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VILLA POINT I ANNUAL COMPLIANCES 1 OF 2_AFFORDABLE HOUSING
ANNUAL AFFORDABILITY MONITORING SUMMARY REPORT Apartment Name: Address: Villa Point I (Off -site Baywood Apartments) Aluv;2+t &-qeh.) C 1�' Unit # Tenant Name Unit Size Move in Date Monthly Rent Family Household income j Size 1, 1Dd' 33 �35� 5 S�3 10 3re _15 Ifi Vl-- PJ Po f'o Po �J y0 -ef o 160 00 0 Oct ANNUAL AFFORDABILITY MONITORING SUMMARY REPORT apartment Name: Villa Point I (Off•site Baywood Address: Apartments) Unit # Tenant Name Unit Size Move -in Date Monthly Rent Family Household income Size 18 Cltl �Cl sY ( Ge t;�1 $ - 1s/;;�//1J 11G AlC C $ %QUo2 $ �Jv2 2()•7Y i}1C\1 L,C.L1F1 $ �t $ 6,7 21� 1 . •�, � 1 .1 l.�C�t-- - -- 1���� I $22 7_ti�:.il1 $ >Ob $ aoov23C1. t o G� 7 1�1I / $ J J 24 did McAl-%C ���� er ,2t . __ . / /hc/ -- $ i 3�/�/ �' - $ 25G �t Br. r �`t $ $�--- 6-76 26 1ti1 ar. Ar' ; $ 3'%/�1 a $ 27 '� �� C�4 Y IUr�i �I 11'I 1 Br.i *�1 $ / $ 28 ?/ 4ti Br. $ $ W19 /st k ,mot •�/// 7 Z 4 0 /eo Ia p fo /a0 /a /no 620 (off VILLA POINT I (Off -site Baywood Apartments) Unit No. 261 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) INVe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises;, and, 2. During 20r04. tha2Tr)tal Annual Eligible Income* of the undersigned individual(s) was $ �`�?QU; I and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 102.7 per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for ocl;°pancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of income Earning Household Member(s): a,yna,me Signature Date: 11-7106 • 0 VILLA POINT I (Off -site Baywood Apartments) Unit No. a81 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) IMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ 151 and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ Q>1q j.00 per month. Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for oclpancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury'in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age 1.�-IJ IIL�IL Signature(s) of Income Earning Household Member(s): �L6�(n Signature Signature Signature VILLA POINT I (Off -site Baywood Apartments) Unit No. 33 z?) CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not In possession of a Section 8 certificate or voucher, Income documentation must be obtained.) IMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $. 2 O L(—; and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ ^;Z%3.OD 4- per month. ?, °O ( I D R-7, oa * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for oclpancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age ,T1(e- d 2(l ra aOF.e 1.1 Signature(s) of Income Earning Household Member(s): Signature Signature Signature" Date: • 0 VILLA POINT I (Off -site Baywood Apartments) Unit No. 31.5 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $�; and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): 1 A. n Signature Slanature , VILLA POINT I (Off -site Baywood Apartments) Unit No. :5 3 1 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was$ V10, OOV and, 3. During 2004, my total Tonthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for oc(Npancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach, This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age lio Signature(s) of Income Earning Household Member(s): —44 Signature `Signature —t Date: � Z3 — 0 • VILLA POINT I (Off -site Baywood Apartments) Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) ]Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ q�//�; and, #tp3.. During 2004, my total monthly ran Layment to Villa Point I (Off -site Baywood Apartments) was $ EIX per month. 5-S. Leh#q) -h:t4 /09a * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, ail regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for oclpancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): / Signature Date: '/O 1 VILLA POINT I (Off -site Baywood Apartments) Unit No. Y:�Z_� CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) [Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual ligible Income* of the undersigned individual(s) was $� 3. During 2004, my total monthly rent�yment to Villa Point I (Off -site Baywood Apartments) was $ // / D per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty .of perjury in .Newport Beach, California..on the -,date indicated - below: Names and Ages of Non -Income Earning Household Member(s): Signature(s) of Income Earning Household Member(s): Name F Age C i--- Ignature 308 " 94 7 Signature Signature Date: � /r —as�— Apr 15 05 01:28a FrW Bremer 949 1.6662 APR-14-2005 THU 01 M PW! sa Hayes:Wells Fargo FAX N0, 1 251 4490 VILLA. POINT I (Off -site Baywood Apartments) Unit No. 3-_-q-(o EHOLD ELIGIBILITY CERTIFICATION OF CONTINUED HOUS (For tenants not in possestton of a Section 8 eerdncate or voucher, income documentationmust be obtained.) U1Ne certify to the management of Villa Point I (Off -site Baywood Apartments) that: 7. ly come earning occupants) of the above indicated The undersigned is/are the onIn leased premises; and, e ndersigned individuals) 2. During 2004. the Total Annual EI}e.income' of thu g}bl 3. During 2D04, MY total monthly rent payment to Villa Point Koff-slte Baywood ts) was $ . iLito ,00 per month. p.I P. 01/01 Apartmen overtime, bonuse Y commsnretireme t fund or ' Totat Annual Eligible income includ et income from rest ands dividends, social security payment tion and disability pay. a business or rental property, disability benefits, workers' comp pension payments and distributions, and allowances of a member of the a alimony, child suppor4- all regular and special pay severance p Y. Armed Forces (to exclude hostile fire allowance)• Apartments) and the City of that Villa Point I (off -site Baywoodof an apartment to The undersigned acknowledges) of the provided lnf(onetaonbenefitn the s ofrthe Agreement which Newport Beach are relying c on the accuracy the undersigned: and in confemng ° ance of the rabove indicated lee d premises. Ibtlit restricts the rents collectible for ocIp Y The undersigned consents to the delivery of a copy of this•Certffication of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perJu7 in.NewPoK Beach, California on the date ....—„-----be--�6 _ .,._...,..., ranosehold Names and Ages of Nor14ncorne Earning Household Member(s): Ago ,Name 1 --�--,,—�J VILLA POINT I (Off -site Baywood Apartments) Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) ]Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned' is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ t �Q# ;and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 1 ; W 1�. ©t7 per month. Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Mernber(s): ,,�g to X � ;�CRJ,wn\m y� Signature Ci (71. Signature Signature Date: L�' 7-7 �d� VILLA POINT I (Off -site Baywood Apartments) Unit No. _3S-O,\, CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $- ;and, �� 3/,Z 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ q 7 G per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned'the monetary benefits of the Agreement which restricts the rents collectible for ocl Hpancy of the above indicated leased premises, The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification -is made under -penalty -of -perjury- in Newport Beach, California- on the date -.indicated below: Names and Ages of Non -Income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): Name Age Ate ignzture Signature Signature VILLA POINT I (Off -site Baywood Apartments) Unit No.� CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was -� • .: and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ �711 "� per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in -conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for ocL pancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): Name Age ZIA'ignature Signature Signature Dale: VILLA POINT I (Off -site Baywood Apartments) Unit No. ©� Dr CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) IM/e certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ to, 72 and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ i;2. 1 k?! . 01) per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occkpancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: - - - — Names and Ages of Non -Income Earning Household Member(s): Name Signature(s) of Income Earning Household Member(s): Age --� �Signature Signature (' Signature � 1 /1 IF / Date: ` D / 0_5— VILLA POINT I (Off -site Baywood Apartments) Unit No. 3�( CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) IMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ 16' d'f7./ ;and,. 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ L BO per monthJ/Sq D.DD * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age i Signature(s) of Income Earning Household Member(s): �l//..��lG�Signature Signature Signature Date: E VILLA POINT (Off -site Baywood Apartments) Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) INVe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2 tql C#,nnuaI Eligible Income* of the undersigned individual(s) was $ - ter; and, 3. During 2004, my total moff, thly rent payment to Villa Point I (Off site Baywood Apartments) was $ / per month. Total Annual Eligible Income includes: wages ips, overtime, bonuses, commissions,net income from a business or rental propert i erest a dividends, social security payments, retirement fund or pension payments and n u ions, isability benefits, workers' compensation and disability pay, severance pay( alimony child support, II regular and special pay and allowances of a member of the Armed Forces to exclude o a lowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for ocl ypancy of the above indicated leased premises, The undersigned consents to the delivery of a copy of this Certification of Contir led Household Elt•nl to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, C �rnia on ' below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature g Sig 3ture l� Date:�� 9 ��/ Ll VILLA POINT I (Off -site Baywood Apartments) Unit No. I43 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) [Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was _Lr IJ�a�� .; and, 9.50o s _ -- 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 1UOR� per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for ocl�pancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Signature Signature Date: 0 VILLA POINT I (Off -site Baywood Apartments) Unit No. qyy CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 200 they Total Annual Eligible Income* of the undersigned individual(s) was $ �Yl—t .S ..; and, — - - 3. During 204 my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ �? 3 iP per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net' income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): �Name Age ' afore Signature Signature Date: q/11A/,t aq FROM :> FAX NO. APB'. 25 2005 05:07PM P2 WQ7/2005 aOeBG 04eG*5 t3AYWOOD • PAGE 02 VILLA POINT I (off site Baywood Apartment) UnIf No. 7 V,. S CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For rtnant6 am tp pobntica era SKtlon 8 cartlatste or voucher, income docamentstlon mutt be obblaca.) 106 certify to the management of Villa Point I (Off -site Baywood Apartments) that: i. The undersigned Were the only income earning occupants) of the above indICAted leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned Individual(s) was $ and, 3. During =4, my total monthly rent payment to Villa Point I (Off -site Saywood Apartments) was ' _ per month. * Total Annual Eligible Income Includes: wages, tips, overtime, bonuses, commissions, not income from a business or rental property. Inh:re6t and dividends, social Security payments, retirement fund or pension ellmanymenc hlld suppart,t!all ��egu ;,oilatnd special Payrand al owaneestof a memdisability thpay. Armad Forcce eseveran s a exclude hottile fire allowance), The undersigned aoknowledge(s) that Villa Point I (Ott -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of me provided information in the leasing of an apartment to the undersigned; and In conferring on the unilursigned the monetary benefits of the Agreement which restricts the rents cONectible for occupancy of the above indicated leased premises. The undersigned consents tQ the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach, This Certification Is made under penalty of perfury in Newport Beach, California on the date Indicated below: Names and Ages of Non-inooma Esming Housanold Mombnr(s): Name Age fit,✓e'l l'7 Signatufa(s) of Income Earning Household . &- /5,0ne!un It Slen*Uln VILLPOINT I (Off -site Baywood Apartments) Unit No.JO CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a section 8 certificate or voucher, income documentation must be obtained.) IMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ 0 ; and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ ? per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net .income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age � M (_�o -I 1L Signature(s) of Income Earning Household Member(s): Signature Date: ^ o ` 0 .5, VILLA POINT I (Off -site Baywood Apartments) Unit No. -7 cq,3 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained,) I/1Ne certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ CLO0 O ;and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ a2 / per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers" compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for o"Tancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household, Member(s): Name Age Signature(s) of Income Earning Household Member(s): Date: Signzture Signature Signature [Niq • • VILLA POINT I (Off -site Baywood Apartments) Unit No. R CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was and, and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ �?�. per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for oclbpancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): /il��� Sgnature -�i / Signature I Dale: a • 0 VILLA POINT I (Off -site Baywood Apartments) Unit No. C%/; - A 1p"A J CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) IANe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the.Tgtal Annual Eligible Income* of the undersigned individual(s) was l0£3 ; and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ /I)I 3o -o per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for ocCdpancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Signatures) of Income Earning Household Member(s): u Age Signature Signature (�'� Signature Date: 0 0 'VILLA POINT I (Off -site Baywood Apartments) Unit No. � CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not In possession of a Section 8 certificate or voucher, income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2004, the Total Annual Eligible Income* of the undersigned individual(s) was $ ; and, 3. During 2004, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ _ /L�,� per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment,to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occt?ancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Signature big re Signature Date: ffl/ 31A`5- CITY OF NEWPORT BEACH P.O. BOX 1768, NEWPORT BEACH, CA 92658-8915 March 18, 2005 The Irvine Company Apartment Communities Attu: Jason DiAntonio, BMR Compliance Manager VILLA POINT I 110 Innovation Drive Irvine, California 92617 Re: Transmittal of 2005 Income Limits and Maximum Rents Villa Point I— (Off Site Baywood) Dear Mr. Di Antonio: This correspondence transmits the revised income limits and maximum rents as they apply to the Villa Point (Off -site) Baywood Apartments. Adherence to these income limits and rents will provide conformance with the City of Newport Beach and U.S. Department of Housing and Urban Development's (HUD) affordability requirements. (1) 14 of the 28 affordable units must be rented to families or individuals that meet HUD's low-income standards (801/9 of area median income). This may be accomplished by renting the units to Section 8 Certificate or Voucher holders. When Section 8 tenants are not available, two -bedroom units may currently be rented for no more than $1,317 per month to individuals whose total household income does not exceed low income standard (see enclosed income limit chart). In addition, the resting 14 two -bedroom units must be rented to families or individuals that does not exceed the median -income category (100% of area median), adjusted for family size. Again, this may be accomplished by renting the units to Section 8 Certificate holders or Voucher holders. Alternatively if no Section 8 holders are available, the units may be rented for no more 95% of 30% of the qualify income, adjusted by family size. (2) Based on the HUD Orange County median income of $75,700, and adjustments for family size, the maximum rents that can be charged are as follows: Unit Size I Maximum Rent I Income Limit I 2 Bedrooms Section 8 Section 8 (OCHA) (OCHA) 3300 Newport Boulevard, Newport Beach Irvine Apartments/ Jason DiAnt0 • Villa Point I (Off -site Baywood Atments) Transmittal of Revised Income and Rent Limits March 18, 2005 2 Bedrooms (HUD) Non- Section 8 FMR 2 Persons: $49,150 voucher holders @ ($1,317)* 3 Persons: $,0 lower income 4 Persons: $61,450 2 Bedrooms 2 Persons: $1,438 2 Persons: $60,550 (median income 3 Persons: $1,619 3 Persons: $68,150 units) 4 Persons: $1,798 4 Persons: $75,700 *with utilities: Gas/Elec & Refrigerator HUD's policy for two -bedroom units is that they must not be occupied by one individual or a married couple. It is HUD's position that housing assistance funds are very limited, and should be used to house people as efficiently as possible. This policy should be applied to all two - bedroom units. Individuals or families occupying a unit in this development shall enter into a rental agreement, the terms of which includes a requirement for the submission of verification information regarding the income of the occupants. Additionally, a rental agreement provision shall also be included that provides for termination of the tenancy in the event of misrepresentations, as described in the affordable housing agreement with the City. Information verifying tenant income at the time of initial occupancy and for each yearly re -certification thereafter, shall be maintained in the tenant's individual file. Rental rates may be adjusted periodically to reflect published changes in the Section 8 Fair Market Rents (FMRs) and applicable revised income limits. Notice of proposed rent increases must be given to tenants in writing at least 30 days prior to the effective date of the increase, or in conformance with applicable state law, whichever is longer. A copy of the written rent increase notification must also be maintained in your records for compliance with HUD requirements. To simplify monitoring and minimize paperwork, the City is requesting that the following forms be submitted annually to the City: A. For units occupied by tenants with Section 8 certificates or vouchers, please provide the City with a copy of the Section 8 Rental Agreement. B. For the remaining units, not occupied by Section 8 tenants, each new tenant must submit a copy of their most recent signed income tax form, and be eligibility qualified. Retain a copy of their income tax form in their file, and forward a photocopy of each of the new rental agreements to the City. C. For the remaining units, not occupied by Section 8 tenants, each continuing tenant must complete and return to you a "Certification of Continued Household Eligibility" form for the annual reporting period. A copy of this form is attached Irvine Apartments/ Jason DiAliConio • Villa Point I (Off -site Baywood Apartments) Transmittal of Revised Income and Rent Limits March 18, 2005 for your duplication and distribution. Forward a copy of the Certification form to the City for each continuing tenant. D. An Annual Affordability Monitoring Summary Report form is attached for your completion. Transfer the requested information from your tenant submissions, and return this form to the City. The City of Newport Beach has retained the services of LDM Associates, Inc. for performance of its annual affordable housing compliance. Please submit the above requested documentation by April 30th, 2005 to: City of Newport c/o Raul Gomez LDM Associates, INC. 10722 Arrow Route, Suite 822 Rancho Cucamonga, CA 91730 The aforementioned income limits and rents are in accordance with the Affordable Housing Agreement dated January 31, 1990. If you have any questions, or require any additional information, please contact me at your earliest convenience at (909) 476-9696 ex.109. Sincerely, L Raul Gomez, A Fordable Houglik Consultant Attachments: HUD Orange County Income Limits Table County of Orange Housing Affordability Table Certification of Continued Household Eligibility Annual Affordability Monitoring Summary Report Form 0 11/A\C IRVINE APARTMENT MANAGEMENT COMPANY April 10, 2003 City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 Attn: Daniel Trimble Program Administrator RE: Affordable Housing Reporting — Bavwood Proieet Agreements to Provide and Maintain Affordable Housing "Villa Point" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Mr. Trimble: PLANNINGEIVED DEPABY RTMENT CITY 0P NPIA/ono-r ['EACH AM MR 16 2003 PM 71gi9110�1Zi12i1r�r3ia�rgig Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of. - October 2002 through December 2002 Should you have any questions, please do not hesitate to call me at (949) 450-4290. Sincerely, Mvette i �, M. Machan Bond Compliance Auditor i Irvine Apartment Management Company `Of% AP &f 43 Discovery, Suite 150, P.O. Box 57060, Irvine, California 92619-7060 • (949) 450-4262 • Fax (949) 450-5802 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY ae_T-��� aooZ BAYWOu15 Villa Point — Moderate Income Apartment Resident Floorplan # O£ Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 745 Vacant 2+2 4/03 2. 