
!<IF Am_135 > 5000 4>                                 *** Test if assets > $5000                 ***
!<IF Am_137 > Am_136 1>                               
!<Am_150=Am_137>                                      *** Am_150 = Imputed income if > actual    ***
!<IF Am_136 > Am_137 1>
!<Am_150=Am_136>                                      *** Am_150 = Actual income if > imputed    ***
!<IF Am_135=< 5000 1>                                 *** Test if assets =< $5000                ***
!<Am_150=Am_136>                                      *** Am_150 = Actual income                 ***
!<Am_143=Am_142+Am_150>                               *** Total Income and Assets                ***
!<Am_200=Am_3+Am_4+Am_39>                             *** Total Monthly Housing Cost
* ********************* Calculations ***********************************************
*  Am_140 - 21c. Total Cash Value of Assets           Am_130 - 32a. Total Medical expenses    *
*  Am_141 - 21d. Total Yearly income from assets      Am_131 - 35a. Adjusted Income           *
*  Am_142 - 22.  Imputed Income from assets           Am_132 - 35b. Monthly Adjusted Income   *
*  Am_143 - 23f. Total Income from Employment         Am_133 - 35c. 30% of 35b.               *
*  Am_144 - 23f. Total Income from Soc. Security      Am_134 - 38.  Gross Rent                *
*  Am_145 - 23f. Total Income from public assistance  Am_135 - 39.  35c. - 37.                *  
*  Am_146 - 23f. Total Other Income                   Am_136 - 30.  3% of annual income       *  
*  Am_147 - 22.  HUD Passbook Rate (X100 for %)       Am_137 - 40.  Tenant Rent               *  
*  Am_148 - Total Income (Added all of 23f.)          Am_200 = Total Income If Am_142 > Am_141 *
*  Am_149 - 24.  Annual Income (Income from sources+ Income from assets)                      *
*  Am_120 - C1   Affordable rent Maximum              Am_277 = Percenetage of Income if Annual                                         *  
*  Am_121 - C2   Net Family Rent                               Income exceeds Income Limit                               *                             
*  Am_122 - C4   Assistance Payment                                                           *
* *********************************************************************************************  
*                                                                      
!<Am_140=Am_94+Am_95+Am_96+Am_97+Am_98+Am_99>           
!<Am_141=Am_100+Am_101+Am_102+Am_103+Am_104+Am_105>  
!<Am_147=Am_10*100>                                  
<IF Am_140 > 5000 1>                                 
!<Am_142=Am_140*Am_10>                               
!<Am_143=Am_31+Am_32+Am_33+Am_34+Am_35>              
!<Am_144=Am_41+Am_42+Am_43+Am_44+Am_45>                    
!<Am_145=Am_51+Am_52+Am_53+Am_54+Am_55>              
!<Am_146=Am_61+Am_62+Am_63+Am_64+Am_65>              
!<Am_148=Am_143+Am_144+Am_145+Am_146>               
!<Am_130=Am_14+Am_16+Am_18+Am_36+Am_37>              
!<Am_133=0>
!<Am_134=Am_38+Am_39>                                
!<Am_135=Am_133-Am_39>                               
!<Am_136=Am_149*.03>                                       
!<Am_120=Am_149/12>                                  
!<Am_120=Am_120*.4>                                  
!<Am_120=Am_120-Am_39>                               
!<Am_121=Am_149/12>                                  
!<Am_277=0>
!<Am_119=Am_119*100>
!<IF Am_119 = 50 2>
!<IF Am_149 > Am_21 1>
!<Am_277=Am_149/Am_21*100>
!<IF Am_119 = 60 2>
!<IF Am_149 > Am_20 1>
!<Am_277=Am_149/Am_20*100>
!<Am_121=Am_121*.4>                                  
!<Am_121=Am_121-Am_39>                               
!<Am_122=Am_134-Am_120>                              
!<Am_123=Am_134-Am_121>                              
!<IF Am_123 < Am_122 1>                              
!<Am_122=Am_123>                                     
!<Am_300=0>                                          