346 Lederman 2+2 2 03/23/02 52,575 3, 351 Okamura/Shiroma 2+2 3 4/30/01 40,237 4103 4. 355 Minch 2+2 2 05/11/02 56,654 J$1,4404/03 4/03 5. 517 Davis 2+2 2 11/27/98 23,596 4/03 6. 667 Moses 2+2 1 10/26/01 58,750 4/03 7. 676 Freeman 2+2 1 05/21/99 09/08/02 42,000 4/03 8. 1 678 1 Naderi 2+2 1 1 10/15/00 1 1 64,000 $1,425 4/03 9. 762 McPhee/Kim 2+2 2 6/21/02 1 46,450 $1,305 1 4/03 10. 765 Edwards 2+2 2 8/26/00 60,000 $1425 4/03 11. 766 Shahhosseini 2+2 1 10/14/95 39,000 $1,360 4/03 12. 773 Tamadon 2+2 3 05/17/02 60,04 $1,260 4/03 13. 913 Vacant 2+2 09/09/02 iCj�j.O 1350 4/03 14. 917 Chadro£f 2+2 i 12/14/02 4/03 Villa Point — Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Lindahl= $49 2+2 3 04/09/02 5,580 $1046 4/03 16. 315 Heli $331 2+2 1 8111190 18,500 $951 4/03 17. 323 Stull= $259 2+2 3 6129/91 11,760 $951 4/03 19. 333 Hayworth 2+2 2 11/17/01 38,726 $1046 4/03 19. 337 Reese= $347 2+2 2 6/23/96 32,000 $951 4/03 20. 261 Veera 2+2 1 7/20/02 28,550 $1027 4/03 21. 345 Penberthy 2+2 1 12/1/00 19,548 $928 4103 22. 1 352 1 Phillis/TTP $286 2+2 1 3 1 10/13/00 2,596 $928 4/03 23. 356 Sisson= $654 2+2 1 2 1 7/6/91 1 1 26,000 1 $951 4/03 24. 513 Cole/TTP $188 2+2 1 10/9/97 9,984 $928 4/03 25, 656 North= S316 2+2 2 1 3/15/97 7,431 $928 4/03 26. 743 Hicks 2+2 1 4/13/97 18,000 $928 4/03 27. 746 Davis 2+2 2 03/15/02 25,764 $928 4/03 28. 783 Mel ozallTP $17 2+2 2 6/14/90 2,000 $928 4/03 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TTP = Total Tenant Portion for HUD apartments Commenced Occupancy Terminated Occupancy Unit Name Unit Name (. 917, Mark Chadroff V' 03/21/2003 17:53 19495W25 THE BAYS . 01.21.03 01:41em fran•vallu arast thansd +1T14 671 STOO T-10t - e+d/ ill iyu+a iJ. JY .I.JYJYYY f RiJ 111+. lr11 M � PAGE 02 P,002/002 P-101 MTOICATION OF CONTZNU$D HOUSEHOLD ELZOMIUTY .. (VVhm foldeats do GO! hays Sooting 1 cerilflaw'NOuchcss, income must bs donumented. Use this form to donamentthe income.) IJ/Weusbyp:aWtotheotwo arantOrNswMNoRhAp/huoenu,het: 1. 9ria i 04 is 10 hi the only tncoms taming auup m(s) of the laaaed promised, and 2 D{wiryt 1yoi,t7hetOW eaatai deli�(bk Ineonte Ofthe uAdersipptad wia 5'�. G 1 *IwkW 4*A VW autual eW l' hwaa &* ws , tips, ove dme, bona and caaridletow; set lotortte fiats tibudpelN tic ranai atteal property; iatereat SAd dividmQ's ba0ciel aaaaa'2fy, sssk+ifaltu ilatds or pertslons, tied dihnbllity beneAait WOrkeri• Componaedon tihY PaYi sev+ranu p►Y1 aUmotly; ehltd support; reguLr anti special pay And alwweea aft tthemhar nrtbe Armed F'area (to e,a:lude-hostile tlro allowance.): - f - - - - TheanderdPed u'1 WWlvltt(s) OltNewportNatm Apattalaota dad dho City afNawporl Bosch an rslylitg nn the accuracy OfUu In&tto' 4904 Whea OR sal w"t Is Naaad to the 4ndetstgrted and is conflnrhlg on the undamigned the M4:neu►ry berAW of the Ap v mean whteb taivlas'the men Collectible for aceupa0cy of tho leas■d prha111ae1. 4u nnderatpled Abe h Ottaeata to Ike dslt"ry oh copy of dtls Csctlficadon of Comtnuad Housyhoid Eligibility to tbt City -Of Newport Hiatt, 1,8ts Cart4c6604 is weds atldor ptaAlty ofperjory 1A Newport Saaah, Cet1(OrAtr6 Natisp sad Aga OfNOsrIacomt 6t extige Of income fuming Hattsab?SOuelto'dMemtfte: E3aO d4d mombm.' t A 1 t fr9.wr °.;� i 7 , INCOME hhASSET CALCULATION WORiffiHEET • Last Name First N 6 Relationship Ho'H Sex �,,�1 /' r Date of Birth A Social Security R Ffr Student YES or NO 2 .3 4 5 6 7 8 INCOME EMPLOYMENT Family Memb. # Source • Base Rate $ Average Hours Average Annual 52 24 25 12 1 Total WK I SEMI -MO BI-WK MO YR a =$ $ _$ Total Box A: $,512, SOCIAL SECURITY. PENSIONS, ETC. Family Memb. # Source Base Rate $ Average Hours Average Annual 62 24 26 12 1 Total WK I SEMI -MO BI-WK MO YR $ =$ $ =$ $ =$ $ =$ Total Box B: $ PUBLIC ASSISTANCE Family Memb. # Source Base Rate $ Average Hours Average Annual 52 24 26 12 1 Total WK I SEMI -MO BI- MO YR $ =$ $ =$ $ _$ i Total Box C: OTHER INCOME Fo 1 Family Memb. # Source • Base Rate $ Average Hours Average Annual 52 24 26 12 1 Total WK SEMI- O BI-WK MO YR $ =$ $ =$ Total Box D: $ TOTAL ANNUAL GROSS INCOME A through D nnnnna>annna $ IMPUTED INCOME FROM ASSETS Box E exceeds $5,000 — multiply E by the current passbook interest rate: If Box E does not exceed $6,000 enter -0- In box G: ASSETS x 2 Rio BOXG:© Actual Income from Assets Family Income From Assels Elfecthre Dale Type of Program Unit No. Unit Size No. of Persons MII: Max. Income Limit S AR: 140% Limit $ Income Contributed -from Assets 03/06/2003 09:43 1949#225 THE HAYS • PAGE 02 Name; —LLLLVF—iC l /Y VA -VA f V 1' 'V—" Unit # { I r Initial cemncatron Rc-eertincallon Other Yes Nn . Onpctinn Monthiv Income Uwe receive Family Support, Spousal Support, and/or any other cash contributions of gifts, including rent or u' itypayments from persons not living with me, we receive veteran's Administration, Pension, 1 Unemployment benefit, Disability benefit, AFDC, Lottery winnings, inheritance, or Annuities. Uwe receive income from Rental Pro ert. we receive benefits/income from Social Security to include SSA, SSI and/or periodic social security. payments. The household receives uneanna4 i toome for family members age 17 or under. we are entitled to receive child support payments. Uwe am currently receiving child support payments. - Uwe am/amcurrenttymaking efforts to collect child _ support owed to me, Uwe have other assets (exStocks, ]Bolds, Treasury l Revocable Trusts, Stocks, fonds, Treasury tits, 4 G� Money Market accounts, Certificate of Deposits, V � Whole Life insurance, Real Estate Uwc have cash on hand, Srudeot Status; Does the household consist of persons,who are all I -'me students (example: CollegeA.Iriversity, trade school cto '1 'Does your household antic' a becoming afull-time a u nt household in the next 12 months? if you answered vcs to either of the previous two questions arc you: D Receiving assistance under Title IY of the Social Security Aer (AFDC/TANF) Enrolled in a job training program receiving assistance through the Job Training Participation Act (JTPA) or other similar program. i Married and filing a joint tax return. Single parent with a dependant child or children and neither you nor your ahild(ren) are dependent of another individual. Under penalties of prudery, I certify that the Information presented on this form is true and accurate to the best of my know ge. a undersigned further understands that providing false representations h co es an act of fraud. False, misleading or incomplate Information will result In the f ¢auto tcrminatlan of the in sir cued r agraement, D/late i/ id nt Si ture nnani eFOvmer/Anent Date Pay Periods Date of Most Recent Pay Ending Date 7�c, I L v)- ^ \-,42 Year - to - Date divided by pay periods.' average per pay period 0 I GO- �03 Gross per Pay Period (+) divided by _ (-) 0 (x ) how often paid (x) how often paid ��O ro)--�(O = ) Calculzta i-AnpLa Income (= ) Calculated Annual Income nov cr uc ua:.taa re°ecru°nes - napie aiu-aau-crca p.c tiles MPIC hN P ' 1k ti is a' 0o o a m •g ! o��wo s •c o e i Q O € ; o G .IN io obi t ~ W �F 1 t w Ld N Lh U' FgA W .<2aS m r- Z Q ..4 U7 aQ � N O � m Mrq z N to V LL {n u 1 : M y :• rl P rl I n lu �I .i'yI 9 'o ff a it 4Z a a a AJ �• • rd w a a °aN 70 MI •.i �d •,•I M C in O yP'• �� y,� O p p ID h �. a 4 • m .a .G .i F a D c ZTJ J MIS Q E H U U, _ LO co LL • NIN•V ILL A W a m •�; O p o �D O r , .a y �m� M M O �, O i��q � �p > �.• �ID hs .•z �� •Y . LOf c 1 i N\ C X N M No '•o• "bV:•. '; �''• `•�'•�.( �:1.' .L•:411r• .j:. �� �: q.:: •. ,.•.L„••. •:SL'�'>l �'!1'f:. .t1.nV,v♦ .•. r PECIOJONF:i 1601 CLOVERFIELO UL'JO, SUITE 40US • SAWA MUNICA, CAUFORMA 90501 CMPLOVEE 7AAfiE PERIOD GNU VAIF OEPT.ILASTJOR CHECK NO. �00 1 03605 HARK D. CHADROFF j PRUJ ENGft 12/Oi/2002 6ii 112607 - S OEAUCPONS/OFNEFRS OESGRIPRON H(I:1FLS BATE AA10UN1-DESCNPRON'AMOUNT Y.T.O. AMOUNT REGULAR HOURS 64.00 26_202 1,674.93 DENTAL IND SGL 6.00 iu0.00 HOLIDAY HOURS 16.00 26.202 419.23 PPO SINGLE_ 40.00 360.00 VACATION AVAIL 4i.541 401K I 104.61 2,556.67 POS SINGLE 560.00 I 1 CIIgpEF1T 2,09d_16 361.79 156_84 509.85 .52&.48 •• Y.T.O. 51,135.05 8,740.97 3,829.841 2,641.57 416.94--l— 1 0.81 .87 Ofl05S EARNNJCS fEOC/FLL YApi. TA% FJ.f,A •. STATF.TAXES • LOCAL TAXES 70TALTAXES(OED, -- a Dec l;:f Ue 11:e0a freCKc'Jones - Maple Ban k of Amorica���''� s1u-5sD-z'7zs p.2 0759 EG-3 III dIII III fill III n[r6rrd IIIIIfllrrrlr61[111r111r[rdr MARK 0 CHADROFF SHEILA E CHADROFF 1920 6TH ST #230 SANTA MONICA CA 90405-1265 Our free Online Banking service allows you to check account balances, transfer funds, pay bills and more. Enroll at www.bankcfamerica.com, Your Bank of America Statement Date: December S, 2002 Written Inquiries Bank of America Agoura Branch PO Box 3717G San Francisco, CA 94137-0001 Customer since IS73 Bank of America appreciates your business and we enjoy serving ycu. ❑ Summary of Your Deposit Accounts ❑ Bank of America News Account account Numbar your solar¢ Now use your Bank of America Vasa Check Card to shop Standard'Checkin 07593.14909 $ 1,136.69 online with confidence with Verified by Visa, part of our free 9 Total Security Protection package. You're preregistered, so your next online shopping trip at a participating merchant Regular Savings ' 07593-04654 3.658.38 will activate your new password protection. To learn more, 1. Total Balances $ 4.797.07 visit www.bankafamerica mmfverfiedbyvisa, •Combined Won= In mass acoounts may to usad :a el'rNnatt mo-thly Your Bank of America Check Card is nox safer than ever :hacking account snrvics churgea. with Total Security Protection. It's free and automatic an ybur,Check Card, For more Information, visit www.ban ko famerica.comitatalsecu rity. Cl Your Standard Checking Account Account Number: 07693.14809 Statement Period: November 5 through Oecomher 5, 2002 Beginning Balance on 11105102. $22.75 Number of ATM withdrawals and transfers t I Total Deposits + 4,$_'3.93 1 Number of purchase transactions 0 ` Total Checks, Withdrawals, Number of 24 Hour Customer Service Calls -onsfarc, Account %cc 3.42-.on SeH.ccrvice 0 Assisted 0 Ending Balance S1,138.63 ❑ Important Information About Your Account Based on the average combined balance you've mafnta:ned in your linked Bank of America checking and savings accounts, your monthly service charge has been waived. ❑ BranchfATM Deposits humber gate Pa51ed amain! Numbe• Dote Pasted Amount t 1/07 $1,31342 12/05 1,31637 t 1/2: 1,313.64 Total of 3 deposits 53,92B.33 Continued on next page 0=104.021 T40 California Faun 1 of 3 FNr-, N I•eGv u eru a.v uc aa: eua reunr dunes — rra f+te atu—oou—e reo p,a Bank ofAmer +� MARK D CHADROFF SHEI'.A E CHADROFF Statement Date: December 5, 2002 ❑ Checks Paid ' Gap in check sequence _ Date Paid Number Amogrn I ' Dale Paid Number Amount 11112 697 $ 59.97 11121 705 14.00 11/21 11/0$ ' 700 700 t42.00 42.93 11122 tt/22 707 707 1,074.00 11/18 701 88.22 11126 708 284.65 600.00 it/19 702 $00.00 lV28 47090 230.00 lilts 703 175.00 Total of 12 Checks Paid 53,237.S8 12103 704 86.22 ❑ Account Activity Date Posted Description Rarerence Number .mount Deposits and Credits 11/21 Transfer from savirip.07593-04554 on 11/21, 002575 3400.00 12/02 Sank of America ATM #044102 -(Card ##184560928) Telephone Transfer Savings 12103 from 07593-046N VRU Savings Overdraft Coverage Transfer 200.00 25.00 rota! Deposits and Credits 5625.00 Withdrawals, Transfers and•Account Fees 12/O6 Cash withdrawal on 12/05, Sank of America ATM *044104 (Card 11184550929) 008044 $200.00 Cl Overdraft Protection Plan Savings Account 07593.04554 Overdraft coverage available $3,633.38 ❑ Bank of America: In Balance To assist you In reconciling your account, we have provided the following summary Information. A reconcillatlon worksheet Is printed on the reverse of this page. • Your ending balance from this statement.........................................................................................................I..........I........51,138.69 • Add amount transferred to your account from your overdraft protection plan to your checkbook register ..................... 25.00 ❑ 'i aUY Reg:aa: ad'i1:,g5 ACCOUNT Account Noniuer. 0753344534 Statement Period: November 5 through December 5, 2002 Beginning Balance on It/05/02 54,416.63 Annual Percentage Yield earned this period •0.50°.'e Total Withdrawals, Interest paid year-to•date 516.79 Transfers, Account Fees - 780.00 Number of Ai M withdrawals and transfers 2 interest Paid + 1.75 5nding Balance 53,658.38 ❑ Important Information About Your Account Your account earned 51.76 in interest this statement period. The Interest Paid shown above reflects interest earned since your last payment date. Continued on next page oM+ai.eontos California Page 2 of 3 otiraa rc ueo to ue ji:cza vecKejones - MapLe ZILO-550-2728 p.4 Bankof Americ�''.l�� MARK 0 CHADROFF Statement Date: December $, 2002 SHEILA ECHADROFF ❑ Account Activity Date Poslsd Oaacdpllon Refewnce Humber Cmouct Wfthdramis, Transfers and Account Fees 11/05 Savings Overdraft Coverage Transfer Charge $5.00 11/05 Savings Overdraft Coverage Transfer 0769-3-14800 (offactive dated 11 /041 25.00 11121 Transfer to checking 07593-14809 on 11/21, 002675 400.00 Bank of America ATM #044102 (Card #184560928) 12/02 Cash withdrawal on 1 f/30, Bank of America ATM 1,71301 (Card #'184560928) 006624 100.00 12102 Telephone Transfer to Checking 07593.14809 VR 200.00 12104 Savings Overdraft Coverage Transfer Charge 5.00 12104 Sevin s Overdraft Coverage. Transfer 0759.3-14809 (effective dated 12/03? 25.00 Total Withdrawals, Transfers and Account Fees 5760.00 Interest Paid 11129 Interest Paid from 11/01/02Through 11/30/02 S1.75 ❑ ATM Information This period, you visited the following ATM locations: Bank of America's ATM Network • 0044102 Wilshire-15th, Santa Monica, CA 44104 Wilshire-15th, Santa Monica, CA 0171301 North Ranch Pavilions, Westlake Vill, CA ❑ FACTS • FDIC Insured Account Disclosure Information All of us at Bank of America extend our warmest wishes for a joyous holiday season and a peaceful, prosperous new year. Thank you for choosing Bank of America to help you realize your financial goals. We value your business and look forward to serving you in the future. 0093104 00MCe California Page 3 of 3 0 Aw".. ;R QUALITY URI.� ■ �. ■ lam♦ 02/27/2003 11:42 1949IW225 THE BAYS PAGE 03 _ ::1:601'.:CLOIRD'9L'VD. • „ SUITE 4DO S ,, .t„%� . . SANTA M,ONICA'CA` 90404• •F•4; I 11191ae Alai Sit] ln'IDID 200 WM 12...... 30 MARK D. CHADROFF Your account value Retirement account value as of December 31, 2002 is $5,312.63 Your portfolio return for thi; period 7.529/6 Your Employer Account balance may not he 100%vested. This means that if you terminate employment, you might not receive all of the money your Employer has contributed to your Plan. Ask your Company Contact for information on your vesting schedule, fourth quarter Oct 1 — Dec 31, 2002 Opening value $4,236.14 O Employee contributions $747.22 O InvaAmentratum $329.27 Your retirement account value $5,312.63 Your pre—tax account balance • $5.282.77 Employer account balance S29.86 Total $5,312.63 Performance history Year—to—date Jan 7 — Dec 31, 2002 $3,962.91 $2,785.62 -S1A35,90 $5,312.63 $7,100 — $5,312 591 14,390 $4,236 RAN $2,500 F1fi:re �A •r,"� Mar31,7012 18430, 1002 Sep30,2002 Dec3r, 2002 s l'•'^E.'ii•i►+'0i••f.'••R L" F N Z-W. act t.wLv.4 `. I, it [ lurtgUk'tey%i.,,2 Pege i oF, ob'err::'•:'baBpS.►?l f�Qi V.Q2,a . wt,: •.: ,f;,ty ti a'+1 +iaa•,'y:,tq '+ •,jyL•: •.. .1 f aytiuPa'tt` �>ts�.t(t��r�p'` .,<.. «r ' S F•'fTi!ra rl!1P ,:Y! •,i s; r•,: :' .r.. NE;$'8UB1'EESfA + H F.I:jj 1 Gr i%vf i•i, • ''' ' LAii:d .Fk'CI((;rONe+CQe13a1,y!}tGxi1GE'�'.RRI'.r•;'',.I.i,lt"i.;':s w ontroct nupti3er%^S'',�wq;�,9g76,,+•;�r..• fieck's:':aout ?�edo a201vi%np{{k1 ou'Il-ne,ed10i1`en�kfi emotiTticmijvae;:W i�'�si�diUViidllW!s�Tyw,e+o�x:jf"/pM�cyca?iaqgriia�1+1,+1lffd3a i%ga'"aLMiAlm cL,J,iiumbgtrmecros RIN•dkotl�",<. your qualified reUreineritg"1epddfaiR2417.Ifyou 'require more information; call Us•toll=flee 410-too-395-1113. Bulletin ''b0" arci' Retirement into atyour fingertips: Visit www.manulife.corousa to access CNNMoney's retirement planning tools and financial information. lust dick on My financial Planning. Also, check out our Webcasts featuring finandai commentators Sure Orman, Lou Dobbs and lean Chatty on making the most of your finances. Coming In April look fat more an our Web site — enhancements designed to make retirement planning easier. Activity summary by investment Options Your Investment activity by Fund and how your investment options have changed in value during this period. Investment Investment Beginning ® Withdrawals/ ® ® Investm¢nt Ending ® balance category option name balance Contribution transfers returns Growth 'Manulife Capital Growth stock $1,108,14 5186.80 $0.00 $86.60 $1,381.54 Growth MFC Fidelity Advisor Large Cap S2,353.07 S373.61 $0.00 $105.07 $2,821.75 Aggressive Growth MFCT. Rowe Price 5d &Tech $774.93 SI$6.B1 $0.00 $137.60 $1,099.34 Total account value S4.236.14 $747.22 $0.00 $329.27 S5,312,63 111111111111 WLaa Ala 3311A l 21MI 5= M..... So 02/27/2003 11:42 1949M7225 THE SAYS PAGE 04 t °'." !*�.31 � , i.,-r •{t °{i; s}S,.iJ.i•(,��L...i. %�� r�r`it1zH�j��ir aw. 1, �'i�{. rr•; ��µnt 1''��.•.: i.�:•�:r �'i'p r ,,.�i:•jtuu3.y��'�� yisry��ca'r,�o.}'yws.f3•:,tst:^:'Izt'�F.•:1 .:e}••';;ti •i:::�. wrv4 n�,:R•tt:k�1%?y� , '+'''y%i-';ur���:�1,r,•';^+m'. a. • .. �MARKtQ ��C' ft4Fp,, :•.;.�,t:,;, �:t. t Fourth quarter Pager. 2 ob.',d::,. ociober 1 - oeeember 31, 2002 Your holdings by investment category Percent Ending d t^ investment category of total Employee Employer Opening 9 i"•.`+lei'', Investment option name holdings balance balance units held units held• growth 79.309'0 MFC Fidelity Advisor Urge Cap 53.30% 52,81535 516.40 160348303 180.191539 au1p,. Y,ai x �•��f•�� ••`+`.,,vq3�^ Manuli(eCapitol Growth Stock 26.00% 57,374,06 f7,43 36,054911 40,725 526 ®Aggrassive Growth 20.707. 39.893982 46,671145 " L"'• f1� ems"" MFC T. Rowe Price Sri& Tech 20.70% S1,093,36 f5.98 Ending balance 100,00% S5,282.77 $29.86 -The number of Unitt shown we as of De431. 2002 and do not include any units purchased for contributions that were received and processed after 0e01, 2002. Your Investment options ere loNowing a growth strategy which also carries a higher -than -average level of risk. Your portfolio places an emphmis on growth and assumes that you are comfortable dding aut the ups and downs of the stock market, we recommend that you periodically review your Investment strategy, so that If your financial circumstances change, you can adjust your mix of investments accordingly. This investment profile description may d,ange as the profile of your investment options changes over time or due to changes In your investment strategy, ' Returns & investment options Below are the past hwastment returns for all of the investment options you have available in your plan. Your investment selections are shown in hold. Please note that future fund performance N not guaranteed, Past Investment returns may be helpful as a planning tool. This historical investment returns table indicates the overall performance of each investment option. Your actual results may vary. For information about your account call us at 1-800-395-1113 or online at www.manalif t.cornlusa The annualhed Money Rates for the past three months were: ' Investment Category allocation** Invactmellr option name Fund code October 2002 Annualized money rates November 2002 December 2002 Conservative 3-Year Compound 000 2.600°0A 2.650% 2.900% 5-Year compound OOD 31100% 31300% 3,650% 10-Year Compound 000 3.600% 31950% 4,200% 3-month Average annual return- Closing unit return 1 Year 3 Year 5 Year 10 Year value" Manulife Lifestyle Consery 080 3.04% 1.81% 3,57°/a 4,86% NIA 123.539000 Mbrutife Lffestyle Moderate 081 4.00% -•2,22% -0,09% 3,450A WA 101622000 Manulife Lifestyle Balanced 082 5.60% -7,73% -3.56% 2.15% NIA 122,180000 Manulife Lifestyle Growth 083 6.20% -13.40% -8.83% 0,52% NIA 170.909000 Manulffe Lifestyle Aggressive 084 6.52% -18.96% -13.48% -1.64% WA 174345000 Conservative Manville Money Market 089 0125% 1.194E 3.62% 3.99% 4.07% 96.699156 Income MFC Short -Term Federal 056 0.65% 7.07N° 7.92% 613601° 5.70% 15.877000 MFC PIMCO Total Return 096 2.31% 9.640h 10,03% '7,62% 7.76% 13,513000 MRC Dreyfus Premier Core Bond 008 2.25% 5.e6% 6.70% 5.87% • NIA 155.177335 MFC T. Rowe Price Spectrum Inc 044 4.24% 6.43% 5.85% 4,68% 63S°A 18,922000 MFC Fidelity Adv High Income 048 15.70% -4.26% -5.76% -2.11 % 4.07% 15.678000 Growth A Income Manulife Balanced 023 6.27% -15.76% -6.51% D.95% 638% 194.869252 Manulife fgoityincome 032 8,60% -15.91% -5.00% -0.81% NIA 54.6382S2 02/27/2963 11:42 194Sf7225 THE BAYS PAGE 65 ''�a, F�,��/,•r�:���;�� Returns & investment options ,r; `n4. :.GY`c ':a'q G°uf :;���1:.u.;:' ,�., �`tJt:.•., .?t"•lt. cot,t;nueii)�' , • ..:<-� a�, Investment allocation*" Category Investment option name Fund 3-month Average annual refurn Closing unit code return 7 Year 3 Year 5 Year 10 Year YalUO" MFC T. Rowe Price Equity Inc MFC Davis New York Ventute 025 8,22% -14,08% -0.52% 2.17% TO.62% 22,688000 MFC Mutual Beacon 059 062 7,02% 2.52% -17,20% -IIAI% -6.96% 1.6596 1135% 16.A39000 MFC Weitz Partners Value 092 10.82% -17.12°h 2.19% -0."% 4.85°0h 9,261,6 11.88% 14.94% 65.573000 500Index Fund 023 BAD% -22.56% -15.05% -1.16% N/A 21,364000 448.671559 Growth MFC Fidelity Advisor Div Grwth MFC Franklin Balance Sheet 046 9,98% -20.88% -5.13% NIA NIA 38,536000 MFC Mutual Discovery 061 069 - 335% 0.92°% -596oh -9.39% 10,07% 0186% SA7% 4.83% 12.37% 13,35% 51.1320oo 28,727000 MFC Lord Abbett Mid Cap Value MFC T. Rowe Price Smi Cap Val 136 135 6.65% -9.75% 14,33% 9.17% 13,14% 15,713000 MFC Scudder RREEF Real Estate 134 7.07% 1161 % -2.17% 6.57% 12,50% 16.03% 4.69% 12,08% 22,792000 MFC MFS Utilities 733 9,60% -24.44% -15.47% N/A -1.34% NIA 8.28% 47.445000 6.681000 MFC Dominisocial Equity MFC T. Rowe Price Blue Chip 088 043 8.93% -20,89% -16.45% _IA0% 8.32% 24.851O00 IS.00% Manulife Capital Growth Stock 010 7.70% ., 8.711h -24.38% -27.10% -14.29% -0160% N/A 28,917000 Manulife Growth PIu5 stock D14 7,45% -20.78% -16.09% -14A7% -2.65% -2.35% 6.40% 634% 31474005 98.213472 MFC MFS Capital Opportunities 086 6.95% -30.53% -21.00% -1155% 9,1596 5.829000 MFC Morgan Stanley EquityGrth 093 5.73% -27,86% -18.72°A -2.39% 8,85% 14.748000 MFC Excelsior Value & Restruct 091 6.99% -23.44% -8.04% 3.99% 14.94% 25,070000 MFC Fidelity ContraFuhd 049 1.06% -10,05% -10.12% 3A1% 1096% 72.144000 •90.00% MFC-Dreyfus Strategic value MFC Fidelity Advisor Larne Cap 132 060 15.06% 5.34Y, -26.31% -4.67% 0.60% NIA 17.484000 MFC Prudential Jennison Growth 110 3.39% -23.S0% -37.19% -1a.79% -22.840h -1.34% -2,17% NIA NIA 14,779000 11,233000 MFC MIS Strategic Growth 131 11331k -291 -22.39% -0.5016 NiA 13.994000 MFC Putnam Global Equity 047 6.53% -19.28% -17,49% 1.02% NIA 19.363000 Total Stock Malket index Fund 102 7.62% -21.29% NIA N/A NIA 7,840000 Mid Cap Index Fund 104 5,69% -15.16% NIA NIA NIA 11.166000 Quantitative Mid Cap fund (VS) 020 0.38% -22,65% NIA NIA NIA 74,730501 Aggressive Growth MFC Janus Adviser Worldwide 109 3.26% -26.00% -20.72% 0.91% NIA 21.856000 MFC Templeton Foreign • MFC Fidelity Advisor Overseas 055 4.97% -8,64% 4.77% 1,42% 7.45% 13d74000 --MFCScudder-Ind5elecr8quity 054 '042 3.57% •6,82% -20.25% -19,69% ' -1432% -3.93% - 4.870h 12.942000 -12.663000 MFC Davis Financial 130 -IZ.82% n7% NIA MFC AIM Constellation 057 8.12% 53296 -19,02% -24.75% -0.96% -19,83% 1.90% -2.43% 13.14% 6.43% 26.695000 26.076000 MFC lanus Twenty 051 3.12% -24.21% -28.81% 0.52% 8,31% 31.679000 ' MFC Scudder Mid Cap D52 4,51% -20,66% -12.40% 3.480/4 N/A 23.843000 MFC PuInamVista 129 5.58% -3o.85% -24,03% -4.39% 6.48% 5.965000 MFC INVESCO Dynamics 128 9.51 % -33.19% -2S.51% -2.73% 7.14% 10,648000 MFC Lord Abbett Develop Growth 030 4,9D% -29.54% -18.59% -4.2()% 8,43°h 11,560000 MFC Franklin Small -Mid Growth 053 9.70% -2958% -20.38°/a -0.11°h 10,72% 22,454000 MFC AIM Aggressive Growth 058 4.72% -22.655 -16.i 5Yo -2.15% 9.69% 21.257000 Manulife Emerging Growth Stock 034 2.19% -27.41 % -14.21 % -2.16% NIA 532.921981 MFC T.Rowe Price Health 5d 127 1,72% -28.03% 0.70% 6.01% NIA 14.631000 MFC Dreyfus Founders Passpon 107 6.19% -16.14°% -26,54% -316270 NIA 9.199000 25.00% MFC T. Rowe Price Sci & Tech 050 19.9S% -40.67% -38,87% -8.31% 5,14140 21.767000 'MFC INVESCO Telecom 126 9,64% -51.04°h -45.32% -10.91% NIA 8.129000 MFC Templeton Developing Mkts 063 8.70% 1,68°h -13.24% -4,26% 3.63% 11,569000 MFC Munder NetNet 108 20.70°h -44,55% -49.16% -5.44% NiA 10,042000 International Index Fund 106 5.83% -17.13% NIA NIA NIA 7,245000 fI 'I QQI' Small Cap Index Fund 1D5 5.70% -21.46% NIA NIA NIA 9.339000 I I Ilu I,IIIII IIYI�II II IId Jill '79300' 02/27/2003 11:42 1949644#5_ THE BAYS • PAGE 06 investment options Fund level returns and dosing unit value as of Dec 31. 2002, The performance data quoted represents past performance and Includes changes In share/unit (ARA88) price, reinvestment of dividends, capital gains andsub--account fees, Future managed Fund performance is not guaranteed, Specific contract level and recordkeeping charges, where applicable, have not been reflected in performance. For mote information an the performance data, please refer to the Investment Returns and Annual investment charges on our Web site. You can change your investment Instructions by calling 1400-395-11 t 3 or online at www,manulife•comfusa a' Your Investment instructions are is of Jan 28, 2003. For information about your account call us at 1-a0D-395-1113 or online at www.manulffe.com/usa Manulife Financial and the block design are registered service marks and trademarks of The Manufacturers Life Insurance Company and are used by it and Its affiliates including Manullfe Financial Corporation. Group annuity co0tracts are -issued by The Manufacturers Life Insurance Company (U.S.Q. Manufacturers Securities Services, I.I.C. u registered investment advisor, provides Investment information relating to the contract Product features and availability may differ by state. In New York, products are issued by The Mamdacturen Life Insurance Camnanvaf New York. based in Valhalla. N.Y.0 2002 The Manufacturers Life Insurance Camoanv (U.S.A.). All rinhts reserved. ANNUAL AFFORDABILITY MONITORING SUMMARY REPORT Apartment Name: Villa Point I (Off -site Baywood Apartments) Address: Q (� 2?7R n�w e oc� D' An �3�:�(�'� 1 C4 Unit # Tenant Name Unit Size Move -in Date Monthty Rent F8imzeiy Household income Q✓ ai}oSBc Zvi 0 $ �i b a2 $ 4q,cM / 3 3l�l; , . f rz '3;n - .7 �l d,�o�`�Bc �•O`�"1 $ 1 ��� o� $ 0-��'1 (Oai z.w ffy S' 733 83Lq ��,��}aBr. aY �.�3 . $ cam— oil $ $ o '� o a �07 boo i H4 °3�? ^��° $ 5 a oo� ��°o t }�Br: 1�-i3,''3o $ $ 1 A \\o2." a $ $ l0 &D 14_:5 /.►e 1 k 15CJ� V i L�� �,�a, Br. (�, 9 l� , _I �([ � $ 11 2'I�✓�" $ l 2,L�O-"" 2� a $ $ c� ono G 53% HQ 17 ro w •if ANNUAL AFFORDABILITY MONITORING SUMMARY REPORT Apartment Name: Villa Point I (Off -site Baywood Address: Apartments) Unit# Tenant Name units I Ize Move•inDate Monthly Rent Family Household income T I I I ,s�tbb 1C � ��2 Br. S- )� - b� $ 1-43-- 2- $ } 20 I' ? �; 0,40,Br. �r i 3jr - 17 $ ��p5 i • 6 1$ ,0gt a �669 2,1ur �C 4D d+�'�Bc C�r�l-1 r Qv $ �2�� rO 3 $ cJ %tAi 22j_I 7 Br. r r �i5 $/7J�� $ a 23� (i� / l3lX OS��Br. t�� � r � 1 - 0 $ 1 C C� + $ r 00 n �u 24 t3 $ a 5 rw 25�)r� $ 3 $ c5 �00 260 vi��/�Bf' ��' ��'o $ 1� 3 $ I iS ass 1�� $ l 4 �° � $ r �� • 280I1.f��BL ^fir p r 3 r p $ 4 yl.`� $ �a ri.lc, 3 • VILLA POINT I (Off -site Baywood Apartments) Unit No. Zv F CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) i/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. -During 2005, the Total Annual Eligible Income" of the undersigned individual(s) was $ Lq50 ; and, 3. During 2005, my total mo thl rent payment to Villa Point I (Off -site Baywood Apartments) was $ iO per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non4ncome Earning Household Member(s): Name Age W1►�iTa■.��3^� Signature(s) of Income Earning Household Member(s): r, Sio ttu�re Date: ✓ 3 Qi t• . �. VILLA POINT I (Off -site Baywood Apartmenll Unit No. 981 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) IMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ f t' D .� per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, Ei.everance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): Name Age irly), ID Signature Signature Signature Date: i HOUSING AND COMAITY SERVICES DEPARTMENT 4 ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 ,u I 9W Amendment to Housing Assistance Payment Contract Subsidy # Tenant's Name: It(i✓ �-(�� h`� Owner's Name: Rental Address: % rb yL... 61AA on Mail Address: N_ Bp ea �z�6o Tenant's Phone #: Agent's Name: Phone #: 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on -7-f/0 shall remain in effect except for the following: r- A. The togttal rent shall be $ per month commencing 200k2. `yp p B. Of the total rent, $ T�f I . shall be payable by P blic Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and$_ shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment a A. Previous tenant share of rent $ ,�/ D. New tenant share of rent $ B. Previous HAP $ f? 8 6 E. New HAP $ �-99 C. Previous rent to owner $_, F. New rent to owner $_/�2� Owner shall attach a new completed and. s H Assistance OWNER Z T1gb 'Date a .F015•AmeWmentHAP . q -- of 60 ` VILLA POINT I (Off -site Baywood Apartments) Unit No. 31.6 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (for tenant(at i possession of a Section 8 certificate or voucher, income documentation most 6c obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ # . Utz ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments)was $ per month. 41, tba.00 * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Date: Signature Signature M HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway,. Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: -�nr-P�t pp HR;a Rental Address: 3I s Uq-Lf W on d N-3tA , ea t2(o Tenant's Phone #: 1. Amendment to Housing Choice Voucher Contract Subsidy# 1p'7CJ/`J Owner's Name: &,4wood Mail Address: I R5A A.4 t.J 00c A Agent's Name:-. Phone #: The current Contract between the OCHA and owner dated on shall remain in effect except for the following: I ti f A. The t tal rent shall be $ 2 per month commencing LA 200 V. B. Of the total rent, $? —11 - shall be payable by t�p HousingAgency (PHA) as housing assistance payment (HAP)onbehalf ofthe tenant and$ shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. .2. Rental Adjustment A. Previous tenant share of rent $ B. Previous HAP $ " C. Previous rent to owner $ D. New tenant share of rent $� E. New HAP $% F. New rent to owner $ l Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY a Rental Assistance Representative Date OWNER By �IP C laa Official Title Date � "T p.Foi 5-AmendmentHAP VILLA POINT I (Off -site Baywood Apartments) Unit No. 3c2,3 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (Por tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ � : �� os7 ; and, 3. During 2005, my total mo thly rentgayment to Villa Point I (Off -site Baywood Apartments) was $ i) / � a----- per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Signature /Signature Date: 3 1 1�5_ Z. 0 �O 44 ki HOU.SING�AND COMMU IT Y SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY *LW1J, 1770, North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Subsidy# �t Tenant's Name: t �[p ST Ix �( Owner's Name: '/tKq . S Rental Address: z 3 �j ���/�1 Mail Address: Lail 14 L11�1e/ ��i+ _/U�_��� �b '. - -.�✓. _.. .. Tenant's Phone M `_-.._:g.r ...� _ .mot. +-x rr-ti'-_.J. .__,.. �..F .�........... ..., a,....-....____n.....�-._-...._.___. ' Agent's Name: Phone #: _ s 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and•owner dated on - 2--�2 —01 shall remain in effect except for the following: - J ' A. The t9tai rent stiall be $' 27� per month commencing 1 fit.! 14 ' B. Of the total rent, $- 2Y92 shall be payable by th Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and $_ shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family�income: HUD=established t schedules and criteria, or by reason of adjustment by the PHA of and applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date'stated in a notification to all parties. 2. , Rental Adjustment A. Previous tenant share of rent B. PreV!oud'HAP' r ¢ C. Previous rent to owner j 1 Is D. New tenant share of rent $ F. New rent to owner $ 2� Owner shall attach a new completed and signed ' �rental agreement. /i RA G COUNTY OUSING AUT.% RITY OWNER 1%1 �i��t��� (d4L -J BY , By t d-trl gental Assistance R4resentative /Irpll M w 0 "hi Lill! •Official Title 4V J ate / Date W,F015•AmendmenlHAP VILLA POINT I (Off -site Baywood Apartments) Unit No. ,333 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (Por tenants not in possession or a Section 8 certificate or voucher, income documentation must be obtained.) tMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. Durin 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ and, 3. During 2005, my total onthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ O per month. Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Signature Signature t Signature Date: f 0 VILLA POINT I (Off -site Baywood Apartments) Unit No'b2J S CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) UWe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned istare the only income earning occupant(s) of the above indicated leased premises; and, 2. - During 2005, the Total Annual Eligible Income" of the undersigned individual(s) was $ 0, O J ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) Was $ �� , bs O per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of income Earning Household Member(s): Signature Signature Signature Date: _Ce-\ �, \ `D 4 ` 4 � • Account Statement May I through May 31, 2006 Account Number: 655-3141505 Page 1 of 3 37,903 (CO825) ILL..,i,1,ll,,,ll„II,,,I,,,I,,,II„11till $ I III J,l,,all d LARRY R POULSON DENISE R POULSON 555 BAYWOOD DR NEWPORT BEACH CA 92660-7135 Thank you for banking with Wells Fargo. For assistance, call: (1.800.742.4932), TOO, number (for the hearing impaired only):1-800.877.4833. Or write: WELLS FARGO BANK, N.A., P.O. BOX 6995, PORTLAND, OR 97228.6995. 50"da9 , : GIFT CA1' -a7'rgel 0y j9 �tAr all 11 0 �,7JeloRf\'Nti\'[l�JittJ ��caslons Wells Fargo Preferred Rate Savings T day discover the Wells Fargo® Visa Gift Card. Irs always the right size, color and style.The Wells Fargo Gift Card is ideal for Fathers Day, graduation, weddings and any other gift -giving occasion. It can be used anywhere Visa debit cards are accepted, and you can even personalize it when you order online.Pick one upodat a our local Wells Fargo store or visit www.wellsfargo.com/g Y Larry R Poulson Denise R Poulson Account Number: 655-3141505 Activity summary $37,462.94 Balance on 04/30 82.39 Deposits and interest - 4,925.00 Withdrawals ..................... . ............... $32,620.33 Balance on 05/31 Interest you've earned S82 39 Interest earned during this period $33,876.64 Average collected balance this period 2.90% Annual percentage yield earned $464.23 Interest and bonuses paid to date this year Continued on next page 05/23/2006 01:52 9496447225 BAYWOOD • PAGE VILLA POINT 1(Off-site Baywood Apartments) Unit No. 3 - CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants trot in possession of a Section 8 eeriMeate or voueber, income documentation must be obtained.) IMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned isfare the only income earning occupant(s) of the above indicated leased -premises; and, 2. -During 2005, the Total Annual Eligible income" of the undersigned individual(s) was $, Ib 0 and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ %_ per month. it Total Annual Eligidle Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and• disability pay, severance pay, alimony, child support, ail regular and special pay and allowances of a rnewber of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledges) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated (eased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below. Names and Ages of Non4ncome Earning Household Member(s): Name Age Ch'iU,(-& e.eez- 6 fll (9' Signature(s) of Income Earning Household Member(s): ${glt um SlynaWte Date: VILLA POINT I (Off -site Baywood Apartments) Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) IMe certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ / / 557, "° per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): Name Age Slgna/W're�,/� Signature d6i Signature Date: 14�/ —Din rr• S ` HOUSING AND COMMU ITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 101, *"uw Amendment to Housing Assistance Payment Contract Subsidy # Tenant's Name: kaAK.., i,a- A(,0J7/L Owner's Name: Rental Address: 344 I�GIM D7JGl �/L Mail Address: s : - - - I-v r- .. rt .r . I C. Tenant's Phone #: 1. Amendment to Housing Choice Voucher Contract Agent's Name: Phone #: "t The current Contract between _the OCHA and owner, dated on (J� < "--&9J shall remairi in effect except for the following: -- A. The t tal rent shall be $ 2�ri per month commencing 200. r+ B. Of the total rent, $ shall be payable by'te Public, Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and $- shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment iLloqA. Previous tenant -share of -rent -.$- D. ,New tenant share,of rent B. Previous HAP $ l/ E. New HAP $ C. Previous rent to owner $ F. New rent to owner $ Owner shall attach a new `cofnpieted and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY t OWNER By r : r: By • Rental Assistance Representative ctAi.aJ hn vyl G�'tia,% 'O ficial Title Date `4,Po15-AmendmenlHAP VILLA POINT I (Off -site Baywood Apartments) Unit No. 3* CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) [Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ and, -- 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ /// D per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in, the leasing of an apartment to the undersigned; and in conferring, on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age 'F11F1�y[ %1�'1 `G va1,1,I-n2 -79 Signature(s) of Income Earning Household Member(s): ignalure �^ Date: 0 VILLA POINT I (Off -site Baywood Apartments) Unit No. 3 A CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained) 1/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005. the Total Annual Eligible Income* of the undersigned individual(s) was $ 5A 0 00 ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ M i O per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Signatures),of Income Earning Household Member(s): Member(s): /-- Name Age ,Cie, COSTA 25 /�v1s /39<-stn LS- Signature Date: VILLA POINT 1(Off-site Baywood Apartments) Unit No. 347 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession or Section S certificate or voucher, income documentation must be obtained) 1/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income" of the undersigned individual(s) was $ Y6r000 ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ l 437 *� per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): Name Age Stanature Date: 5�191& VILLA POINT I (Off -site Baywood Apartments) Unit No. af� CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (Ror taunts not in possession of a section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ ZX S ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ �_� per month. TM1(: " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits„ workers' compensation ,and disability pay, severance ,pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the,monetpry benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach, This Certification is made under penalty of perjury in Newport Beach,'California on the date indicated below: Names and Ages of Non -Income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): Name Age 3�- ignalure Signature ,,, ,, Signature Date: /` /� �t 47R, -2—,0 db Tenani Rental HOUSING AND COMMUNITY SERVICES DEPA ORANGE COUNTY HOUSING AL 1770 North Broadway, Santa ana, CA 92706, CA Amendment to Housina Assistance Payment Contract Subsidy # Owner's Name: Mail Address: Tenant's Phone #: Agent's Name: Phone #: 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on 5& 7's shall remain in effect except for the following: A, The t • tal rent shall be $� Per month commencing tit 200-r. B. Of the total rent, $ 9�f 9 shall be payable by the Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenani and $shall be payable by the tenant. These - amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. h" 2, "Rental Adjustment A. Previous tenant. -share of, rent 1?pZl� - ^D• New tenant share of rent $ ;� B. Previous HAP $ b� 3�!