* **************************************************************************************************
* ************************** PART B ****** ASSETS**************
<Not_Compressed><Emphasized>ASSETS<Not_Emphasized>
<Not_Underlined><Not_Underlined><Set_Ht 1 43 68 90 122><Underlined><Compressed>                                        
Fam.       Asset Description              |    Status of Asset        | Current Market     | Income from <HT>                                  |
Memb                                      |  C=Current D=Disposal     |     Value          |   Assets   <HT>                                   |
  1. <St_53><HT>|  <St_73><HT>   |   <Am_94  ######><HT>  |   <Am_100  #####><HT>                     |
  2. <St_54><HT>|  <St_74><HT>   |   <Am_95  ######><HT>  |   <Am_101  #####><HT>                     |
  3. <St_55><HT>|  <St_75><HT>   |   <Am_96  ######><HT>  |   <Am_102  #####><HT>                     |
  4. <St_56><HT>|  <St_76><HT>   |   <Am_97  ######><HT>  |   <Am_103  #####><HT>                     |
  5. <St_57><HT>|  <St_77><HT>   |   <Am_98  ######><HT>  |   <Am_104  #####><HT>                     |
  6. <St_58><HT>|  <St_78><HT>   |   <Am_99  ######><HT>  |   <Am_105  #####><HT>                     |
<Not_Compressed>14.<Compressed> TOTAL NET VALUE OF ASSETS <HT><HT>|<Not_Compressed>14. <Compressed><Am_140 $######><HT>*****************************      
<Not_Compressed>15.<Compressed> TOTAL ACTUAL ASSET INCOME <HT><HT>|<HT>|<Not_Compressed>15.<Compressed> <Am_141 $####.##><HT>         |<Not_Underlined> 
<Not_Compressed>16.<Compressed> If Line 4 is greater than $5000, multiply line 4 by passbook savings rate and enter result here; otherwise, leave blank  <HT>        |<Underlined> 
<IF Am_140 > 5000 2>   
                         
                         Passbook saving rate= <Am_10*100 #.##%><HT><HT>  <Not_Compressed>16.<Compressed>  <Am_142 $####><HT>                        |  <Not_Underlined>
<IF Am_140 < 5000 2>    
                         
                         Passbook saving rate= <Am_10*100 #.##%><HT><HT> |<Not_Compressed>16.<Compressed>                    <HT>                        |  <Not_Underlined>

Februaruy 1996 - DF
<New_Page>
<Not_Compressed><Emphasized>ANTICIPATED ANNUAL INCOME:<Not_Emphasized>
!<Not_Underlined><Set_Ht  35 52 72 84 92 120><Underlined><Compressed>                           
  
  HH.  |   a.                        |     b.         |    c.             |      d.     |    e.                                 <HT>  |
  Memb |Wages/Salaries               |Soc. Sec/Pens.  |Public Asst.       |Other Inc.   | Asset Income                          <HT>    |
       |  <Am_31 #####><HT>   |  <Am_41 #####><HT>   |  <Am_51 #####><HT>   |  <Am_61 #####><HT>     | <Not_Underlined>      Enter the greater<Underlined> 
       |  <Am_32 #####><HT>   |  <Am_42 #####><HT>   |  <Am_52 #####><HT>   |  <Am_62 #####><HT>     | <Not_Underlined>      of Lines 15 or 16 in<Underlined>  
       |  <Am_33 #####><HT>   |  <Am_43 #####><HT>   |  <Am_53 #####><HT>   |  <Am_63 #####><HT>     | <Not_Underlined>           below<Underlined>
       |  <Am_34 #####><HT>   |  <Am_44 #####><HT>   |  <Am_54 #####><HT>   |  <Am_64 #####><HT>     | 
       |  <Am_35 #####><HT>   |  <Am_45 #####><HT>   |  <Am_55 #####><HT>   |  <Am_65 #####><HT>     |                                                                                           | 
!<IF Am_142 > Am_141 4>
!<Am_149=Am_148+Am_142>
!<Am_132=Am_149/12>
!<Am_133=Am_132*.35>
<Not_Compressed>17.<Compressed> |a. <Am_143 #####><HT>|b. <Am_144 #####><HT>|c. <Am_145 #####><HT>|d. <Am_146 #####><HT>  |e.         <Am_142 #####><HT>          |<Not_Underlined>      
!<IF Am_140 > 5000 5>   
!<IF Am_141 > Am_142 4>  
!<Am_149=Am_148+Am_141>
!<Am_132=Am_149/12>
!<Am_133=Am_132*.35>
<Not_Compressed>17.<Compressed> |a. <Am_143 #####><HT>|b. <Am_144 #####><HT>|c. <Am_145 #####><HT>|d. <Am_146 #####><HT>  |e.         <Am_141 #####><HT>          |<Not_Underlined>         
!<IF Am_140 < 5000 4>
!<Am_149=Am_148+Am_141>  
!<Am_132=Am_149/12>
!<Am_133=Am_132*.35>
<Not_Compressed>17.<Compressed> |a. <Am_143 #####><HT>|b. <Am_144 #####><HT>|c. <Am_145 #####><HT>|d. <Am_146 #####><HT>  |e.         <Am_141 #####><HT>          |<Not_Underlined>         

<Not_Compressed>18.<Compressed> Enter total of items 17a through 17e.<HT><HT>       <Underlined>
       This is Annual Income <HT><HT><HT><HT>   <Not_Compressed>18.<Compressed>        <Am_149 $######><HT><HT>                           |                                                                   
<Not_Underlined>

<Not_Compressed>19.<Compressed>   This verifies that I ____ have ____ have not disposed of any asset(s) valued at $1000 or more in the past two years for 
         less than the fair market value of the item. 

<IF Am_119 = 60 1>
<Not_Compressed>20. <Compressed>  Household Income Limits a) $<Underlined><Am_20 ######><Not_Underlined>  b) 80% Income Limit:  _____________________                 
<IF Am_119 = 50 1 > 
<Not_Compressed>20. <Compressed>  Household Income Limits a) $<Underlined><Am_21 ######><Not_Underlined>  b) 80% Income Limit:  _____________________                 
 
!<IF Am_119 = 60 1>
        Occupancy Designation:  ______ 50%  <Underlined>  X  <Not_Underlined> 60%  
!<IF Am_119 = 50 1>
        Occupancy Designation: <Underlined>    X   <Not_Underlined>50%  ______ 60%

<Not_Compressed>21.<Compressed>  Is Line 18 equal to or less than Line 20a?  YES ______  NO _____

<Not_Compressed>22.<Compressed>  Is Line 18 equal to or less than Line 20b?  YES ______  NO _____
       (If yes complete page #4 PennHomes Only)

<Not_Compressed>23.<Compressed>  <Underlined>Rent Certification<Not_Underlined>
<Set_Ht  6 20>      
<IF Am_4 > 0 9>
!<Am_300=Am_5-Am_133+Am_39> **** Difference between Adj Income and Max Expense
!<IF Am_300 > 225 1>  **** If the difference greater than max assistance 225
!<Am_300=225>
!<Am_301=Am_5-Am_300>         ***** Tenant Rent   
!<Am_302=Am_300>
<HT>$ <Underlined><Am_301 ####><Not_Underlined><HT>Rent Paid by Resident
<HT>$ <Underlined><Am_302 ####> <Not_Underlined><HT>Rent Paid by Rental Assistance Program [ ]Certificate [ ]Voucher [ ] Project-Based Asst. [ ] Other
<HT>$ <Underlined><Am_39 ####><Not_Underlined><HT>Utility Allowance (PHA _______ Utility Co. ______)
<HT>$ <Underlined><Am_5+Am_39 ####><Not_Underlined><HT>Total Monthly Housing Cost
<IF Am_4 = 0 4>
<HT>$ <Underlined><Am_5 ####><Not_Underlined><HT>Rent Paid by Resident
<HT>$ <Underlined><Am_4 ####> <Not_Underlined><HT>Rent Paid by Rental Assistance Program [ ]Certificate [ ]Voucher [ ] Project-Based Asst. [ ] Other
<HT>$ <Underlined><Am_39 ####><Not_Underlined><HT>Utility Allowance (PHA _______ Utility Co. ______)
<HT>$ <Underlined><Am_5+Am_39 ####><Not_Underlined><HT>Total Monthly Housing Cost

RESIDENT'S CERTIFICATION - I/We certify that the information I/we provide on this form is true and complete to the best of 
                           my/our knowledge and behalf.

OWNER'S CERTIFICATION    - I certify that the resident is eligible under the provisions of Section 42 of the Internal Revenue 
                           Code, as amended, and the Indenture fo Restrictive Covenant.