%� . E. New HAP r C. Previous rent to owner $ F. New rent to owner $ — Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY By Rental Assistance Representative OWNER By Ord &g OfficialTitle lolo ate I b.F015-AmendmenlHAP VILLA POINT I (Off -site Baywood Apartments) Unit No. 55-Y CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (ror tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ ; and, - - — 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ �7X;k . per month. Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of ContinuedHousehold Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non income Earning Household Member(s): Name Age �ASlh�1' sv-74 ?C) —r Signature(s) of Income Earning Household Member(s): Date: i nature Signature Signature 1-4 '01 0 HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: LecliQn 51-55;oYl Rental Address: peg �ZG60 Tenant's Phone #: Subsidy # 4690 Owner's Name 90.tA A.2aocl Mall Address: N l�pFa &4, 9266 Agent's Name: Phone #: 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on shall remain in effect except for the following: A. The t al rent shall be $ oZ per month commencing —af rc /ln 200r. B. Of the total rent, $ shall be payable by the Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and$, 4 Z3 shall be payable by the ten ant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent' $ 43 D. New tenant share of rent $ ` Y� B. Previous HAP $ 7 E. New HAP $ C. Previous rent to owner $ 6�- F. New rent to owner $ �✓ Owner shall attach a new completed and signed rental agreement. ORA(JG By Ut Ren p.FO15-Ar VILLA POINT I (Off -site Baywood Apartments) Unit No. 5"I 3 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. Durin 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ co ;and, - - 3. During 2005, my total mo hly rent payment to Villa Point I (Off -site Baywood Apartments) was!. 5 7 per month. Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age V 4AW ;J�, Cjje Signature(s) of Income Earning, Household Member(s): Signature / Signature O� /y �, Signature Date: 3 r (5' /-09 T N7 TAS HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Subsidy # Tenant's Name:V t ,✓(Gl V1 Wl Owner's Name: Rental Address: _r5 � Mall Address: 60 Tenant's Phone #: Agent's Name: Phone #: 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on shall remain in effect except for the following: I' A. The total rent shall be $ i`C U per month commencing 200�. B. Of the total rent, $ shall be payable by the Public Housing Agency (PHA) as housing assistance payment (HA )onbehalfofthetenantand$`% shall be payable by the tenant. These amounts shall be subject to change by -reason of changes in the tenant's family -income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent $ 2 3 2 D. New tenant share of rent $ _ 2 3 2 B. Previous HAP $ E. New HAP $ f7D C. Previous rent to owner $ F. New rent to owner $ Owner shall attach a new completed and signed rental agreement. r BRA COUN�Y HO N AUTHORITY OWNER By / By Rental Assistance RenreGPntativP t� • • VILLA POINT I (Off -site Baywood Apartments) Unit No. Sf�— CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income eaming occupants) of the above indicated leased premises; and, 2. -During 2005, the Total A��ual Eligible Income" of the undersigned individual(s) was $ _ _ _ and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 1 '5(35 tamper month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Aimed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age CA, SeA�Q. l(2sVjQkS Signature(s) of Income Earning Household Member(s): -1 ....... Signature Date: S tAdetlaaber _S 1-1 INCOME COMPUTMONAND w . e. F Baywood Expansion FWetheundealpedstdo&dFweh►veredsod ioew•erid*A ty,feiotdkandparouUyadrofthefoFowiopquattootforsa peraomwhoueroocoupythe vahbdngapplidforlotheaboveaparbteaFp4ogt, Listed belowemdwwmesofall peerooe. whotmadmraideIntheuott • 1 7. 3. <. S, llaimofMeobat FalaSmblp Of en uHad of 8mhlSaauity Placeof lkoeehow Hmeebold Ate Nmabw 62144tow sa-F\tf)-)X4a tname Compnhtfon 6. .The toed Macipt°d Income, aleutamd in mold. with ads' auaaraah6.•ofaH oeve=(axe fnehdedbtlmtotalaotIetpatedIncomeibmdlbaPoIIe: '. (a) ogwagawAnlKf*ov& pay,eommLdou,fom*aadbonwaaododurrompwAdoatbr pasoodaervlea,betompaymUdednetkna; . (b) Iho.oet.6 o Bomde opeosdon ofabudnat w*f=dons&cmtheratalofmdorpwmwI Mope* . • (whhoices tbrefoSmtedda ocgihdnati);tau(onoramadad000t'api4ltodd�0edoeaaary • dlowooatoraeptec4donofeapiulaaeebh (o) Intatatsod dIvNad°(toeluilint000aa Headsets toelndedbdoWsodothern°t income tlomred or lPropertA (d)• AM �amount odlopayments modwdfrom sodelewirdy,Mouttia,ianuenoopollde°,reiremmt . Mods, peuioa, dtnbMyordath bea�o o •Wosoflxtlodionockb, bebdhwsaw lump sum payment Ex thedola starofa C°) =W- e&&� °unlott, ukAutmmploymataoddiubQelyoompmatloo, woc[tn'ooeQaoWa (� aW. t�ad amouotofpublic uditmavdlableto the ibovepaawwhortboatest unsofiny • ttdrotwipedG,edtydedgortedtarah°ltexaodotll(Vaq • (v [xdalieaudMemInaSkallawaoeet,P asalimmyandehAdruppatpaymmnaodregulacataudoot add Oft rewired tompawu rat malftiathedwegtnx • (h)' aRmgidarP+Y.gt°etalPaYaodaHowaone, ofanmbao[6toArmodFarou(whdhaorndttirLtgin6te dwoMW who it the had of Mebou,aiald or apouee; sod m any amdboometax ered(tbtlmadatdot Itamditoromettxllsbft Raluded Eomadt anddpitedboome smi -(a) cimd,ap°odloorlanulat'tddF. . (b)uwuabwidrhuogndgc&Ukfworiamh*mumatofia°dialeapeaeg (e) bmtp aumdddoufo iknilyuteta, auobu inhedtanoa,lo,uto2e paymeoh (tadudIny paymata under heal6randaocNmtimoiaaaodviedaaa' oompeoadooh cgAtd Sdu and settlement Lxparada SWffylm°°i' . . (dj amommofeduat[ooalu3otcog* paid dtmedymthe thdmta6medpoldoodlumula,sad Model paldbythopmamattoavetam&ruse bmooftIhooutoottvtdon;ba;books odegatmout Any amounts oftdch aeholaah4w orpaymeah tovdaana mt used far dwAovepmpo,a are to be Woo db income; (e) ' haaabuduty paybiboumboldmembor k ftArmed Forges wbaIsa Vbomhomeaderpaedto . boddefnq (Q rdocitioopayments un;iovT c11ofshah°id'oimlteloeatlmMtiroaee'odRedProperWANalsitim Folldea•Aet of 197tq (@ Waerdatldareptymentc, (h) do value ofauponallotmaWunder dwFood" Act of1977; •m paymmuWvolu munderthel)ometgoVoluotcallwideesActoti973; m PoLynnhmoetv°daodertheAjuka HveClalm swkmmtAeq . (Wpayromb ioatlnderivedtlmnbetLiaabmuginallmdatthelbtoedStatatluthheidtntnntioceahimtodim tdheg' . m allowamule imdaceheDnpatmmtolBahhudBummSirvica'Law-Ineomellame -BatruAssistimPro(a� Pgmehtrrare(vedhvm&e7obFutoftThh63Ac5 {a) . iaamedaMeditoddediapoditoftLodlUdio(iraodithwBradof0dowttadhMsad (o) tb&d$200ofpecctphda rumwh°dfmmMgamm UdsxirudedbytheTmFmCIthn 7. Do the peswma whose income ormntdbutims we included In it (a) have avtngr, atocYJ; booda, aquityiaredpiopertyorotlw nexawite=ofpemoul ptopettyachu awgb m mdt ✓Ycs No; or •(b)bAvetr6ydAspoaedofatyasaets(e.dW m�u, aioerce, Ban fahrmrket value? • � Yii No (o)Ifthessumwto(a)or(h)aboveliYe;does the n iajd4 achp000utotsiMort thmf5,0001_Yes __..1 estmeot (excladlog &e vsmea of xatsmladimtmsthotn . rG¢iogtohattwnyeanatlas . r wets owned ordiapmed of byaH g. (a) WHI allBmpams Hated faeolumn l above be ahtvebccn&9 imequdmtdudngave(d)aleudumooduof ids ar)endu tsar q m;tmtm (othee tfum a rottapomdmce arho on wi& trgn,a Latty ad amdeaat a. Yes No, .(b) ammleteto ougtfon sm k wyeen. to any such pmm(other thanoueddemt aHms) mmiedanddtgib1eb81eaJoiatfadaalmmmetac rduenA Ya L No 9. MartitcateIt made with fhekmdwledgethe kwMberehKd )odbytreOwner todetemrtnems,bw" aromefor digibifdyto bamwta rcI4 indYwe declare that all k tmstm setfodh hadn is stag mrteotaoda¢plefa and hued upon mformiton Vwo deemreMte and dmt doswmwdoftod mtcipated fimme motained mpara opted is raamab)e and baaedupon aeh mvedW=u the mdadgoeddamed ueomary. 10. I1We WHI aadd to Ownertmobtafaingsoytnformattom ordonrments regWmd in vedtytbe statements madehereto, . holodiagdtrerm meomdvecEHadm tanmytour pmumtemployer(#) mooples offodad Uxteemoa mrta hrmedtatefypanoedkig aleodaryear. . • 14 !lWa«kaovriedge tutaH ofthe fumgomginfatmaton ie refevaotbtoatams 6ndetfedetd muomttetitxofthe fatuatmboodsLmed to tuna to oftoaputmmtbu0ftforaddchippHatmitbehg mile. we' to sae disclosure ofauehiofasmadmto to hnrerofachW4 the hoMai ofiuchbe* my • tmatoe actngmtWcbelulfmdanyanhottmdsgectoFWe lYwrayDepirtmeK orLmemd RorewaSavke, We declam rroderpmdtyo[perjurytfuttoforegotngLtrueiodewitct. . l ed�fa� 1 Q, Q 010 deyof l`r,'�C. ,20� tyar)mthe Crtyof / ,9'1 YJrGyHfatnL '.ppHnmt APah«m linos AppHamt (StutmoofoUpeaou(aj:cptcWldcmuadacttLespof(gyeaa)Hrtedmmmrbwlabowrequk iJ u.�i�fdl!iQf[�1C ill f �iMORM N 0[ KM 5WITIWINQ Ima Era SOCIAL SECURITY. PENSIONS. ETC. PUBLIC ASSISTANCE OTBBR INCOb16 is* 1119A # SOCIAL SECURITY. PENSIONS. ETC. PUBLIC ASSISTANCE OTBBR INCOb16 is* 1119A # Sarin Imitate S A abn A MLd Total SZ Kr 24 foa. ffi Mil' Q AW 1 Ts S a8 S �S S s.S Total Box D $ TOTAL ANNUAL GROSS INCOME AThroughD S ' IMPUTED INCOME FROM ASSETS Box G.�� BfiectiveDate: t,0 If BoxBexceeds$5,000multiplyBoxBby,current Type of Program°/: " •.,. passbookinterestrate: x % UnitNo.: 5 1 1 Unit Size: IfBoxBdoes not exceed$5,000enter-0-inBoxG No. ofpersonr.--':5 INCOME CONTRIBUTED FROM ASSETS Box H:® M/U Max. Income Limit: Enter the greaterofBoxFor BoxG AR: 140%Limit: TOTAL ANNUAL INCOME S 9 & TOTAL ASSETS $ \ 1 Pj = $ S j'S�THE tRV1NKOMPANY A BELO_ 'KEl REIN 1 EN l A LtCAT ION TO RENT �� i (' WAPARTMENT COMMUNITIES I R CEIPTF0R APPLICATION SCREENING FEE) plasse complete this font entirely in ink, noting •NIA' or'nbne' where applicable DO not use while out. The information you pmvid@ frill be vended prior by either The Wine Company, bvine Apartment Communlbes, LP. or Ifvin TICAtla approve) (a r6nl an apartment to you in an apadmont dommumty owned Commarclal Property Company (c01t@cavely, •OAnefJ. '1' '° '4.,ifuT'F III 1, - �'I a'�rki'A)] le ti ii�ls: Yq Cauh •� ii� _ 1• i , �i(Id. .Li/1"i 1 :gyf m 4,.1 Community. Address• PM1a Apptkanrsfulmme lint was IMdai) Jr.IS.,/� ♦ Data BvN Soca1 S@cleay, Numb& �vMIY, LkG(y9,#^� %M1UIL' Yn l:" '' G:' C•.1 dAl �','�:il iyiV:j:',,�^ha„rj'ilnY iY ((till i>i (UM, PYFt. Mddid Metal (Uaa Aa4 efddlo lndoa (IReG FP.M, I I) (Ln]l. Fkab Mkdla lMtlell (trialFis(rAJdb liMdJ (Left. Fbsb M�kydte lCneua Omt PAoroY�-17J of�.f 3 9eMAddroea. ,(•� (�f(J♦t rj/V I q IAA E•Maa AOY([0'�U^ �Ny belached fs'ybomL• � AltMmdfamiy None � Apanrn0ln MoMNy PaymcMi `�OO TONIIOaI deyAU make paymenm? PraefM Lawiord'a Name S Addmaa, �IA�QTvihl Pilo. 9 p �z 6 GO 062 ImmNub PrkfAdd'ace (Ill9w Wn f Nof above) own IeonwypaymoM• Daff• Fran 1 Pen6 (MMMWt@ Prbr unava, Name A Addreff PIgINa - Dbyau axle PN? You No Numbaro(pote• TWd: ..» greed AYJt Pet WegM, _ u ' .15iJ�''1;E'°pLeiv Fa. T;j a ,Ii•v". 5T•ei$�3 f ,, n,r t la;l:I .Si�fj:+. 'l' 4:'Le§7"r }�'' :'>.)J.Iia tF1i�1 T�' prepoa@d Otcu M9(Uali Flra4MWO01ntlIN) Da at (LnM, FYeL MMtlN IrvIW) Dab WDNII SSN• C1 ( SSN iU ,PvsLm IMea ^ 1 D.E. M.BIM IUaI FnL Wrle )Mal) Dal@df elM SSN' SSN: (tall. FYa4 kIIdUa In D DaU o1 BYVI lUft�Fxfl. Mcbe aWL) O9la0e MN: !MN y 3' 1D `i' nr �@ YN'd 7i21 �•' c • B ' d. •a .���Bd n.r u'S'�e a IS arj,'#„�3a'fr Td k*rs5 �Y�� tv iy: �Jel; �',,,I,.,7 L"` � t ffopWwQf afs pia,d, rums 000mae9) Dumas AWreis ti WA ZIP Code) pri Xl Types oratiop@9 P.s000-1d aflff F� SuPeMaM prorea force -f Ili "`• [n] ),Ir1i/ Yta ZTO UJ 5La.) {X/a OMIXIMIXna Saaca r� ApPScaM muN Mad iPer ew Cadaclb IMmowo Prig Emplow addreee(o roes lip Cade) Fm1pF e'1M IMane From To II � u t � 7 �!� III I � �w, �� ti��.'•'il 'ni ' 6: ni1CH^'F^.E7iV I �'lyl3r":, _ �I A Nina: bank ardbunen lMtluda CMyvSaato) `v`fl ``VV 111111 VVVVVV A��L� I"J i S,kiIn; banlraM bbMh(Indoa@ CYy/Stak) lYQ`` nt s2glot5, ITb500 Have you evef fried fa barkmpkYlY0lmdon> Yes Ccun79M Saab dine Rea wrest yeah Havoyau evx had av/pabbo Yee rr®No I TL No Wmtyoart_� '7^ Iecwd iva1, 12N•)bdpmschror mposieafam? Haveywevefbeenavkbd? Yee 1`0 Haw, yoo .,or Merited w a lease? El Yee 0No ManagerM Havo ypv Over boon cdtvdbd o0laleny NatLj Y@s No R,Iaikunua. Imdvedence.o.9aYplpmPory.pore.• p WemmemelikWa, IX MatNvdw,d fcearma, iNYal dnyS,MaeRIXeaYG(imefl AA • A t}t a 1�`'}_ In �6(m� �' NN �• r 9 n= n' Ii fa.I i' )' �. V.'::W'1 �i�anlr{in• • 4i:+ In Cafe amelpanty. plofemby CM;••sSPao{'a ro bar).' boral . I?otaFlu t a cable {comic' rd mmbaf: , yes `� J LA,/ ,\t l'ITNi���a42 (l amxa ame taouwrf rveme �.a.... r..mmiwxnd he aHlmlec __ 'B rowdin an e�man avoroca.ram e�ecun �o.a=..a ��•••....•...•. .........____._ _. _._. vuA-Applxaum le ra^I r wv.u>Ae Z0 39Vd OOOMAtlH SZZLbta9666 LT:01 900Z/9T/10 h'�Sr'ftiE VWICOMPAW e&PAPARTMEIRNT COMMUNITIES 6. Reason forrefocatiolr. ( LQ5,&Ag, A-0 L--L) OW— e - 7. How many Vehicles do you own/drive? oL� Alye u VBBr Q S LKCnsO A /� X/�X// `//I��.'` I✓ S Make C ap Y6M G(_� LCCMeA Note: Parking ofrecreadonal vehicles, boats or trailers is not permitted hg the Community. 'T 8. Do you have Renters Insurance? [ Tf— r1Rd 9. Consent to Verification of Credit and Other Information: cood AM alas, lnlamatbn pnpnded by me W Gn AWp tl saeekle Serves ydbe:o nyAjo mmrguaWlo ncoalasLMInM6 mPetaork oNn ndto utdo3WM uot4 I lu;o ndorL he TICACPones 6h Apigalgn M Wlposm Ideas to.1 Lease apVa laaccouosf h Molt ft m 1 n:ss I hwebyrdoas0 AM hod te,miasa The Irvine Conn., 1. ApaNnam Commutates. LP.. Irvme Commambl From, Compaw. Trans Imm Compary Apamnad CommwA.7. tM and ao of Per re5podbYe WK.., omd%Aos am Marc[. (fare am and as lablal'.lagal prowo0lgs and mats. Indwee att..w fees, ammo al e(No ywdaaoan xrdiause Of. ao mlwma)on caromed In this App,cabon, iMNJmg Ne rticae of [och mfommbon le aha pamo[. WI at 4W.0 mR of MY financial coo d o) o we, aaaam eaorxa atemvra ue be awms fa dSaDMoval of M Applratkn a [ daxp ine ADplgalgn IXa05s a adm mY tenably l a:o atbn IS apDfJYM, A non-refundable Appllcation $crooning Fee of $35.00 (as Itemized below) Is required from each Applicant to process this Applicabon and to check Na Informadon provided. A soparate Application to Rent must be signed by oath Applicant who will occupy and aparlfnont before this Application will bo considsmd by TICAC AN APPLICATION SCREENING FEE WILL NOT BE CHARGED FOR RECERTIFICATION$ 2✓' V �J Data On dp date below. TICAC foosNel $35M Inca lM undersigned ARgWeet in Connection mih AppItoraC Appl¢a1f a 1n Rem an aptarrent from Owes, TM aba.e amprM a to be u3e0 b fcrttn Approp mlh roewds b tlede hnbry end Wer background Wmmibn. TM [mwnitharge0ls umaM as faIICM 1. ACWaI W3i3 aI<leeRr3paL YnVN5W de1sIMY(avRtbn)SUrCh,aMla apNr3aaenllq tapIXl3 2 cost le ablen.veto's and YDIgY saoM lY)Ll(amabM(may bUWe eIaRS 5m, and othor rtuboco3b) 3. TOW roo,lnu ed(may rol racvwd$35 WAplskAm) $710 3g0M 33500 vwdeaten Madamalpn 3UW" by Applcam on NW APpkalbn thfoph"adsleppti a penaul reran Me eheck3 and Wsr lnfIXmabon M c;S. t� IL o5 Date a SIBMIurO The Irvine Company Apartment Communities, Inc. 710 1 Odto BMR-AM%aYM I0n6r Run,11.1W a TO 39tld QOOMAVa GZZLV09606 ZO:ZT 99oZ/9I/10 M L.pt roe B.y 705033 003743 CA244 9 s Social Security Number: SSN ON FILE Exemptions/Allowances: Adds Amount Federal: Harried 2 State: Harried 2 Local: 0 w1ion 1 - Earninos T' i/te ai»e°ita�e'a=`. a'2°�'e�S'�liT�7C/ki2��`F�S"�*�¢'i'n-y',�,,}7't'•" plar 1.153.84 20,023.18 Way -Sal 0.00 346.14 )-:alar 0-00 9.80 w1son 2 - Deal Data Current Commission vWv ,+,:rD Ae`i"u re' `e :. at}q 3tiYY.& Yt'°T'6r, A•7 r '„L' iV .„ �� C2`t �/ykmxE.Mo(,�ytH u i'�<.Le .O1r+tL OX �y,::. "ad rya «a,•'. , z.l. 0 x:t commission 0.00 aw iecovery Balance 0.00 ml -.sion Adjustment Balance 0.00 Id :awmissien Balance (DR2) 0.00 Earnings Statement pagge 1 of 1 Period B4End: 11/06/2005 - 11/19/2005 Check Date: I1/18/2005' Check Number. 5242039 �asini 2476 Crown Valley Pkwy 204 Dana Point, CA 92629 Section 3 - Tax Deductions w rows .. ... ...... .•... iY1"l `<'x"arrQolt:x., ..wC:::;,(. ,..... Federal Tax _ 50.31 952,02 Soo Sec Tax 65.53 1.203.58 Medicare Tax 16.32 281.48 CA State Tax 5.00 97.76 fA SDI Tax 11.42 209.66 a al�.ak`•:F �,',t><^--'z�::`�,�„'^8`#;'«,'1'4T:5�:.:c.'S�:":i:2. .58:'.'��: Section 4 - Before Tax Deductions Medical Pre -Tax 89.84 1,257.76 Dental Pre -Tax 7.05 98.70 7ti1'$i%t�i�f<�.7�e:»an .. (wd>hT .°�1. `�e':inrf•'.•��b".�?G:. axe>,.nt Ya N. Section-5 - After Tax Deductions Supp Life Post Ta 1.15 16.10 Spouse Life 0.63 8.82 1 (t'n5''.,• 5� ..acssey;a a x t<a, zf92�a' PTO Balance 55.44 Paycheck Questions? call 866-225-3099 REMOVE DOCUMENT ALONG THIS PERFORATION i �;k' I `? 5 g i1 L_J • Earnings fatement ED Dept Loe Pay _._0 705033 001243 CA244 BHa Social Security Number: Exemptions/Allowances: Federal: Married State: Married Local: SSN ON FILE Page 1 of 1 Add] Amount Period Beg/End: 11/06/2005- 11/19/2005 2 Check Date: 11/18/2005 2 Check Number. 5242039 0 Kevin "GaIbaWni 32476 Crown Valley Pkwy 204 Dana Point, CA 92629 coon 1 - Earnin s {fate Noilrs Current YTD 3ular 1,153.84 20.023.18 liday-Sal 0.00 346.14 )-Salar 0.10 399.80 1' I63 84 C20,769'. ,coon 2 -Deal Data Current Commission C f 5 0'00 t iss D Aa BQ Section 3 - Tax Deductions Current It0 Federal Tax 50.31 952.02 Soc Sec Tax .65.63 1.203.58 Medicare Tax 15.32 281.48 CA State Tax 5.00 97.76 CA SDI Tax 11.42 209.66 Total Tau 147,58 2. 44.50 ` Section 4 - Before Tax Deductions Medical Pre -Tax 89.84 1.257.76 Dental Pre -Tax 7.05 98.70 rnPai Befora�Ta. Q6 89 '• x56:46 ; Section 5 - After Tax Deductions Supp Life Post Ta 1.15 16.10 S Dose Life 0.63 8.82 Total After TAX'• 1.78. D Net Commission 0.00 NET PAY 9 74 9 aw Recovery Balance 0.00 PTO Balance mission Adjustment Balance 0.00 Paycheck Questions? Call 866.225-3095 ld Commission Balance (DR2) 0.00 i REMOVE DOCUMENT ALONG THIS PERFORATION i py c.;.,,Yltill?�l?�'„'�,�A"i�j;.�i:}1'',n'.: . - ... .. . . - t :;.al?:u.,p7,t`.r ��Tt'•l�tr.. Fang. - o- i.. 55.44 a BELOVII'l .<KE I Krn I UNI I APPLICATION TO RENT �s T'ARTMeINE J� sjl�, oCMOMP�T AN6 RECEIPT FOR APPLICATION SCREENING FEE) P ease Lomplote this forth shortly In Ink, noting "NlA° or "none" when eppllo lble. Do not use white a,t The Infor orbon yogi provide WY Do venlied poor! Irvine Apa0maal CommuplUes, L.P. or smou TICAC'i appmval to rant 00 Will to you In an epadrtmnl Dommunlly owned by ellhar The Irvine COmpnny, Cammerdal Pwoeny Company (mllealvoly, ^Owaar). t ,C 'ifEanbH . eCaRTi"'i3in�$IM_- Cummunily, Address: pefa Ap0114W$MNfna( L Wt middel[new) drJse Dateolaeth aMWl50euny NU bar OdmbLLemF- 3 Sk3ts3641 0��32c, \ \a (LastIWit Fkfh Meldx lnlad) \Yl ;Flr., r fUsp FHI, MAOe lnadlJ (last. solid. Middle A,{y,canf Pf KN Addreff: � ^LhA�. ❑ On& M'n PnOM• E.Ma'tl/AGrN_m-[a.-Q iran a, ��••fy bt /p�j ®Ran. �iF A I-QQI aT° 02. V.0 n rc P DeWCMO:amlly Mn0. AlncnedfamM Mm0 Ili/ Arnie : 1\/ "'f! MOnwYPayman5 1 1lll TOM 00y0umafe Pinflol i rrcfe LaNdOmY Namea Ad0rcaf: Pl,ar°a Immedli�a PrdrAddws ld Iqf Ilan f)r. atatkve) am Manwy Palenm Rent S >o Immcdak PdN Landeads Nam0 as Mill PM1On0q i�-�i OefW Ow0a P0C! �Yq 1�1 No NumUaraPan: '�J� TY➢0: �J &led AdullPalVati ._ ��.yv�.f r. .�, .. .Ua:«x. m1..&.• .. id :...("` k h y4I#4>`ii`.,db.arlit ROluied C<upa„wnlf Mel, F,aR Wkao lnaNl W!e I_.a lust Fri. Rlddlndin)poaled�BNn g Sl ism: Gf. FIfn.M le lnfu0 Deal B.M (Lem. Pon, 0b I0AalA�l) Dab &M s N. ? �— JtAKFISLMAdIedIiNa') Oabaianh (Last.F., M-0delNml) !^ Dalea -rin aBN bSN. •----�� 1 n x � K ✓g t � rr,1 '�' a I�if�'n�A:,;r'.-'d.vx-r.-s �(I.q�,`• 1' I fb} :.•'LI��..i�;'fi' .� k Ih IIkF _ :,'9i 'a,+ Kf i -v+ rl .� ,u+: .._)_. ,.s..; vr:.`.r empkyar to aod•°mWoyvd,nom°dbufil�aS)Bvuti-r�,aia Adnfall (Inclodod ZIPCod0) �r,'�•,f6',.�r �t�.av "0 s PlpnpP of Typ aua,kff POSM1bn onn $upwlim PMMa I qne susam T. AD t Dow Income source ApPlIO&amun Wool stub 0anlxl klmedal. Prix Empoyer Mdleae(Wtlong ZIP Cost) PM1anpa W.. Income qm "n6Yi'cidl? x' 'd N �9, yv '''. � ' I. .� 19''i M1 y.,l�li, �idf 2,%4„F,'r k�", y°I,�';n•.. ,.-• G.'%a_, 7%�_ 4: y^ .)'''�;`T " aid• LankaMbaMnNMlade CAySWIa) -, , v` AccuuM B01amP .3 s 0 (�j� fw: a' S]V,rda oplordbnmh(Nc4d0001=1e) 1'.4 ° �7J rj�$b is D you a°ar Ned rof banavphy P<taeldn0 Yea [tltl�T�3y'- NO CouarydM$WIOwMmfn6 Wool "a'? HavO too Graf Nd anY Wok �Yq TNo Whatnafl= T rocard fvlla,0ana.