 This certification is made UNDER PENALTY OF PERJURY. (Signatures Required)


HEAD OF HOUSEHOLD ________________________________________________________          __________________
                                                  Name                                   Date
SPOUSE/COHEAD     ________________________________________________________          __________________
                                                  Name                                    Date
OWNER/AGENT       ________________________________________________________          __________________
                                                  Name                                    Date

                  ________________________________________________________
                                              Name of Company

February 1996 DF       
<New_Page>
<Not_Compressed><Emphasized>       **** ONLY COMPLETE IF THE PROJECT HAS TAX CREDITS ****<Not_Emphasized>
<Compressed>        
        If this certification is a new move-in, was it a result of a transfer? ____ YES   NO _____
        If yes, from what unit did they move? Unit# ____________

<Not_Compressed>2.  <Compressed>Building ID(BIN #): PA <Not_Compressed><Underlined>  <St_26>  <Not_Underlined>   3. <Not_Emphasized> <Compressed>TC#:  TC__ __-__ __ __ TC__ __-__ __ __ <Not_Compressed>

!<Set_Ht 10 106>
<Not_Compressed>4.<Compressed>  Are all Adults Full-time Students?       YES ______  NO ______   
<Compressed>                 (Answer a., b., c., d., and e, if #15 is Yes)
  
  <Not_Compressed>a.<Compressed><HT>Is the full-time adult student married and filing a joint federal income tax return?<HT>YES ____ NO____   
  
  <Not_Compressed>b.<Compressed><HT>Is the student receiving assistance under Title IV of the Social Security Act?<HT>YES ____ NO ____
  
  <Not_Compressed>c.<Compressed><HT>Is the student enrolled in a job training program receiving assistance under the Job
<HT>    Training Partnership Act or under other similar federal, state or local laws?<HT>   YES ____ NO ____
  
  <Not_Compressed>d.<Compressed><HT>Is the full-time student a single parent living with his/her minor children (with none
<HT>    of the persons being dependents of a third party)?<HT>   YES ____ NO ____
  
  <Not_Compressed>e.<Compressed><HT>Is the full-time student a single parent who is receiving AFDC?<HT>YES ____ NO ____

<IF Am_119 = 60 3>
<Not_Compressed>5.   a)<Not_Compressed> <Compressed>Tax Credit Income Limit $ <Underlined> <Am_20 ######> <Not_Underlined>                 
                     
<Not_Compressed>     b)<Compressed> 140% Income Limit $ <Underlined><Am_20*140/100  #######><Not_Underlined>
<IF Am_119 = 50 3>
<Not_Compressed>5.   a)<Not_Compressed> <Compressed>Tax Credit Income Limit $ <Underlined><Am_21 ######><Not_Underlined>
                     
<Not_Compressed>     b)<Compressed> 140% Income Limit $ <Underlined><Am_21*140/100  #######><Not_Underlined>

<Not_Compressed>6.<Compressed> <Underlined> Rent Certification <Not_Underlined>         

         Are any occupants receiving rental assistance through Section 8 of the United State Housing Act or any
         comparable rental assistance program? FmHA?
            
                Section 8:  YES ______  NO ______         FmHA:  YES ______  NO ______      

<Not_Compressed>7.<Compressed>  Pre-1990 Projects Only:  An election has been filed with the IRS to rent based on bedroom size versus household size, and 
       a copy of this election has been filed with PHFA.         YES ______  NO ______

<Not_Compressed>RESIDENT'S CERTIFICATION -<Compressed> I/We certify that the information I/we provide on this form is true and complete to
 the best of my/our knowledge and behalf.

<Not_Compressed>OWNER'S CERTIFICATION -<Compressed> I certify that the resident is eligible under the provisions of Section 42 of the Internal
 Revenue Code, as amended, and the Indenture fo Restrictive Covenant.

 This certification is made <Not_Compressed>UNDER PENALTY OF PERJURY.<Compressed>    (Signatures Required)


<Not_Compressed>HEAD OF HOUSEHOLD ________________________________    __________________
                               Name                          Date

SPOUSE/COHEAD     ________________________________    __________________
                               Name                          Date

OWNER/AGENT       ________________________________    __________________
                               Name                          Date

                  ________________________________
                          Name of Company
<Compressed>
March 1996 -DF
<New_Page>