�4N9me,ald fepQtftlSMaiHm'e loa nHCeea.N_ Yq No Havatolc.delatmodanaloasd+Hovey°u°ver°gncanlcledofalegorna I Yev No gryblMl �MM'aden°ROnee Oeal pfol�R�. Joni apse .....Alclali, K a,at lnvdvI ived,mf. oel drags, a aaa a Kk cnmov4 yy f for `+. C �•)"'''Roa4omnP, Y ,�?'E ��a ;J: ''�:pt t-+Pi.iEd:.:��wlitiil�'d�a.l �� „ IAtlsl proaie lwlh Mon mo. aaarcaesproro,um �^ WetbeI m0ef: (fir-, 75/ Wa '9 ron0ln an e•rnall addfoss.l am alecDn lD recaly e• awa-roNunanleA.,l TO la 39Vd BOOfMtlH 9LbL009606 LT:OT 9OOL/9T/T0 ,�apn�RTRINE �OMPIT 6. Reason for reldcalion: 065& F^ `y • V V- How many Vehicles do you own/drive? Wke, Yea �{ If/ lxen,on Naxv 'Ynr�.Cy� L¢nnen i Note: Parhinpofrocroado of vehicles, boatsortraifarsisnotperminedin the Community. S. Do you have Renters Insurance? Ixlrea ❑no 9. Consent to Verification of Credit and Other Information: s am making Wb Apakatan vdvMany lases purpbsa dMuialg TIUCi approval to reW an awl0nern n Inc eparuntm cannuanuy mums v„.... ............e...........-. ..- IaAppManl RBpuaIna bq Im+cd'6aW! CwMunkr RBDpti and pdShcy aulldfae TlGD. p,Yrar, des Weir fwp:CW! ampay,e, We dpent: (cNcCrvdv, ga "IUC Parade'/, lc van(, Ca uwA and sear Wonnaban provkad by me n Ma AppSaWn a,k Do damn erea4 spats, masbga8ve wroumer rapers, and oiler rtpab rrom ereer. repowg aperSa. II - 'a In gseat!COmpankB, Wllxa IVItiJdue tlCtpcakluMaveMiWllon),empoyefzandaU ffieaeNN6evknInMR.P.1 r"ne, 1¢rah AppVCetlOn. also3u1rol,:c Ine'IGC ad Do Ia G. Mfamalkn sMlaFled M W Applit¢4an to vaICJB keel. ndte aMla r00enl8wemmsnt apeMl6e, Mluailq Y+nm+t IJnAztbll, va(AYIa IeN eMIXccna•I! apennei I undaele nd _'If, a if I bade tend a._an, We ride PDo ... hove a cOm%ava Dr. Ito mVaw mY uaa, IMIXmabM, payment w,rory, wwwact nhlory aId 0aar inlolm0lan •A rile Apaketbn hN pared.¢.rcblcd k my Leaseantra fa aaourn. rowbolhtlonp and andew leml an,". o I here" rokum and hold hMnk„True lane Conwl7'. Imme Apadmat Caamunll,, Lp.:Rjm O.Mmam peopom, Control no lrvnd Company Apalmert(WantnalBB 1•K. as as or nor amp0et{N affKea, pmm.ye.s and agent.. fraT any and ail I,WOMi y, lapel gIXeearnpa and Data, MFJdRa PiWell feed, ORIN It at the 41DI use Cale Inforlegr eootaNkd In this Appkauon, iaNdn' Ina Ituade 01 Dean Infamatbn to old games. I warrant real, to Me ban of my klawimtge, ell of the nfamaaon pwYded in eat ApericAlan(adunto but realmiea 0 blo macmem of my gNrcial caka:e) Is Dual acaa"W' ton't"'M one eared as of the dab a O.! ApptcbbOM1 If any IMIXmatkn provaed by me 6 d0lamMa to M fault, such false Amll"nrd MI be arcane, fa aaaamwal at my, Appaaa+a• lamination of my Leadn wAh 0MIm. I agree to noilly nCAG It any OI @e Inlamabbn pmYkea InMe App'lankm 0MGo dumy oa Appkabpl protND a duilq my leaaa.T lake uaemWm raaITIUC em multi Wb'PokwaA alone veal any oma kromatkn WoMod by me. wnaukr a non Old APpaalan IS approved A non-refundable Application Saoonin9 FOG Of $35.00 (as Itemized below) Is mquirta from each Applicant to process this Application and to check thoinformadonprovided. A Separate Application to Rent must be signed by each AppllKamwho will Occupy the apartment baron, this Applkanon w111 be considered b'y TICAC, AN APPLICATION SCREENING FEE WILL NOT BE CHARGED FOR RECERInFICATIONS �z 36 05 ate AFAcenta,lennlae BR me am. Nkw,TIGAG me"d S0a0C hem 0a twordened AppKam acand cuon`mnApp l anrB Apidemon to Rant an epaaneni Isom GNwr. TM above anWnlblobeu,ea tosaeMAppkanlxM mpaNf bcteOd N,rayaM otnaoackerIXMtl Womuwn meamwnt cnelpaahbcm4cd azfoMw9 , Actualwas awde roped. Ill Gramr(evkiknl wrath, ardfIXoaar zaceed, DPW. Coon WWI, aweasalal lef macron (ma'kphdo stow, Itne anaboarreulea co,ta) Toutteach Nry (mayrot BeeMdSaywAppraad) STW we 00 55500 valm atua of mfo,matlM mpaled by API aant M mk ApUkadon a,oughcredd rcpodlM bgenpe", pae0wl N(erenta clack" and deer nforat"on soaked 1 D 5 Y r� Date Appl'oanr, lumMun) The Irvine Company Apartment COntmanitlde, Inc. Date a,R. apttdaN k Rol a Raw It 145 130 39Vd mama SULP09666 LT:OT 900L/9T/TB YOUR BANKING" .�•EARN/NGS�,...,,..;,;:,w H2O,U iS;..:M ;,,>AMOUN•T_,,;,, ,,YTD7A rm, LOPLOYER IIVFORMA VENPORTPBEATCNTER CHECA 926610E STE 3 'AV PERIOD 12/01/05 TO 12 15/05 'NECK DATE.12721705 CHE K f 249E ELINE S GALBASINI 12476�ROgNYALLQT BY /204 1ANA POINT CA 92629 ,S/ XXX-XX-3091 ENPLI 000021 DEPT/ 000200 vls by Paychax, Inc. 0080 9638 0007 000200 TOTAL EARNINGS 1674.75 24075.7N� i+ •.f r i4 ';1 TOTAL WITHHOLDINGS 296.95 40••'.'A • • • °�d.r3<t�.e�r HOURS 47.50, 790.60 NET PAY 1377.80 19� b0 39Vd 000MAVE1 9ZZLbb96h6 LT:0T 900Z/9i .0 This Statement Covers From:11/23/05 Through:12/21/05 Your Free Checking Detail Information JACQUELINE SOTTO GALBASINI Account Number. 196-247534-9 KEVIN M GALBASINI Washington Mutual Bank, FA Baginntng Balance $7,024.62 Checks Paid $5,052.73 Other Withdrawals-$3,471.28 Deposits +$5,806.62 Ending Balance $4,307.43 r-1 12121 NIGUEL a 3 YYtiO ^C�9��0 � p3�IS� �o Checks Paid "Indicates check out of3equome _ 1 ....__............. n.t.. Amount Paid 1 1 Page 2 of 3 u Deposits are FDIC Insured l!"EMMen 02962475349 Form C550004A0000032263 VILLA POINT I (Off -site Baywood Apartments) Unit No. J fJGoo SD/L//V, C� 9��60 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. ring o220Q5, tpie Total Annual Eligible Income* of the undersigned individual(s) was $ and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Bayw od Apartments) was $ per month. It � /0� 7, * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non income Earning Household Member(s): Name Age Signature(s) of Income Member(s): Signature Signature// /�/n Date: ��/~y C 4,40 HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: ►/Gt.WYI A/Q!,� Rental Address: 60� A" WO(el 1�1 Oa,926�a Tenant's Phone #: Subsidy # Owner's Name: Mail Address: Agent's Name: Phone #: Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on =p shall remain in effect except for the following: A. The t tal rent shall be per month commencing 200. B. Of the total rent, $ r, shall be payable by t e Public Housing Agency (PHA) as housing assistance payment (HA )onbehalfofthetenantand$ shall be payable by the tenant. These amounts shall be subject to change by reason of change in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent $ q f D. New tenant share of rent $ B. Previous HAP $ db E. New HAP $ C. Previous rent to owner $ —_ �7�' F. New rent to owner $ Owner shall attach a new completed and ; OR E COUN Y HO SING AUTHORITY OWNER By G J By Rental Assistance Rep sent e Pate 00'.F015•AmendmentHAP VILLA POINT I (Off -site Baywood Apartments) Unit No. --a_ CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $_ram; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ lqn. 00 per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments,, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire 011owance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): W �DSiigtatt�uurne- /� �/ 1 11 1 1 iXJ nature �.LJ USignature Signature Date: VILLA POINT 1(Off-site Baywood Apartments) Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. -During�005, the Total Annual Eligible Income" of the undersigned individual(s) was $ 1-I (` 1 Q28.. !AT._; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ / if,? O • °`' per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased, premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): ,hSig/nature Date: v t! • • VILLA POINT I (Off -site Baywood Apartments) Unit No. '4u3 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ 4b 10, � 86 ; and, -- -- -- — 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 102V2 per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point 'I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non income Earning Household Member(s): Name Age V1. ar�;-i��c�Cs 63 Signature(s) of Income Earning Household Member(s): Date: Signature VILLA POINT I (Off -site Baywood Apartments) Unit No. 144-- CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not In possession of a Section S certificate orvoucber, income documentation must be obtained.) I/We certify to the management of Villa Point 1 (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earring occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Atanuai Eligible Income* of the undersigned individual(s) was $ q (m� ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ tGj OG'�O_ per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers, compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of income Earning Household Member(s): Signature Signature Signature 11 VILLA POINT I (Off -site Baywood Apartments) Unit No. 7T5- CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earring occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total e nn�ial Eligible Income* of the undersigned individual(s) was $sL CPy1, sand, �/d; 3P-7 -Y yd 1S4/ �Sl�� (vCl1, tt_. 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ I Y 3% • oper month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site -Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age 2-7 Signature(s) of Income Earning Household Member(s): Signature Date:/3r� f" VILLAPOINT I (Off -site Baywood Apartments) Unit No. % ,F3 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1: The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ /74 000 ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ ,2 1 -- per month. Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning_ .Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Signature Signature Signature Date: 3 //y HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: \ —►2qel t' l te&D z2'� Rental Address: 7 ,9 3 A 1 JP/t L0oo o1 v/1 , N-3-��e�Z�GIa Tenant's Phone Subsidy # 111 I Owner's Name: S Mail Address: Sew wape. /1 {tf N���2a9z�6o Agent's Name: - Phone 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on �-./� —�3 shall remain in effect t except for the following: / A. ' The to pl rent shall be $ c2 per month commencing 114 200 B. Of the total rent, shall be payable by Wtlie Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenantand $shall be payable bythetenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent,,. $ D New tenant share of rent : r_ B. Previous HAP $ E. New HAP $ �� L C. Previous rent to owner $ F. New rent to owner $ Owner shall attach anew completed and signed�rental agreement. e ORANGE COUNTY HOUSING AUTHORITY OWNER I ��Y' . �� ,n, By By . " ," , " — Rental Assistance Representative Date Offici I Title Date \I-; jl 00.F015-AmendmentHAP VILLA POINT 1(Off--site Baywood Apartments) Unit No. �B CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earring occupant(s) of the above indicated leased premises; and, 2. - During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ yg , C? .4910 ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ /. ,O "075' per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age " 61 JA, Signature(s) of Income Earning Household Member(s): Date: Signature VILLA POINT I (Off -site Baywood Apartments) Unit No. IL2 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income eaming occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income" of the undersigned individual(s) was $ -,qiL-t and, 3. During 2005, my total monthly rent payment to Villa Point (Off -site Baywood Apartments) was $ Isa s-. 6° per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Signature(s) of Income Earning Household Member(s): Member(s): Name Age 1 Signature ry/ae oh �W -FF�'-aLe/ .-�- Signature /ignature Date: ro / D (P E VILLA POINT I (Off -site Baywood Apartments) Unit No. G 1 '�2 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. -During 2005, the Total Annual Eligible Income* of the undersigned individual(s) was $ ':� 2;1( f R ; and, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ l T'71-7. per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Date: Signalum VILLA POINT I (Off -site Baywood Apartments) Unit No.'%/5 lk y wvad CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) IM/e certify to the management of Villa Point I (Off -site Baywood Apartments),that: 1. The undersigned is/are the only income earring occupant(s) of the above indicated leased premises; and, 2. -During 2005, the J ptal Annual Eligible Income* of the undersigned individual(s) was $ 13, and, 3. During 2005, my total month rent payment to Villa Point I (Off -site Baywood Apartments) Was $11,9119 " _ per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signature(s) of Income Earning Household Member(s): Signature KJ41 �1�i, �//1glol�' �T Signature Signature Date: 5/LZb 6 Resident: Address PARENTAL / FAMILY SUPPORT WE►k) /5 n '4" 7- _r�,TJ G' BAYWOOD Community: b •IMe will contribute $r% d 0(�� per year to the above referenced r�sid'ezlt. 9Zt/,J-� I/We declare under penalty of perjury that the foregoing is true and correct. This information is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the above -mentioned apartment. And I/We declare that all information set forth herein is true, correct and complete. Executed this 2 b day of 5�`� �� r , 200 3- -parent Signature 1 Baywood Drive ' Newport Beach, CA 92660 TEI.a 949,644.5555 FAX:949.644.7225 baywood(arentlAC.com APRIL YUSAY Comm.11248590 N NOTARY PUBLIC -CALIFORNIA N + Orange County Y7 Comm Eapins Jan 7, 114 THEIRVINECOMPA v,� 'I APARTMENT COMMUNI7 rontlAC. 40 0 VILLA POINT I (Off -site Baywood Apartments) Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2005, the Total Annual Eligible Income" of the undersigned individual(s) was $ ������nd, 3. During 2005, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security, payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age �� S1f _ Signature(s) of Income Earning Household Member(s): Date: Signature Signature ySk THE IRVINE COMPANY APARTMENT COMMUNITIES June 12, 2007 City of Newport c/o Raul Gomez LDM Associates, INC. 10722 Arrow Route, Suite 822 Rancho Cucamonga, CA 91730 10 Re: Villa Point LLow' / Annual Affordability Motoring Summary Report Dear Mr. Gomez, Enclosed you will find the 2007 Annual Affordability Summary Report and the Certification of Continued Household Eligibility form for each resident on the Villa Point program. Two apartments at Newport North, Apt. 2341-Klein and Apt. 2736- Nofal have failed to turn in their form and have been sent notices to vacate their unit unless they turn in their eligibility form. Once I receive these, I will forward them to you. If you have any questions, or require additional information; please contact me at your earliest convenience at (949) 720-5690. Sincerely, C Jason Di Antonio, BMR Compliance Manager Attachments: Annual Affordability Monitoring Summary Report Property Bond Summary Documentation for each Villa Point If Apartment 110 Innovation Drive, Irvine, California 92617 (949) 720.5600 A 4 ANNUAL AFFORDABILITY MONITORING SUMMARY REPORT Apartment Name: Villa Point i (Of -site Baywood Address: Ugly Apartments) 1�°�� Unit# TenantName Wdstza MoaednDate MontMjRent S Hooaeholdinomne 2a�1 C�i a-,B� 4�a3 C S�vi C,I�0 � �B, o $t �`120 a s a a73 5�3 aAK�, CxC. & L ovo 6�3`S G� 7 �37 n5L8/�-5 ' l t � C.L�U� 2�Br o� 3 $ I z � d �1�� GI00 -- 83� ..�,� c>~, ��. o� svl a ,� y $ 3?0 0----- 13 163, l� Pi c, Cap �, ct1�I a, D 3 a�5ry��3 $ 1t`1 fA��I,,D 1� 1 (ed�;E- /fit � \\ _ l i v 'FYUr.., CIO-t-.r�3v5. �B� � li j�� $ t i"�-- j � /-�r� V! V Y fwh%c; CLt-ty- a Sr b � WIN $ 2�rny° a $ a 3, 0 a 0-- 1d�1y3 ► a�;. Cod �,� CL� Br. o a -1 $ $ i o 970 -- �St a �i 9 51QD`"" 5310&0 15 �� 1 �Br. l7� g 1, -651 7b 0 00 cn m A N m m N A N d 3 O ^^pper 3lG N /7eeiA 6` e Myv M m LM ANNUAL AFFORDABtLF /+partnen�Name: Villa Point 1(i Apartments) u�it�x 1 VV, 20-ILN L� 211 5 GD�Jw ti 23—? ri 24 ova 25i�j 2T��+?� 2z Ill QoSsee,� I �a/`Me.r. D m LI 9 IRVINE APARTMENT COMPANY BOND SUMMARY APRIL 2007 MOVE -INS APRIL 2007 RE -CERTIFICATIONS BAYWOOD APARTMENTS Affordable Housing Agreement- dated November 13, 1990 LOW- Villa Points T. RESIDENT NAME $TTP FLOOR SIZE #OF OCC. MOVE IN DATE MOVE OUT DATE HOUSEHOLD INCOME RENT RECERT DUE 61 Veera 2+2 2 7/20/02 $52,097.00 $1,185.00 4/01/07 81 J3'1 Lindahl $637 2+2 4 4/09/02 $29,000.00 $1,275.00 4/01/07 5 Heili 2+2 1 8/11/90 $46,000.00 $1,275.00 4/01/07 23 Stull 2+2 2 6129/91 $24,273.82 1 $1,275.00 4/01/07 333 Cotta 2+2 3 6/18/05 $49,000.00 $1,392.00 4/01/07 337 Reese 2+2 2 6/23/96 $56,400.00 $1,275.00 4/01/07 344 Francis 2+2 4 9/23/06 $38,000.00 $1,392.00 4101/07 345 McGowan 2+2 2 8/31/04 $13,992.00 $1,170.00 4/01/07 352 Philli s $352 2+2 2 10/13/00 $15,635.00 $1,225.00 4/01/07 356 Sisson $410 2+2 3 7/06/91 $23,000.00 $1,275.00 4/01/07 13 Cole $237 2 10/09/97 $10,980.00 $1,240.00 4/01/017 56 North $106 2 3/15/07 $5,555.00 $1,255.00 4/01107 t743 Hicks L2+2 2 4/.13/97 $20,648.0083 Melgoza($330) 1 6/14/90 $10,200.00 $1,230.00 4/01/07 MEDIAN- Villa Points # APT. RESIDENT NAME $TTP FLOOR SIZE # OF OCC. MOVE IN DATE MOVE OUT DATE HOUSEHOLD INCOME RENT RECERT DUE 335 Poulson 2+2 2 11/07/05 $18,500.00 $1,487.00 4/01/07 346 Costa 2+2 10/31/03 6/30/07 $1,487.00 4/01/07 347 Mayfield 2+2 2 9/07/05 $45,600.00 $1,487.00 4/01/07 517 Galbasini 2+2 3 2/25/06 $53,000.00 $1,560.00 4/01/07 666 Alsharafi 2+2 2 12/15/06 $55,760.00 $1,487.00 4/01/07 735 Mathre $1170 2+2 3 4/01/07 $30,245.00 $1,560.00 4/01/07 744 Jones 2+2 3 8/24/05 $35,000.00 $1,510.00 4101/07 745 Ha hi hat 2+2 2 9/10/06 $25,000.00 $1,487.00 4/01/07 782 Khan 2+2 2 4/17/07 $40,320.00 $1,487.00 4/01/07 838 Gomez $1175.75 2+2 3 5/29/04 $50,600.00 $1,537.00 4/01/07 912 Scoffleld 2+2 3 12/01/05 $52,000.00 $1,560.00 4/01/07 913 Kawai 2+2 2 12/16/06 $48,000.00 $1,487.00 4/01/07 915 Ha hi hat 2+2 2 10/31/03 $14,400.00 $1,510.00 4/01/07 917 Sassimi 2+2 10/31/04 6/27/07 $1,487.00 4/01/07 Total number of apartments on this property: 556 # of property deemed Income Restricted (Low): 14 # of property deemed Income Restricted (Median): 14 TTP = Total Tenant Payment (Resident is: an Employee; on Certificate/Voucher) E VILLA POINT I (OMsite Raywood Apartments) Unit No. a k 1 CERTIFICATION OF CONTINUED HOUSEHOLD ELiGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation mulct be obtained.) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned Is/are the only income earning occupants) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income* of the undersigned individual(s) was $ 5240CI 7; and, 3. During 2006, my total mo ly rent payment to Villa Point I (Off -site Baywood Apartments) was $ per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Offsite Saywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(s): Name Age Signatura(s) of income Earning Household Wmber(s); Lj6i fne�tu,B. VILLA POINT I (Off alte Maywood Apartments) Unit No. 4 2 1 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (Tor tenants not in possession of a Section B certificate or voucher, Income documentation must he ol)tained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that 1. The undersigned Istare the only Income earning occupant(s) of the above indicated leased premises; and, 2. During Zoos, the Total Annual Eligible Income" of the undersigned individuals) was $ ; and, 3. During 200$, my total IN rent payment to Villa Point I (Off -site Baywood Apartments) was $ D Q per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided Information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, Califomla on the date indicated below: Names and Ages of Non -Income Earning Household Signatures) of income Earning Household Member(s): Membar(e); Name Ago sl�yl0 -7- Sigralore ,fir. f�rvns 1 r sianaruro n Oats: 7"' . HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: Rh_Q_ L,,v, J" l Rental Address: R et-ut Wood D/, Tenant's Phone #: 1. Amendment to Housing Choice Voucher Contract Subsidy # t o355 Owner's Name: 711X_p Ra ux //i4»S Mail Address: gewwood Agent's Name: Phone #: The current Contract between the OCHA and owner dated on %- /0 0 shall remain in effect except for the following: A. The total rent shall be $ ly,31,5 per month commencing 8 f 200__�_-. B. Of the total rent, $ shall be payable by th Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and$ Z37 shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent B. Previous HAP $ 1 3 % D. New tenant share of rent $ 37 $ 6 3 ? E. New HAP $ 72 P C. Previous rent to owner $ 27C F. New rent to owner $ t'_f 3 t —r . Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY l-0 Rental Assistance Representative Date OWNER m .-�Y'✓%fLQ, (.d'��Q'Y%c i�//7cv�v( (�r+�INi!/kC�, ,,AA IGS. i67r/9rfWU Official Title Date b.F01 S-AmendmentHAP 0 VILLA POINT I (OMsite Baywood Apartments) Unit No. 3 15 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tcnanfs not in possession of a Section 8 certificate or voucher, income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, l'��jj�� 2. During 2006, the Total Annual Eligible Income of the undersigned individual(s) ;,lT m was $ &0 OM : and, 3. During 2006, my total monthly rent payment to Villa Point I (Oft site Baywood Apartments) was $_ per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, Interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Waite Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Apes of Non -Income Earning Household Member(s): Name Age Signatures) of income Earning Household Membor(s): Signature 6ignefa,e • •1 ViLLA POINT I (Offsite Baywood Apartments) Unit No. 3 2�3 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of it Section 8 certificate or voucher, Income docamentxtion muat he obtained) Me certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned islare the only income eaming occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual -Eligible Income" of the undersigned individuals) was $ 2 -2 ; and, 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ l 2"? S', oo per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, Interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disabiitty pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off4te Saywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, Califomla on the date indicated below: Names and Ages of Non -Income Eaming Household Membar(a): Name Age Signatures) of Income Earning Household Member($); �( signetwa �� — Date: ✓ ' / b-�i HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: J_,a i e S�w( I Rental Address: q�� �eet e i Qa lug D Tenant's Phone #: 1. Amendment to Housing Choice Voucher Contract Subsidy# Owner's Name: m Mail Address: 1 a cn u ncJ � �12a l) Agent's Name: Phone #: The current Contract between the OCHA and owner dated on ! 2 " 16) U3 s all remain -in effect except for the following: A. The tG4,1rent shall be $,( per month commencing 200 B. Of the total rent, $� shall be payable bye Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and $f shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent $ 533 D. New tenant share of rent $ 5� B. Previous HAP $ & ;q E. New HAP $ g Z� C. Previous rent to owner $ 1,142- F. New rent to owner $ . Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY a Rental Assistance Representative OWNER M �0 7= Date 001.Po15•AmendmentHAP ViLLA POINT I (Off site Maywood Apartments) Unit No. 333 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIEILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point i (Off -site Baywood Apartments) that: The undersigned Istare the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2006 a Total Annual Eligible income" of the undersigned Individuals) was M11 &M ; and, 3. During 2000, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was ffi per month. " Total Annual Eligible Income Includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of pedury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Earning Household Slgnafuro(s) of income Earning Household Member(a): Membor(s): Name n )L� C� c Age 4 V 5 9 re s�ear� i • VILLA POINT 1(Off site Maywood Apartments) Unit No. , 3 5 CERTIFICATION OF CONTINUED HOUSEHOLD E1,1G1131t,1TY (For tonants not in possession of a section 8 certificate or vaucher, income documentation must be obtained.) I/We certify to the management of Villa Point 1(Off--site Baywood Apartments) that: 1. The undersigned Ware the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income* of the undersigned indivldual(s) was $ _14 w-(. ,o-0 ; and, /L -. 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ i `b i s c m , 0'-1 per month. " Total Annual Eligible income includes, wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above Indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Earning Household Signatare(s) of income Earning Household Momber(s)i member($); Name Ago ClAOAAoA�--CL>A �2�uk-B '-�' 51gf121Uf0 Signature Signature Rate: VILLA POINT I (Offsite Raywood Apartments) Unit No. 3 3 :?— CERTIFICATION OF CONTINUED HOUSEHOLD ELIGISILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: The undersigned is/are the only income earning occupant($) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income* of the undersigned individuals) was $ D 0 ; and, 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ % 7 S : per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information In the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below. Names and Ages of Non -income Earning Household Member(s): Name Age Ni 9v4 G 1M'✓'C J '�"'Jr� c'c,- Aest -Lil b-o I-n Signatures) of income Earning Household Membar(s); Data. slynature s�eaiure _� siWrema 0 0 ViLLA POINT I (Offsite Saywood Apartments) Unit No. 3 44 y CERTIFICATION OF CONTINUED HOUSEHOLD ELIGISILITX (For tenants not In possession of a section t; certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned islare the only income earning occupants) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income* of the undersigned individual(s) • was $ ; and, - 3. During 20015, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 00 - per month. * Total Annual Eligible income includes; wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire e!!ctrsrice�. The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Earning Household Member(s): Name Age Signatures) of income Earning Household Membor(s); 6lgrmnma - 11 VILLA POINT 1(Off site Saywvood Apartments) Unit No.3ys CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupants) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income* of the undersigned individuai(s) was $ ;and, 3. During 2006, my total monthly reontep ent to Villa Point 1(Off--site Baywood Apartments) was $ ear nth. ��Wa,,.o " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, not Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation .and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Mile Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date Indicated below: Names and Ages of Non -income Earning Household Member(s): Name Age signatures) of Income Earning Household Memboe(s); Signature �� 6lgnetaN 05/06/2007 22:19 9496447225 BAYWOOD PAGE 01 • • NOTICE OF INTENT TO VACATE The undersigned (whcthcr one or more, "Resident") hereby provide notice to Landlord that Itwe Intend to vacate the below apartment , (" Premises") and to terminate the Lcasc for the Promises on or before 11:59 P.M. on The'Wacate Date" specified below. The Vacate Date is a firm date and is at least thirty (30) days from the date of the delivery or service of this Notice on Landlord, Name of Apartment Community: .w o � &Qa & � X. Addramit -94 Li I&Jc'f •-+. J,_ rt, e. �n.e Coxrt cloy+. Ck Vacatcpate: �Lt — -'VIC Rent Responsible Date (sec Section I below): i—a✓Lcasc Break Option '+� Rent Responsible Resident expressly understands that the effect ON1143 Notiw will be to terminate the Lease and Resident's right to occupy the Premises as of cite Vacate Date, and that if Resident fails to vacato the Promises by such date, Landlord has the right to institute legal proceedings for unlawful detainer against Resident to recover possession of the Premises, As well As damages and attorneys' fees us provided by law or in the Lease. Resident acknowledges the following obligations under the Lcasc that apply to Resident's surrender of the Pmmses: 1. Rent. The Vacate Date is the data Resident will vacate the Premises. The "Rent Responsible, Date" shown above Is the dale through which ilesldcnt I$ routimeiblc to pay rant under the Lease, ltor exmnple, if the tort of Resident's twelve-month Lease expires on June 1, 2002, and Resident gives this Notice on May 15, 2002 that Resident intends to vacato on June 1, 2002, the Resident will be responsible Car paying Rent to and including June 15. 2002 (even though the "Vacmc Date" is June 1, 2002). 2. Indemnity. Resident Is obligated to indemnity Landlord from Any less or liability (including, without limitation, claims by any succeeding resident as A rustic of Resident's failure to vacate) incurred by Landlord due to Resident's failure to vacate tine Premises by the Vacate Date. , 3. Iraincotion of Promises by Landlord. Landlord may, upon masonablo notice to Resident, enter the Promises prior to the Vacate Date to cxuntinc the same for the purpose of making repairs, or showing the Promises to prospective residents. 3, v"""en mate Before End of Lease Tcrm. Resident acknowledges that Resident's obligations for payment of rent and other Amounts will depend upon whether Resident signed a Lease Break Addendum at the start of the Lease: A. Net case BrcAk 60dandum. If Resident did not sign u Lease Break Addendum at the start of the Lease, Resident is responsible for (1) payment of rout until We expiration dato specitod in the Lease, or until Resident's apartment becomes occupied by u new resldcnt, whichevor occurs first, And (ii) reimbursing Landlord for any concessions provided by Landlord At the start of lho Lease If tto upartmcm becomes occupied by a new resident prior to the end of Resident's slated lease term. D. Lonna Wank Addcndum. If Resident signed a Lease Break Addendum At the start of the Lease, Resident is responsible for payment of the amounts specified in the Lease Break Addendum on the data thirty (30) days prior to the Vacate Date. The Amounts in tho Lease Break Addendum cover mat for the Resident's last thirty days In the apartment, the Lease Break Pce, and the reimbursement of concessions provided by Landlord At the dart of the t.casc. 5. It f d f cut Itv Lamnsit. Resident acknowledges that, to the extent any portion of tho Security Deposit is unused alter cleaning of the Premises S and sutianieton of. other Resident obligations under the Lasso, landlord will refund the remaining balance by Joint check payable to the norms of the Residents shown on the Lcasc. The check will be sent to the forwarding address provided by Resident below. • please ebeck reason urost applicable for your erove-oulr , Job Transfer/Relocation Purchased HomdCondo Renting ante/Condo crsvnul Reasons Root IttoreasdPinuneial _Need Moro Space Unbn with Community) anugament Itoommate Situation Other. Transtbrre Other IAC Property —Name: �5 ff Residents atrest sigh in order for tJrts notice to be considered e/)`ecfipe. R sldent Print Name: � ♦a>� s•r� Print Namc: Print Name: Print Name: Print Nama: Print Nome: Receipt of Notice Acknmvledged on behalf or Landlord: Print Name: Forwarding Address: Telephone: Irvine Apartment Communities, I..P_, a Detaware limited partnership By: The !ry ,o comtpa�nty Apar cnt Communities, Inc., its duly authorized agent ")'1� u.')�1ti•(7111�(� Date of Receipt of Notice: �Cr U Pint Nam-: aC (Rev. 3/04) 06/06/2007 21:58 9496447225 • BAYWOOD • PAGE 01 VILLA, PCMNT II (015,a a Bsywood Aparlrnerita) Unit No. '�y -7 CERTIIFICATION OF CON71NUED HOUSEHOLD 9LIGIRIi 1TY 0ftr Mrarsle W is pobealaa at rsatka! oe,Hftat>e a vrrciv, I%CWa 4QWMIQtdlen mrRt he abbdacd.) I/We 0wW to the managemn t of Vella Point i (Off -site Baywood Apa rtrlents) that I. The undersigned Ware the only income eaming occulami(s) of the above indicated leased premises, and, 2. During 2DO6, the TQWJ Annual Eligible income" of the undersigned Individual(s) was $y5'. WO.0V J and, S. Durng Mt my total irlolrltity lerlt papWM to VWa point Koff -site Baywood Apartments) was S /!-/ 9 7_. 0 v per morn. ` Total Annual PiRpie Income klcpl = we^ lips, ovsrtirrl% bonuses, ommissions. net Inoome from a business or rented property, i4arest and dMldends, sooM seouAty payments, rellrament fund or pension ptif "ats and dishudians. dIwWly bane ts. workers' compensation and disability Pay, esveralee pay, al many, ehld support, all regular and special pay end aliowenees of a member of the Armed Forces (m fix*tdo hosirs for altwor s). The urrdernigned adulowledgo(s) that Vpia Point 1 (Off-Gife Baywood Apartments) and the City of Newport Beach are retying on the siccluacy of the provided information In the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which rostrksts the rents cdf� for occupancy of the above indicated teased premises. The undersigned consents to the de" of a copy of this Certification of Controlled Household Eligibllfty to the City of Newport Beach. This Certification 1s made under penalty of perjury in Newport Beach, CalftWol on the date indicated below: rams &W Apra of Mon -kW oma Earning Humhold slgns*4 (s) of inoorrra Fw"hig HousahM Mambarts)r 1lnrrtrar(a): Nara Ape 9 0 VILLA POINT I (OMsite Saywood Apartments) Unit No. 35a CERTIFICATION OF CONTINUED HOUSEHOLD ELIGISihITX (For tenants not in possession of a Section 8 certificate or voucher, income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income* of the undersigned Individual(s) was $ ,E �, and, 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ per month. " Total Annual Eligible income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental properly, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of pequry in Newport Beach, California on the date indicated below. Names and Aga& of Non -income Earning Household Signature(s) of income Earning Household Member(s): Membor(s): Name Age Slgnaturo signature G1WW M HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name ' r I Rental Address: .?.Sow _ I AM w L. Vi Tenant's Phone #: 1. Amendment to Housing Choice Voucher Contract subsidy# 3111r Owner's Name: %5 Mail Address: Rat. l..Arvcl Lip Agent's Name: Phone #: The current Contract between the OCHA and owner dated on / 2- shall remain in effect except for the following: A. The total rent shall be $ 3 per month commencing 200__�_'. B. Of the total rent, $ q6S shall be payable by the Public Housing Agency (PHA) as housing assistance payment (HAP)onbehalf ofthe tenant and $ 3YE_ shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated, in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent $ 3y. 7 B. Previous HAP $ q?—fl New tenant share of rent $ 3V ,�— E. New HAP C. Previous rent to owner $ _ F. New rent to owner $ 31 U Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY M Rental Assistance Representative Date OWNER M 37'�-2,5- �io6,7' Date /xl b.F075•AmendmentHAP VILLA POINT I (Off site Maywood Apartments) Unit No. 35t CERTIFICATION OF CONTINUED HOUSEHOi.D MIGISILITY (For tonants not in possession of a Section 8 certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point 1(Off--site Baywood Apartments) that: 1. The undersigned isiare the only income earning occupants) of the above indicated leased premises; and, 2. During 2096, the Total Annual Eligible Income* of the undersigned individuals) was $ - and, 3. During 2006, my total mo Jy rent payment to Villa Point I (Off -site Baywood Apartments) was $ per month. --TIT) V-(T Total Annual Eligible Income Includes, wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Oftite Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Cert'rfcation is made under penalty of pedury in Newport Beach, California on the date indicated below. Names and Agas of Non -income Earning Household Signaturs(s) of income Earning Household Member(a): Membar(s); Name Age CAS/l`G .s/,�S ary ~ ro sra�a;� �G,[�'' signelan# Date: `% /� HOUSING AND COMMUNITY SERVICES DEPARTMENT 1770 NoOthRBrNGE COUNTYoadway, Santa aaHOUSIN AA 2HORr42 ,04.57j Subsidy / Tenant's Name 2S(,c.e S/�Sim�t 7 7� Rental Address: _3Sb 15,.,, .. _ ,_ / /\ Owner's Name — � " Mail Address Cal »1 d Tenant's Phone #: Agent's Name: Phone #: 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on except for the following: shall remain in effect A. The tal rent shall be $ 200, per month commencing B. Of the total rent, $_� shall be payable by t Public Housing Agency (PHA) as housing assistance payment (HAP)onbehalfofthe tenant and $ I t) bthe tenant. These amounts shall be subject to change by reason of changes in the tenant'sshall family ncolmey. HUD established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. Rental Adjustment A. Previous tenant share of rent $ 7 i2 B. Previous HAP $ e63 C. Previous rent to owner $ 2757 D. New tenant share of rent $ ,-//p E. New HAP $— F. New rent to owner $ / 34 S� Owner shall attach a new completed and signed rental agreement. IANGE COUNTY HOUSING AUTHORITY Rental Assistance Representative Date 15•AmendmentHAP OWNER 1rv��cc 1 o By mr�rJ sn-w� vmciat I ttfe V Date VILLA POINT I (Off -site Saywood Apartments) Unit No..5 / 5 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, income documentattnn must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that 1. The undersigned Ware the only income earning occupants) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income* of the undersigned Individuals) was $ D29bf ; and, 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was.$ n'l 3.x.. '� per month. * Total Annual Eligible Income includes, wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification Is made under penalty of perjury in Newport Beach, California on the date indicated below. Names and Agas of Non -income EaSignatare(s) of income Earning Household Member(s): "Membor(s): c m Name Age Stanflture ~� ftnatum Oetef 2 HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: Y t %/I a vt &I P Rental Address: q� 5,13 &gW06J t �. gZc6z Tenant's Phone #: 1. Amendment to Housing Choice Voucher Contract Subsidy # _ �►►►���695 Owner's Name: Mail Address: Q t4 wodc/ blk_ Agent's Name: Phone #: The current Contract between the OCHA and owner dated on 42 — X- 0o 3 shall remain in effect except for the following: 3Z5— A. The tal rent shall be $ per month commencing 0 200. B. Of the total rent, $ lr 198 S shall be payable by the Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and $_ Z3] shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change, shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent B. Previous HAP $ 2.37 D. New tenant share of rent $ Z37 $ 100 E. New HAP $ Jd t4- C. Previous rent to owner $ /2YO F. New rent to owner $ �3Z� Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY z Rental Assistance Representative By Official TI '_6-30 -200E- Date b.Po15•AmendmentHAP VILLA POINT I (Off••site Maywood Apartments) Unit No. 51 CERTIFICATION OF CONTINUED HOUSEHOi.D ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentatlan must be obtained.) I/We certify to the management of Villa Point I (Off -site 6aywood Apartments) that: 1. The undersigned Is/are the only income earning occupants) of the above indicated leased premises; and, 2. During 2006 the Total Annual Eligible income* of the undersigned Individuals) was $ O 0 ; and, 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 16 (aZ • C)C�er month. Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Offsite Saywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date Indicated below: Names and Ages of Non -income Earning Household Member(a): Name Age Signataro(s) of income Earning Household Member($); Srgn9etle. Gate: VILLA POINT I (OMaite Saywood Apartments) Unit No. _b6, CERTIFICATION OF CONTINUED HOUSEHOLD ELIGISILITY (For tenants not in possession of f Section 8 certificate or vancher, Income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned istare the only Income eaming occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income" of the undersigned Individual(s) was $ t h �' and, 3. During =$,. my total on i r renLpyment to Villa Point I (Off -site Baywood Apartments) was $ per month. ` Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification Is made under penalty of perjury in Newport Beach, California on the date indicated below: /1 Names and Agas of Non -income Earning ousehotd signatures) of Member(s): Mamber(s): Name Age sipnatrrre r arWe oats: /5 6 HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Subsidy # L774LD Tenant's Name: fill W tit I1ID 4k Owner's Name: Rental Address: Lgx. 9J Iwo GZ�i _ Mail Address: Tenant's Phone #: Agent's Name: Phone #: 1. Amendment to Housing Choice Voucher Contract The current Contract between the OCHA and owner dated on 2 � __d shall remain in effect except for the following: ! 3�y A. The total rent shall be $ per month commencing 200_�_—. B. Of the total rent, $_%23 shall be payable by the Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and $shall be payable by the tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent $ /d 6 D. New tenant share of rent $ AA) B. Previous HAP $ t 141 E. New HAP $ - -7 C. Previous rent to owner $ F. New rent to owner $ 3 Ty . Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY Z Rental Assistance Representative Date OWNER ZrV14 09-MR40N 47 ' (IYKT"�'6f By 0M� Cvu. 513 Official Ti Date U W,F015•AmendmentHAP VILLA POINT I (Off.site Maywood Apartments) Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income docamentation must he obtatned.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned Istare the only income earning occupants) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income's of the undersigned Individuals) was $ �' 0- �Y3 ; and, 3. During 2008, my total monthly rent payment to Villa Point I (Off --site Baywood Apartments) was $ �---Do per month. ` Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distnbutions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of pedury in Newport Beach, California on the date Indicated below: Names and Agas of Non -Income Earning Household Member(s): Name Ape M I'm 4jd','A. " 4 Signaturo(a) of income Earning Household Membor(s); Date: sienama • 0 VILLA POINT I (OMsite Maywood Apartments) Unit No. 7315 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGISILITX (For tenants not in possession of asection a certificate or voucher, income documentation must he obtained.) 1/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: The undersigned islire the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income" of the undersigned individual(s) was $ JO ;and, I 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ od _ per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces -{to exclude -hostile fine The undersigned acknowledge(s) that Villa Point I (Offsite Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above Indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Earning Household Signataro(s) of Income Earning Household Member(s): Membor(s); Name Age Let &tkr , tI Olt;'P� - _ .�CattlduM Y /per � Whi7iabs-��' _ INCOME COMPUTAT[ONAND CERTMCAMON ndmTUAPARuAwrowNBH: YLLiotmisdafgoatedWaulrt3ouinoomputlnBAmwltoo�mefokcadmoewt6i6a . - medodaetbedikduDepartmeatofl3oudngaudthbmPmled(7dUD'ResaLtiom(24fSt1E813} YouabooWmiUeattak _thodarformbatdltlmauptodeawWtheRTMRcpMoneAUapUaIIzaite&uiodb7.xck 4harothometftet, _ - fadktlu $egu4bryAsraemmt � - _ Biywood Expansion - _ - - vwed>e�ma�oea�axmnvwebar<n.amaiorwr�any�a�aax�prnoo.uyarhofine�nowh>sQ�raow�,r,n •jhMtLtm3d grotoo retwo Pyffmthe t��'pplloaforbdeabowapacim AroleG.LirtedbelovruedtetumetofJlpmou A 3. _ A. w6ofMem6m - - _ - Of me _ wRadof - - sod rsocuriw Pk%of - • Flomdald _ _ Hooaehotd Ap- 11®bgr _ �lormmt - " rroa ��� I i FT \�,r�-�1.�� 'lir%UMIi..:. 1i.�r �� �•�1� r14' �fi �'•� .n u�,N\J �- • rucomecompatation . flu btdaotldpated kmme, nlwl.tedkaooadaaoewhh dii pan8oph6.ofaUpataee(=Vt&3drmmdirl3 - yeaa)htodabona11 for9,an�y od bgimio8dUafd e eaoe date dattAmplUb rem him as kordBaa lewforaunUhs t-`-� Lam' •t=i `'A . lacbded isthe bhl sadcipaw iaoome udedabove L-C (a) aUwasa sod nrafer,oWrtrue pay,00mmGatoar,foea, Np todbanuea a ododrroompmulim for patood aerviom b efom payto8 deduceloop (b) dopataooma tiomthe opaa4an afalwiam orpofadonor5owthormWofmd orperaarl pro" ' (wUhourdeductin q�mdttumafarhiutoew erpaodoaaramwYtaWaofap(nl todebmdaeraaay eIlownra for6rpcwkd=ofooptW went . (e) ktaMaodatddao&(malaft Incom &maadr kdudedbeloriaadodernet bow eomred or . paaoatlproped" (d)• die IAantantotpedodkpaymeatereceived komso" lecaby,Wmohla,kaaaooapalletee,mHr��mt dmda,pmtbAdfrabirdyocdowhbeo4wand odaahaUar'typea,ofpaiodta.r wV;kdxwswimp aampaymmt brthedefayed atatt otaperlodtopayrmoq (e) payh Sn Rwofcarakse, aoahaowwploymwAxvd&nbUttyooupamddoo,wmtm'oonpmu6n aaondd S.mrsooepay, . (q thomarhmaaonuotofpabUoardW000awlMlolodwabovesrxmoderthaalbeamouaofiay ardct om rpod5c&Uydedgated brdwh raoduM tieq W and �reodradffompaaooao mm��aS nppatpaymmta aodreguUrooahWatlooa . (h) •dUrMdwpoy,apocWpayaodsUowsamofanumbaof6uArmed Pmm(%bcdworadt Uvbsk6a dweW*Yibofi behadofdwhoukUWorapouae:irA (q wyeamedbometacuodttbde—daNitexoeedakcwietaxuabNry. &dtded flanaveh aaddpabahuwaa om (b)amouo4wMehvpapedBaUyixarktdmbmacmmtotmedlwlcgmmq, (o) hed6mada0Wanthu lamand maatlota,apWlsaka aetdemwtfarpaamala Ptopawt W amaaohoreauatimdwbotuohkwpaiddkeedybdeabdmtordeodantlaoalk ogaodamuan paWbydesorantrcottoavetetmhxwekmeettasdeaoaunttatdpo;t'oa;booto;aodaquipmmt. Any • amooahofntdtdwlatshiprarpaymmt.bvcdetParmtwedfor6tadrarepuafaaaarebbekelododh (e)' bawdous dulypaybihoumbow"akdeAtmedFapet who Ismyffomhotmand cgmWto f9 rakcitionpaymmbuoda'15tlaIIoftlufialfoimltdoeatkaAaittmoe'mdRaalPtopatyAogtdddon Polhda•Aetottm W 6ubrehl(dare'paymeatr, , M 60Won ofcoupon al(o4ttenttunder deFood it"Aetof1977t •(p paymmtrbwlmtanUnder & Domestic VoluotaaSavlaeAct of1973; (n i�om dedwdGomaardwAlU KMIWCklmtSoulemmtAet; . (It) mamlicalWofdoMud Aft thankheldkffuafliroatakkdim •.(!) paymmLanailowaaoormadeimdadeDopaitmmtoCHaalthmdliwtmSavlw'LominooateHome :Ikap�AsdammPmstao>; . (CO PrAndmochredfmmthe7obPutuatrhipUW4Aet; (a) . i mmederivedffomdedi"eSonofEmdtbfdaormdRiverBWofotbrealndtmgand (o) die ftftWofpaapkdutaradndfbmjudsounedA" warledbydelmdlam0*w CmawonofdeCourt bfcbmaorf mbewintentformkdimtribebydeSmwyofkeeddr. _ 7. Do the pa (a) have: neca ma or oontabmima ue btoludedIn item6abova 'bond; iiquiyin red properWor adwhimofapial btvatmzt(extlndmg thelaluer of - - aohatptopatymeh «HuuMciandmmmDUct and #nterau bi bAM hurt Lnd) _ N4 or myuadaaothertaaiNfotalonunorbmCytale) during tlu)uitwo gankl«r _ (6)aboveitY doer the mtob "Liwtlaeofttlrich &so*owned or ' fb ill iaehpetanrmgl mode QunfS.000a . Y«Io• o y -(d)Uldw&afMio(o).bovetsYa ruts: _ - (1) Haamblmdtobdvduoofailetchaadu f . (2) dta m untofimomeeVKwdtobodahedframnwharxuiadwl2moothpetiodbgbtingoaked*of bytiaioow(Loeylntbeim&thrtyauprol+oaemtetibf - •.Ind _ _ (37 ihowwwtofmchbcwi ifaay,*Uwubdudedinittm6abovaf�_ _ _ d. (a) WtU aU 4upeomil6ted to ahmttl,abovrola abavtbeeafUfl:tune tludeatdu®gHve(S)aladatuanduaf- thLaQmdatyaratmeduyaHoaallaitltutIaa(oH�etthmawa«pmdmce aclwap wldr tegularHvadtytod dudmuT _ Yes L No, . (b) oideenh CCSeanrnera Oaaflogmir-yM-I.£tmyv hpawa(o&,& maaiadtndeLgOelebfdaajoint fedeni btoometax tetuxtia7 Yes 9. jffiawHHateittmdewidL&cimdwlodpdmtitwtllbareliedu(a4bytla0w=todeb= . eltp3tfdyW'ocapytbeuolt;mdlftwderLmtbatalltofattmtimwttattbhaeiaittmgoa 6foior�Honlhve deem teUabb aoidutdatwomentofk w6ciprted Imome is " and b"ed 10. YV*wMudA eOwnccin�cd mlofmm.Hooa tr y obtaiamgtuly tequimdto vetflytlai . fneludmg ebfaambtoome'vaitteatim Hmntaytowpeaeatempbyet(a)wc*a offulad to>ondhteb'peadiofaiaaituyran . I Ma wbwwkdgedut all ofine Uragobtg k5masmit tdevmt In twkdas Warfedend intaatmbondriauedbfmaooadw ofthetpattrneotbokftfwwbie . made. We000tmtto da di twm ofauchbtfatmationto the 8aeaofsuehbeodt,dab" muse ruing m du:k bdW and toy vAhmiaed agent of the TreasuryDeputmeat or britmal Me desLte under pmaWofpe*uy&ddoHm ping ithueiadwaect. . Huadedtldt .l • dayofLLIJ�j 20 AFPHcMd (Stgoahna ofaH pamoa (ae<pt cSHdmuonder da age of Hyt=) listed i tumiba2 abovetequhed) r-- urvm y.vsyrmna - IN"Mft - WWI 52 - 24 2I 12 F SLUM S Av San Wo SorAlo kW[ AY Yo Totel $ _$ JVVa!>Y FXW V1�.. V aY> AvmwAmal 62 u 1e R 1 AN& 6MSate # SIMM S AVNM=wjbn W[ StaMY 4W[ AY Y[ T[tw $ =$ $ =$ -. Total Box B $ Iversoe Amd FMh Arm IMetnl 62 u 12 1ri A InWX SA W 16# Toul is =$ Total Box C $ ^ •,•• FM*A AMIh # St[[ce ImNto $ $ Av Ian kow Total =$ r-52—F W[ 24 sraft 21 WWI p hM I Y. $ _$ $ _$ Total Box D $ TOTAL ANNUAL GROSS INCOME A Through D $ + YI h°> aft � � � v ] t � ri;i,�,>f `• �uf[} �( �^> •� K- - ca[tleatcm {{}} 2{' :e••^ WIr AmbVA* ft/ 2il�lay(4' AcOM 'MegetA[b r�r±�2s, FF 'rJ $ rf -! 4. AcaMAmuY haM rM Amts 1AM�i Amtuwtthn [ chit otxA rtal A� Irt CroM/FaFAIct Va[a $ $ _ $ % $ % $ o $ % $ % $ Totals Box E: I $ I Box F: $ ._- Income Income from Asset IMPUTED INCOME FROM ASSETS Box G:® Effective Date: If Box E exceeds $5,000 multiply Box E by the current Type of Program %: 1 dt :.,.^ passbook interest rate: x�% Unit No.: 3S Umt Siu:.�-k If Box E does not exceed$5,000 enter-0-' BoxG No. OfpersonS: INCOME CONTRIBUTED FROM ASSETS Box H:® WI: ✓ Max. Income Limit:lD Enter the greater of Box F or Box G AR: 140%Limit: TOTAL ANNUAL INCOME $L i " + TOTAL ASSETS $ _ $ i 2 �� :.,•. 08/02/2007 =.I _, D0059374 .I1J y p,l � II TK IRMNE WWAW APARTMENT COMMUNITIES - - _ - - 1101nnwationOme.lrvine. CA 92617 - _ - _ I✓1 _- _ ADVICE OF DEPOSIT - NON-NEGOTIABLE - - $744.72 L=; HDO0100 40-165' 554A-1-359 LEE A. MATHRE 237 QUAIL MEADOW #237- _ - IRVINE, CA 92603 = NON-NEGOTIA13 E (' -y ,_I. .,;I•Jd.!uriSUiAEtlf ilAi.ul:i:.i.C:u 1. tl,:iEsn:.i-: :.+'fi.93:.Le:. i17LJ:Pf:N1Al!Gf.c'f7'/!cY'/YYi!�P!L'i!3Ditb!1 (iIE-etlJJA>_hl`ra l'Lm .t- REMOVE DOCUMENT ALONG THIS PERFORATION Employer Id Social Security Status Exemption/Allowances Number LEE A. MATHRE 101771 X70(-XY.-1456 Single -US-0/0 CA-0/0 00059374 code Pay xroup Division Department Him Date Period Start Period End Pav Date 2 40-165 10/12106 02/12/07 02/25/07 03/02/07 IAMC •0100 Earnings Rule Units Cuaent Year To Date Paid Time Off Balance Regular Pay 11.0300 80.00 92.40 3684 u6 Floating Pay 3.07 Wartime - 1.5z 16.5450 - 0.18 2.98 63.60 Sick Plan 0.77 30.77 SickHoll Pay - - ' 33.98 Vacation Pay Holldev Pay 11.0300 8.00 � A8.29 _ 344.48 Pill Bonus - - - 175.23 36.OD Direct Deposit Accounts Amount Ortly Economic Occupancy Bonus 44.00 Checking - 1205242276 744 •?2 Sublective Bonus Quarterly - Total Gross 973.62 4381.95 Current Year To Date Taxes Federal Income Tax 113.60 " 526.45 W2 Gross Wages 685.62 4327.95 Social Security (FICA) 59.25 268.33 Federal Medicare 13.86 62.76 California Income Tax 18.L 76.67 California State Disability 5.74 25.97 Total 210.90 960.18 PreTax Deductions Pretax Medical Plan 16.00 48.00 Pretax Dental Plan 1.00 3.00 Pre -Tax Vision Care 1:U0 3.00 Total 18. 00 54. 00 Net Pay 744.72 C� z,42--A"Lo Irvine Apartment Communities - 110 Innovation Drive Irvine, CA 92617 I moI '. - -Garfield Beach CVS, E.1. _ ° RO�O�D CVS 122029_122029 1 CVS Drive Woonsocket, RI- 02895- Employee ID: 0652449 - _ Tax Marital/Exemptions Sr Allowances/Addl Tax -- Federal: S/ o/ Work State: CA S/ O/ _ Res State:, CA - S/ 0/ Earnings Rate Hours Current Year -To -Date Regular - 40-DO 342.00 1783.56 Overtime 4.97 Other Earnings Total 8.55 40.00 342.00 1188.53 Federal Wages 342.00 1788.53 Tax Deductions Federal Income Tax 36.47 179.31 FICA / SS 21.21 110.89 FICA / Med 4.96 25.93 State Tax CA 4.26 20.26 State Disability CA 2.05 10.73 Total Tax Deductions 68.95 347.12 wessage(s)• Send Requests for Unemployment Information to _ 1 CVS Dr., Woonsocket, RI 02895 Employment Verification -Call The Work Number: 800-996-7566 - Earninc otatement • Page 001 ,of 001 Period -Ending. - Q2/17/2007 Check Date. 02/23/2007 Check Number: _ 05264484 Batch Number:- - -000000J08 _ Katie Greaves = 237 Quail Meadows 1CVine, CA 92603 Before Tax Ded Current YTD iot•8efore Ix lied, 6.0 0:00. After Tax Deductions Tot A#ter TX Ded 0.00' O.DO Net Pav 213.05 •• 1 <<'ti` r P" LOW MARKET RENT UNIT THE IRVINE L-)MPMY APPLICATION TO RENT S`�APARTMENT COMMUNITIES (AND RECEIPT FOR APPLICATION SCREENING FEE) Please complete this form entirely in Ink, noting "NIA" or "none whore applicable. Do not use white out, The Informlnyouprovide Communities, be vaL.P orifiod prior I Apartment ic TICAC's approval to real an apartment to you In an apartment community owned by either The Irvine Company, Commercial Properly Company (collectKely,'Owner). i' 8;a' IlcafitlHlat6•, `';:^'*tr1+alAd+i:TM ...,M;{•rp,^`l,, .••.h {. Community: 7' G P Address: NWR PAnI PgpIW l'a futl nemo(Lael, First. leads [NUB JrJSr Dab DI h Social Security Number Drive Lkends 'af/y oyf o•/ DSwUf e, .'Er,k.i,,y,:,. ...i u.d.Fl,r,J.�ru�a q•r,�,. ,Vl1.L "i NesN aeni(A"rlpirata" pg2e(bNkgrgWridJ(LOLF1111. I) PhCoaA' (Leer, Flnt. Middle lmtlol) (Last, Fl�, MAIOINg I) (Lush Fast, Middle India) thiletidl Grave % (Last, First, Middle legal) M.I.F.LM dle Wgal) (Coal. First, Middle lnlllbg Own phone*' •3N- 7j beer, AppgmnYe Proee Atld(a f: n, I E•MO�YfAtltlros2e'p L,�..,� � Fmm 9//� Pont J.I'l�iy✓li•Y/•`If•GI Ta ����• 1.13 ,try beato &I P Damchad ltur"me. AtleNed loan, home: Apartment, Monthly Payment d To whom do you make paymonMF 1 Present Leridlard's Nome A Addro n. Phone N Own Mon lldy Ferment mi., ImmaUlo/lo/Ptlor Atldroaf(Il lase lhonlyr. elyo/bo/v/na/)�/7/ Fran / Ranc L $ To /Q'% 1 /'/�F�/ o V Immetlble Prier LontlbrSa Npme6 earoas: PM1ono sPsFFtt Doymowncift? vs. IIVI No Numbarof Paid 0 TWo Bmea: Adult Pal WegM: Dote of Binh Prop... a O.Pans'.n. rest. Mlddia 111-v Dale of BlM (Lest, First, MlCdle imheg SSN: SSN (Last, First, Middle Initial) Belo of mah (Last, Flra1, Media InIIIN) DateotuMh SSN. SSN: (Lest, Fkal, Middle India) Dam of BIM (Lust, Fm MhIN¢ Inlaoll Dald of Birth SSN, SSN: 3iolE"In"lo li?efitt%;,-: :y 1". ��", "' )• "' Erepbyer (If aolbempbyod, name of bminass) Business More$$ (Including ZIP Cafe) n Phone Typo of Bull ea Pmkkn Pc&ei' aawe F. Suporvl or Phone* 044,16 Incama ryoa, ad 'Ma To Vr d en 9 Olharinmmo Source Appgcam must provide d peyelub 'Contact Immddtato Pder Employer Addross(Ihousing ZIP Code) r/ fl` 'ram Qr1f`ugJf P%�'�iy6ra� r/i dGY.Tf/ � Phone Q`D �as,2[�%� F. ad Income &'0. Mo. F 4)rl-`, ttBI1CIBIKI :'' :�:=k°J �iit6'tCx1t�'a5i :`EE'Mi •, � i:,(,w ,yit{ Checking' bank and breach(Induee ClylSlale) Me unlM SSoolenm• Sevirge: bank and branch ( Ouse CllylSlete) Account* BameCe: S Hove you over fled far bankruptcy Protect.? vm N. County ded Slate wlwm Ned: WhalyooR __ lave yw ever had a, pubhc vas MNo vventynno— record au1n, eom•ledgunmet er OnTMIENT 'E OM//MUMTTIIGS8. Reason for relocation: G/6'yz .T� !i✓/%%� 7. How many vehicles do you own/drive? / I Make 04/L 1 / yea, iy9y Lou, we• Make vs. UoMMx Note: Parking of recreational vehicles, boats or trailers is not pormitted In the Community. 8. Do you have Renters Insurance? ❑yea ON. 9. Consent to Verification of Credit and Other Information: I an making this Application vdunhriy fordo paged. of ebtallLp TICACs oppmval la tent an apartment F des' apartment Commands," above. I eckreviedpe recelvkp taw Nolke cre" nd Roff salamanders Imssdffallo d by end Roportd au edpgtlnd Is Obtai TICAC. Owner. eu Iagadvc etlke re, raw., epenM reportsNeedd ha C trtkg.rla v. tamed ee wtlN detl odor Ffonnellon pmvkW by me F Ws Application, and k obtain credit reports, 4rvesdpedva consumer roans, and burr reports from aeW rapoMg epadek-, Iendel probes to vorvke crnprdw, honks (eWsmd Appl Ncer, to v noes four. empte she eu omer...ded er andgen wed Wdenelkn rokMg to dens. welod, kalkn. I Nsoaudedso Ne TICAC Penns a ptodde Ffowellod adeleFM F Ws ADC Forme to ayl he kcal, eUle rdyr toss le ffavommanl °gentle; bYAdFY vbhad ruccusav y N-m Aw d am.Infor aton In e uuenlyd that Ol Iou. riff- apamnen4 Me TICAC PWw shoe cave a cenlFu4e dffN to reNawmy aedd Wamellon. peymeN history. coup -cry N-kry eu oma Wdenalion F We Appkadde Ice pomo-w roiled I. may Leese ands fr eccou rsavbw b ou tlukq and as be Me farm of my L--i- I hereby hlectd and bed he.[ .. The irvIne Company, Irvha Apodment Commdeldw. LP., IrvFo Commmdal PmpenY Company. The In re Company Apartment C useurilke, Iho.. au aY of their M,upocllve of mare employee and -pent-, from any and oe aabDly, kffN proceedings and wed-. IntledInp ellomay-' few, adamg out of the vedeca0de buyer we of the Inlonnalkn conWwo In W-APPacalkn. Includes the cakes. of such Ffolm°don to other pe 03 I wdnenl:1that, to the boat of f ads Aledpo, oil of the y Information can pmvNed In Jr. o 11 deter (fined top but not IMllod to the -Inherent of be Mounds far disapproval le Imo, f my Ala, rump b Of a mu cortem f of the data of Nb ere I agree It any TICAC pevlded by rm Is n provided to be Akre ouch Inlea es dayinnt hell be ccom fa dls or duall of my tenancy. I n M lannlnollde of my Lease vilM1 Owner. I opraa to notify TICAC If any d Iho Information prodder th INs pppncallon chdepw tlurbe the App5m0on process a tluMg my lotion%. 1 rho understand met TICAC vet comes Ws Appgwlkn, eWg ends any, other Information provided by me, whedser or del this Application t- approved A non-refundable Application Screening Fee of $36.00 (as Itoml2od below) le required from each Applicant to process this Application and to check the Information provided. A separate Application to Rent must be signed by each Applicant who will occupy the apartment before this Application will be considered by TICAC. AN APPLICATION SCREENING FEE WILL NOT BE CHARGED FOR RECERTIFICATIONS 3�i� ` �J�,,J� Data �^— Applicable signature I On me dale bekev. TICAC received M$ Wfrom Me urdmbncd APPirant In caneoden Wm AlTierdn' APPicaMn to Rant an sperM.nl from o Mor. The above amount Is to be been to somen AppiuNvllh Manuel Moedil Nslory One odserbackgrouM Information. The emodelchrffetl k asmbu es Idkw-: 1. midst costs of about report. uNewfd detonce,c-klkn)-Mo. debr other-cfeeang hood, 2. Cost to older process and verify screening inlolmnlled(may lncude share lMe and other minied cost-) 0 Tom foe Changed (may nor oxcaad $05 per Applicant) $7.00 $2000 55500 of Information supplied by Applicant on one Application emugh audit mpoNnff offshore-, personal reference seas and other info reulion Immune Date APIWcanIY sbwtra The Irv: a Company Ape nt Communities, Inc. 8y:� 0 B".OW MARKET RENT UNIT fTTHE IRVINE C.oMPMY APPLICATION TO RENT ( APARTMENT COMMUNITIES (AND RECEIPT FOR APPLICATION SCREENING FEE) Pfease complato this form entirely in Ink, noting "NIA" or"nono" whore applicable. Co not use while out. The information you provide will be Verged prior t TICAC's approval to rent an apartment to you In an apartment community owned by either The Irvine Company, Was Apartment Communillos, L.P. or INin Commemal Property Company (colle<Uvely, "Owner) '' Community s, S v. u Q t- Address 7 j• A I PMt Appecanyx futl nemo (Lori Fin. MWdle lNllon JUer. /�c7? scoubar odvafa Livamat v—NZ D D93725lead75aly dLl Nim0.0[to'AypVG/nb(AV8p7,ile AtlPFixaaak roou'lOdfpriaGllCoraPWhnU . ^ - - - � (LaxL Rst. MWla th dlo e (L LFht. MWdta Went W (Leal R.I. MWdb lNita) M(t;twt gee A. (L t.Mt, Mcrae Wall (LaaL FhL MWme lNltag (taal,Fh4 MMdW INaeg 1Y v iz ❑ own Plana»9`19'314-2591 (Mra Apprmantb Prmenl PWdrox �• 1 ClrLi BMoOAddrov:' Fee q/1$/f: 6 YMt, Cti1 gplp@ �Nent' Rent' To y om m Detached famlyhomo: Allachad family homo: ApedmenllED -1.0—rd s To whom do you make paymeM9 9 0 QIRAPARTANIENTr=C A PA 6. Reason for relocation: ��,�trX' V o 'c�"�nf • y� A� 7. How many vehicles do you owntddve? Make year Lkemef Mahe year Lkafaf Note: Parking otrecreational vehicles, boats or trailers is not permitted In the Community. 8. Do you have Renters Insurance? Flyer [�No 9. Consent to Verification of Credit and Other Information: I ern mekNp dgs App&atbn vdunterlyfa No ,morose of obmisnC TICACs opProvel to rent an epartmentNUwapeNnmleanmWyahavn above IedmMudpa roahHp u, Notice to Apprcmd RepmdmO lnvesVsouve Coesmnor Report eee sonars a s such TICAC, Owner• endohgoWn atlBu employees oOn apenb (coerls from , No'sICAC tirg age to vaMy an aedd yM ocher Ffmmatkai pro sew by mo N Ws Applral,n mud , ob1oN crodd repmis. NvesLgeme conssmer rePone. Bud olhtt repots tram ttudll rapodMO egaMles 1¢nenl eummut, service campnas.house (IncNtlYq ekenmde funds wassailer), employers and other peramb crammer Willlnermation relaum; to me Appfatlon Inlsomah"aNa TICAC PnNas to plavilo Mrarruagan continued h ties Application to various sal, state aalya fodenl government agmMdes, redeem, wthour Imoltatlon. various law enbueement syende, I uolorsmnd Nat If I lease Nis apartment, No TICAC Parties shall hava a conMUNg right Is revlow my email Information, poyment'Nsto , nespency history and other Inlommticn In INe Appllcolon for purposes realm! to my Lease Mercer for account nNew bath doer, ant after ihp form otmy Lase. IM1tteby rdease end noH h.I..a The Inter Company. Irvine Ablumnal CotnmWues, I.P..IrvNa CommerWlPmpody Compon TM1e Irvmo Company Ppoetmonl CanmWlba,Inc„ ant an of Nan respeouvo cancan, employees ant agents, tram My mM or insists• agal proceedings can coats, Including allwneye' foes, angle, ore of the v stramon aMlw use of me 'clamatlon centa red In Ws ApplaVos mdudh, the release of such Information to other parties I wament Net, to the beet 0 my g,Muda...10l the lofarmabon pmvBed In We ApplecaVoa ambods 9 but tout eaund to bar statement of any garmut con fiti Is M. arssrete, oomplou ant oeaecias of the iota of Ws Appikeran tf amy,famal,n prevMed by me b tlolomeNa! to be (alas, such IWse eNtament ss♦V bo,rounds fro llsepprevel of my Ppp/retbn a tolmWlwn of my Lease with Owner, 1 agree to no* TICAC a Only of the Wommgce provbed N an, Application chases dude, the Application P.11 Or dual, my leneneA I she unec slaud that TICAC awl retain INS Applkntm. along win MY Met Nlemtollon Provided by me. v'baft orr,t Vds Application b approved A non-refundable Application Screening Foe of f35.00 (tie itemized below) is required from each Applicant to process this Application and to chock the Information provided, A separate Application to Rent must be signed by each Applicant who will occupy the apartment befom this Application will be considered by TICAC. , AN APPLICATION SCREENING FEE WILL NOT BE CHARGED Data 1 Applicant. s, uto v On the data below, TICAC received los 0 lnm the undersigned Applicant 0camocua with Applicam. Appllatlon N Rani an apartment from swot. n Theesove arrant b lobe used to etteen Applianleath maatds to ere0l Nslory ant oNerbaekptdM Wameuse Thaemamlchrgudbumoundasfmlwn. Actual coele of erma upon. WmNW dalal,r (eJclbn) forma. adlor amerscrunne, repels 3700 Cal to Wall. process ant veiny sorcerers W..W.(may lerdulo stairs nee anlounr Intent web) Most Total foe charged (may rot ozcoe! PS par Applicanq $35,00 of Information euppVed by Appuanl on this Application MMWh credit reporting agendas, persouet mla man cmaa and ocher NlmmeWn source.. I r Data ��- Applkanl' agalms The Irvine Company Apartment Communities, Inc. l9/0 7 By: / 1W �� ,. • L-1 N P" L-OW MARKET RENT UNIT THE IRVINE (._/MPAW APPLICATION TO RENT `�fT ' -jy APARTMENT COMMUNITIES (AND RECEIPT FOR APPLICATION SCREENING FEE) Please complete this form entirely in Ink, noting "NIA" or "none" where applicable. Do not use white out. The information you pmvtde will be verified prior 1 TICAC's approval to rent an apar nenl to you in an apartment community owned by either The Irvine Company, Irvine Apartment Communities. LP. or Irvin Commercial Property Company (collectively.'Cwnof ). s Community. Andreae J%e? Air- +W :T7 TS' pMt Applcam's fulnamo (Lust. Finl, MIddlalnitiaii da1SA Dabal BId Sotlalsocvitry Number^ DMSYs manse$ 7 � :I; •` Y '17 Oel v - �tx:( G TI to' name 61, c' pppe:n Yas:aa Id'ApF4ea0 sNdWt�dldr,'/Yen Co pµycanU....I .'" ' •.J (lest. Flnt. Middle Uste) ' ' � ' ' ' ' '' "' t+' (Last. First, Middle lNdea I (Lest, must Mlddia learn) L Le C vas . (Lost. dirst. Medial (Les4 Fkst. MMdai dap (Last, FkaL Maate lineal Own PhomN -')q L' • 3L �u DaNr s¢ Applconfa Pmsent7; q ly1 , b T F. EMeA Address:' [ > Q Rent: To alea.up Delachedfn lylame: 1:3 AlWdwd famryhano: ❑ ApoNeae K,l [I'Vr Mont* Payment $ To vdam do you make payments? Present Landlad'a Name 3 Addmea Phone $ Mere, Payment Ms. Immediate PdorPe@ass lalma Nan t y; at above) ove, Fmn IN < p Rent: s T. Immadlala PrW lontl NameBAtltlrosa: Phonaa Doyeu'amaPal? Yes No Number of Pots;_ Type arced' Adult Pot Weight. w Picasso O`anti(':1 Propesod Occupants (Lest. First. Medal lnliol) Data ofBM (Iasi, First. MiWie lnlWl oats ofOMh ,I SSN. SSN: (Lost. First, Mlddia lineal) D.WRBUM (Last. First, Middle initial Oilaafaim SSN SSN: (USL First, Media WMq Data of Bom (Last. Feel, Meals radial) DalaolBNh SSN SSN r.. p,l ,,, -:;.. t5 �, pf'. yyr '",Mtn%, •E I:a1v,Y!e�Y�i', ptf 3)Elli 10 ihenb`'� 1'- Employar(eaol<Inployod, name of buatssss) Business Address(Inaudine LP Cade) Phoalf Typed BusWss Postdate supervisor Planet I.. ttm Me }e Other Income an. Applicant must provide? pay stub, contact Invasion Prior EmployorAdeross(IncMaFp ZIP Cade) - phopair roles• Indite F. To � .��y 4.'Fllianblall :. •t: ,r . ,, ,. ' "_4 a ,^+:#4"raf w lino � •.)it.1{is.a1, 44F . NMe :A Chadkq: bank and branch(include CitylSlale) A cunt �B^a• $ Sovinpa; bankandbranch(MdWe ClylSlab) AcoounU Balance' $ Have you over Nod no, baekmptay noteence? Yaa o County aid Sala where road. 4Nalriarl_ Havo,ouavertadelrypublc Yea No Whalyealy_ hued sully, lone, ludlmonls or .It& k 1 S4 AP RVINE C MUNIT�IES E. Reason for relocation: 7. How many vehicles do you own/ddve? it _ Make i y Yoar(� I Mae YearLbansea Note: Parking of recreationalvehicles, boats ortrallom is notpormlttedin the Community. 8. Do you have Renters Insurance? ❑Ym ❑No 9. Consent to Verification of Credit and Other information: I am mature We ADPaaaeu men ady for she purpose of obteInke TICAC. epproul le rant ea apartment rl me assurance, ommune .,mo above. 1 eQnvMedge reclvbp Ile Noece to Applicant Repardre ImoSUpaWe Comumttnepttn and elpOcsy awlmlea TICAC, Omwy. end then roapoNvo omDt Yee, eIM apenro (mpea0veb• mo "RCAC PMba7, Is 'only M ends and other Nfmm titan makled by me In We Apppeallm and to death cards repels, InVanlgeWa =$met repart5, end other aeons from medd ammlklp attracted, Indent Smenme aenka canpWeS, banks (mrlWnp aleceoNc fWavedMaWn), ampbyen eM omrrpanond orenaWd w(m Wmmalbn rcbW10 to WaApptlutbn. I lso aWwdea the TICAC omhas to provbo In Ideas IN. cmtoNod th tiro Applbe etu tIt vedhav but. ebb sMlm to mvj O my caa t ogonde,., paW N thltdN. accu on. vedada law emottemont ation In t I undentand IMI H I torso Ihis apartment, the TICAC PWm shall have a unWumq tight to mviaw my edit Infotmallon. paymonl hblap, omupotlq• history and oilier information In IM1Ie ' Appllullon for purposes rotated to my Louis under for acceom review both durl, and after the term of my Lease. ' Ih rsbyntaose sad hob M1ambe, The lMma Cmpeor. fib Apadmom CommuMbs.LP.. Irvine Commardl property Canporty, The lnmo Camphor Ahmanson CommWn... Inc.. and al of bar reopedive cl0un, mpbyeel and egame. from eat' and e1 asbmry. "M proudabgs and urn, beldame ettomoya' load. s dsln0 out of me vedgution dint" use of ate ' Unreason conlelned In INS Appacetbn Incbdme US release of Such mfdearotian to ouefpMba. I w Sdmt that. to Inc best of my bawfad0o. 01 of ate Wormelbn proWdod In this Appeutlon (Inludbg but rot based to the statement of my eamwW corundum IS We, acuaab• complelo odd coned as of tie data of US AppguOad If eW Information proWdad by me Is daimmine l to be false. such Islas statement wa be grounds for disapproved of my Application or tearmnahan of my Lease with Ovmcr. I agree to nobly TICAC If any of the Infom flan paniWd In 4tlS Application changes tluMg ma Application prows, «durme my Im ndcy. I ono, understand that TICAC wa retain me Appecallon, obdg With any other information provided by me. ybothor or not US Appffudon is approved A non-refundable Application Screening Fee of $05.00 (as Itemized below) is required from each Applicant to process this Application and to check the information provided. Aseparate Application to Rent must be signed by each Applicant who will occupy the apartment before this Application will be considered by TICAC. :ENING FEE WILL NOT BE CHARGED FOR RECERTIFICATIONS App lsalguure ' en the dab but.. TICAC mulvod $35 W from the uncondoned Affected In S.Such Wan Applbonfe APpeuhon to Rant W opodmanl from Ownm. The above amount [She be used to samon n phart neat Inertia to rode history and oft, background Wondered. Theamountchattedu esmbodoefohaws' 1. Atonal wan of mall«pwi.We.Nuldonmwr(evktbn)eaoru.eMlorohroraveednO fepwla V.00 g Con to 010% Process and vedryameme Wetmadedhand, frande abtfa We and other reacted urn) S2800 a. TOW goo chancM(may Me second"S par Appeared) =00 patent numerous vediklbn of Information Supplied by Applicant M Us Appbkaxcn-4h easel raptaun 'Yeloa, pmanal ashounce Noose am oft, Information, eourua. The Irvine Company Aparjment Communities, Inc. 3 V67 E • VILLA POINT I (Offsite Maywood Apartments) Unit No. 713 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGiBILITY (For tenants not to possession of a Section 8 certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned islare the only Income eaming occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income* of the undersigned Individuals) was $ and, cP,�ao 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 119 0 per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental properly, Interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date Indicated below., Names and Agas of Hon -Income Earning Household Signature(*) of Income Earning Household Member(a): Mombar r): Name Age Ups LA A Date: s:oream 0 VILLA POINT I (OMsite Saywood Apartments) -71-141 Unit No. =f- CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY k7or tomants not ALL possession of A Section 8 certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: The undersigned istare the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income* of the undersigned individuals) was $ ��_; and, 3. During 2008, my total monthly rent payment to Villa Point I (Off --site Baywood Apartments) was $ 1 1 6 L 0 per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, Interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Oftite Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of pedury in Newport Beach, California on the date indicated below: Names and Ages of Non -Income Earning Household Member(a): Name Age �"clirrite., l � Signatures) of income Earning Household Member($); Slanaluro atgealare `� t;IIr Date: VILLA POINT 1(Off-site Baywood Apartments) Unit No. .:Z y.5 CERTIFICATION OF CONTINUED HOUSEHOLD MIGISILITX (For tonants not is possession of a Section 8 certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned islare the only Income earning occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total pxpnual Eligible Income" of the undersigned Individuals) was 6 � PC?; and, 0� .7 ©06 — '— f �j ,bb 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood FFMII (�j Apartments) was $ per month. " Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, Interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided Information In the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below. Names and Ages of Non -income Earning Household Member(a): Name Age t CM h ■ 1 re :- signaturo(s) of income Earning Household Member($); Slanow We: 5, C r` b " ' . Ll VILLA POINT I (Offtisite Saywood Apartments) Unit No. __!_ ?a CERTIFICATION OF CONTINUED HOUSEHOLD EL,IGISIL,ITY (For tenants not in possession of a Section 6 certificate or vancher, Income documentation must he obtained.) i/We certify to the management of Villa Point 1(Off--site Baywood Apartments) that: 1. The undersigned Istare the only income eaming occupant(s) of the above indicated leased premises; and, 2. During 2006, the Tot Annual Eligible income* of the undersigned Individual(s) was $ ; and, -- �07 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ I W 7 ° °-- per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above Indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Eaming Household Member(s): Name Age 24- Signature(a) of income Earning Household Membar(s); Date., slgnetma INCOM)3 COMPUTATION CERTlF MION NMTOAPARUMTOWNEEL1ba5o(madatgnatdaudkyou$oo>sp Aamnli000meinaoomimawidrthe axQwdadfad fathe DeptrtowdofSwftandUrbmPmIodC=`)Regoldlong(KQRai3} YoaamnNuakocutda erasd&fo ktt&UftwupmdacewUhtheHED)Reauh6oae AUcspLilimdtermrused herefit"hawtlreaxmtaaat- WcdelatbeReprikoryApeemmt Baywood Expansion Pp7e du udentpred,atedut Fwehave read and mawacettAtSy, tnalayad peraooailyatdrofdra fallowbtggnadws Eason peaous* are t000mpytheuattbeing applied forlathe above apateagtpwjeet LimdmlowueWemaeaofanpermaa who atmdioteaideinthe uait 1 7. 3. 4. J. name oflfembar - Re4timibtp Ofda affect of SaddSocurRy Ykaaf flouaehold flauahold Ass Hmnber Bapbymeat t4(, income Computatton 1M am wNdpabod breeme,eslalated is aocadaocewith ddi pus&mA6.ofoUpm=(aAgtdiVArmmdirla - yoaa)Satedtmnfor tl»12 period beat dgtbh calla afdre data thatUmplta to a»n tro iampr korda kaadarauauas `tor 3:)-e . laludodinthesoal aatidpatedinoomnlaeed amre are: (a) all wean ad aiater.ova6mepry, eommbdaas,fea, Npa mdmauaa aodatlearmpearaNai foe Peraomlaavtxr.beCaroPa3'mR dedoetfonr . • (b) taeeetbxomefremdre opaatka o[aGttiaaaaprefadanahmrtha tavalo[redapaaadpropa(y ' (wabakdeduGlos erpmdtaax for6uabaaexpaaaiataaacadrarioaoCeiplal bale6tedoeaaary tnowanca fo r depreatation of appal aaea} (a) Waved and diddoodr(iaelodfujiaame SemuwuWdodedbalmindotharatinmm Somrala - PaiondprePa6'); (d)• the Shc aanmtoflxrkdlepaymwareadvod tlemwcW smoky, aooukkk buaance poUclee, tefiemeot Smile, pensions, diablWyordeath benefraand other thNr'typa ofpalodia:eoeipb, locbdbiaagiamp aompayment fir ten dclayod kart oft lxriodo poyroom (e) ptyMmta in Rm oferminay such a uampbymmt anddWbil&ywoopwallon, warfoxs' compensation andsmaocopay, . (t) thomsximanamount ofpubUcaaatinceavailable tot oabove pnfoveokathmffioma(mtofiny . aetlrftna spndIIallydatp,ated fxabAoxand arlft (i) � w�� iathe wAsuMdpaymaLNand regr!1Lu•aom3ottam . (h)' anrarAwyay,specWpayandtRowa=oft uktabaaflheArmed Paea(wfikhaorootUftInthe ' dwcQWwho 4die head oftl»boucholdaspow;and @ sayeaodboom taxcr ditso9*extenttatirame(daiaoometaxn+bft. . Rrdtded fromaudLntieipakdt000me am -(a) swab WoradicocbnNm•af - - (b)' amovahwbtfhaospedflallyfxorloalmbasmrmt:afmadlade:pwaa; (o) bar4aeadditloubtamnyaraete,auahrhrherhaaaa,loanastepgmma(brcbdurypaymeabvnda haiW and aaWmt ioncma adwadaa' aotupwtgioo), espial AW and aerdmaot fxpeaenalor yaopeaYlaaeiy amotmbofedumdondachoUrabipepalddbndtyb6»shidmionbeedpdtlaadloaimtion,and ammmb paldbytheaovemmaat to a veteran form lnmedloa theoaaoftdddn; fan; mole and egatment. Any -- - amomkafsdahachatarshfpsorpaymeahbovasaaiumtwodfoiQ(eaborepmpae`iamtomioetudodk (e) penrdouldurypaybibmuetaWmeatdalntlreArmcdFapawhoisawayfambaoetadcupaedeo - hoanie fire; - (Q reloeatknpaymwbunder TdletfofthaUn raReloaLimAaaistance'mdRedPmpertyAequhwon Ponda,Aaoflm, -- - .•(�- bitachild,arc''mucatt•, (h) thovalaeofenaponilutmmbeundapreFoodSt"Adofl977; •(p paymmhtovolualemtmdatlDom estic 0) paYrnmtetaeivedrmderth$AlulaNadnOakwSrtdanmtAct; - _(Y) •Income derived front aMtaaumu&alead ofdoUriedMaw that hheld inhut fxcaukWim m _ Payments naallowsnoea'mdaucdertheDepalnmtafffc thmdHt SarkealLow4hoomeHome - -BttMAuhamceProparo; _ - (4 paymeharecdvedfiomlm7obPutmbiplaW4Ak; .(a) iacomederived flomEadiapo0wofAmdsbftla(imdRim Mud oftktmbdima;and (o) Poefirst S M otporcaph Waves amfmmjudaemwiSmdxanrd(dbytheldimdaima -CO=nWoaoftheCourt U admaorboaheldhatruktormbrdlmtUby6sSegearyofTNedcr. 7. Do thepamvvwhorelawmeaemmblamamhul, loixm6v5ovc . (z) fuwuvinp.vbe{y.'M:ode,o4uiWlarevlpropesryarotl�abimofWihItmrtmmR(euiodfa[mevauecot aaeeeayft=orpe a ivopatymeh u look= sadmmomobtfa and in hthWUsmhWhA (b)9vc&gdbpoved✓2fmjaneu tha'tlun ,ofoexkaueot6enhuptcl'vek)durin8t6e4RMvytmatlm &mfihrntI 'vdue7' Yu .•No ' (c) If&e mum to (a) or(b) obovekYa, dos the mobtail'p&vgao of aU mk c.h so owned ordtspomd ofbyaU mchp mmiohlammdnaSS,0007 . Yet Nd• (d) If&e sat=to (e) above is Ya, State: . (I) &ermabbudtDWv4uecf&Usuehuun: S (2) fheaonnotofiawanmxpoctedtobodrtivalrromnxhaadeiathelZtaoit&putmd6egtomtgoa&mdKeor (3) thrnaeor�iu�chmik&u»apmpovetaaxt:s •.md S. (a) ova=xO a �°'ifmy,dwwuiadudedimlt=6abovaS puaooa toted b mbmm I above be achmbemAd-time riMeotdudogtivo (5) aleadwzoonAv or thta a)eadaryeadm edvat{oul toitlonima (o&er&ma toaapoudmre mlwan wi& ceguhcLmityma vbdmtrl 4• Ya V Plo, .Ibl moleteeaivit/5e ..�.mOvestlmaafdkaY kaaynmhpema(o&a&maomuidmtaiku) ended mdeiig(hlebfdeaJoutfedenlbmbe taxletmnf7 Ya No 9. 7bb040cWhm6dew!&*eladwiedpdWkwlllbetelkd"byft0wm rtodetamimmiximim bwmefor elllMytoaAW&OtmigiodlhwdmetaedutaUt=xtimlot fa&haddkbut, comettaodmvQkband bawd apm btfmmadoa Ihm dam mUabte mid dot&a aarmmt of tood swlct &W boom, 000baoe kpm vaph6 b rwou bkaadbuedupon such bvcdt ptianu &e mdadpoddetmed» oomemy. 10. UplewM adR&a Owoerbobhufogmytofmmadoa ordoammptapdtedbvedrythe>hhmead ardehaeb, . bddbgd&ermtoeomdraitlatioa 6vmmy4ouepmevt meplaya(#)W Wpia orAd«d ux rca= fm the It.�db'Rmdugalmdaryea. . Ywa ac{mwle r6AaUof&a fotegolaa *6mzfma k tele"d bow moms imdar wad htwme tmthw of6a iobaatoabmadskevedtotmmoe tlm - - - •-.- of die VuW26t bW&dEmgfwwhl& ippHntimakbeua YWedemumumderpeoeltyofpepgdwdie finegofagktmoindcoiocL . N�WnDYt dds t of (L • 20f) �- ) to the \_ Lw �G • CaMMk I .. Wrr()R.fR x, . •f.AT.rTTT.ATTON WORKSHEET - IMt # ItYtd hautl ! A IUY's A AmW TttM R NY 24 IwAi 11 4N[ Q AY I Tt Rao $ _$ S =$ Total Box A $' � yL Q..nu, Ccrn mmv PC110 MQ PTO mat # SKM Imaltt t AVWWIM TlW ¢ u 21 Q I k7 - S S =S Total Box D $ TOTAL ANNUAL GROSS INCOME Mail AYMtMt0111U0 � p*K*ARL # I Mel Irt V" cuttecaw A Through D IOWWWftMtlr, $ ActW 4teplWe AedWA" YwaYfY #Mts % S •L - G $ co $ :C� $ - % $ $ $ - $ % $ _ $- $ - _ $ - % $- $ $ = $ % $ $ _ $ _ $ % $ $ $ $ % $ Totals Box E: $ *; vvv Box F: $ �i Income Ntomefmm Assert — TMFUTED INCOME FROM ASSETS Box G Effective Date: a'�' _ If Box E exceeds $5U00 multiply Box E by the cogent Type of Program %: � - _ - - passbook iatetest:ate: x eA %- UnUNm: 8.19 Unit Size: If Box E does not exceed $5,000 enter-0- in Box G No. of persons: - - INCOME -CONTRIBUTED FROM ASSETS BOX H: Max. Income Limit: W Enter the greater of Box F or BoxG AR: 140%Limit TOTAL ANNUAL INCOME $ ±I Ur 7-)-0 & TOTAL ASSETS 03/29/2007 12:27 9493541278 BERM LEY COURT PAGE 01 0 F=i E:> r-.=L1—'"Y AdmeedRn8ncialAwm ng March 27", 2007 Adeltty Mortgage, Inc. 660DiamadBarBlvd. Suite 201 Diamond Bar, CA 91763 AE., EtnploymentforRilay Rashid SSW. = .roc-S249 To Whwn It May Concern; This loner is to i> jbrm you that Ms. Rashid nas officially been empla)rd wtti. Adelt y as a Processar since 311212007. She reetives an hourly salary of $11 prr hour wid quarts for a monthly bonus as well. Xor postttol, with our eomlxuty is a F41,1 T7me position and will require some overtime as well. Xfyou have any questions regarding this maiter, please do not hesitate to contact nw at (626)331.9J19 or (909)645-9261. I lookforward to dosng business ..ith you. since jv. �. - ill tom, Z-1 Kabir C� D� • ��/lYic $ranch Ma gcr ,1 660 Diamond Bar Blvd. Suite 201 Dtumond Bar, CA 91765 Office 800 234.1044 Fax 626 331-9189 -ICQiIQII�i - TVA fo vi nAA 1n07.; URA - - • E 2101 East 4th Street ##270:13 Santa Ana, Ca 92705 Ph-. 714-263-0147 or. 714-2634149 Fax:714-263-0228 April 4, 2007 To Whom it May Concern: I would like to confirm that Leo Z. Khan is now employed with Goldenstate Financi% Corp. as of April 2, 2007 under the following conditions... . $11.00 per hour . 20 hours per week- Half time employee . Position: Originator Strictly hourly . No Commission If there are any questions in regards to this matter please feel free to contact me at 949-:295-7436 22. 68 Sincerely, Searr 5arpas C.E.O. and Partner _ Goldenstate Financing Corp 4 RObIMUNtTtES APPLICATION TO RENT (AND RECEIPT FOR APPLICATION SCREEQ!!.Nu' Please complete this form entirely in Ink, noling'N/A' ar "nono' where applicable. Oo not use white ouL The information you provide sMll be verlhod prior lu TICAC'e approval to rani on opartnsonl to you in an oparlmQnl community owned by nllhar The Irvino Company..lrvinn Apartment Communities, L P. or Irdnp Commercial Proporty, Company (wllecllvbly,'OwnoP). 9:',A"'ilcall+ Igto c,`�iWw. �cFnr`�, �hr":e:"�';:)<:"^}, �''a*;;.' '.`i°:<.'�:t`r,�,.,,,. _s,. •:,�< Y.r°;a;z': Community: jL iJao Addross Pdnl plr-mysfu9rwn°(LasLFkaI.MMdIbINIIN) JrAr • DI�1 1711 /ISuII�Nv-nlmr��r 27y5� bEl r� l J 5 9 M1'efi$a! ov1 p'tliehlJ ' epdfYl°i>,6Vs°ellurf4S`%oWIuU/olce h`CbAPMs'nn0'� •W'fCi . t? .kVi' ;:i� rY.v@• I -=°riN' "iY•vl")! �'ija4,A't'�C• .' (Lash Fkfl, MOtlh INpo) Ilml, fbsl, MlJJlo lmlldp (I ml, tint, Mitldla lNlmp (Last Fkd MMtlbirvWb (Lost, FYaI, Mills lNlgb (l osl, FmL MkINo INLoq Apppemlf3Pmsenlptldrafs: Own rg9/G 75.3-1tv I+Igp Fmm E•MOAAtldmaf' I n� ��hq" rYVI .,2 C'✓d 01� LJ "nN Il�+yr�slnaN`�al1ao. t° pl-ss«!r ,y paladwd lam%home: EJ MlaNedlm%hom°• � APmlmunl• ❑ MonIIYYPaymanli I2I To sham rlo you meko pnymanl>T Sfrin ,'L( PresanllarMlads Nemod Adtlress: 'LYFr Phorwb r I E IRVE C"/PpV Br' OW MARKET RENT UNITHTMVTC��i Ilea, �S THE IRVINE COMPANY S� APARTMENTCOMMVNME5 10. Consent to Verification of Credit and Other Information: I am We this AppaNOan wlanWty Iv the pureaao OFoblaldng TICAC'a Npmwl to rent an apaNnonl s th -statement —entry ahavm above. 1 ecknowlatlga receMng Me ,,co, In ApplMol nega,q 1^wsUgegse Consumer Reports and espntllyeuNvyo nCAC. Owner. and Man raapache emplgeea and apanb (edWmwy, IN MOAC Pamos1 W wdy Me need, and other lnf,,,N pmNded by me s Ws Appncelsn We W aides code mperU. Imntlge0w consumer repad; and other Middle from aadll reycdsp apaMdn, lanai acrcadng "Mco Nmpanba, banb pnWdmg aloWodcfuMa vankelsn), empbym aM other pmau er en1IWI xis WonnaOon resWq Ip Nn AppIINUan dsonverehlthe TICAC PadlasloproNda loose Onto conWssd I^eTICAC P.M. has hebN1,ntr andlerladerd N"mnanl apentlea, sdudtp wnhIlt.1el froalNa and*MetWrmandas. Ius Npubndcool Illloses Iseated!to 1, Lase Madpeen shorehawa bohnukpgantorevs. myvoddsLoose paymenthblory,ocouDanryhb1 and other Nfamenan s Wa PppllNnanfapumoeoa misled lI my Leese entllor/or eccounlrovlpw both during and eaortho Ismael mylens I hereby miss" and laid hamla" The INOs Company. Irvsa Apartment OarmudUn, LA, mass commatlW pmpody Compaq. The IMne Company Apartment CommuNUoe, bon, andelan Nesmspedkro gncen, enrybyen and agents, from any and a safety. 1,W PreNedn,and NM..assassin, sllanga'has. Mang NI ul the ved5onnen andra" Me of Me sfamation canWnad ks this AppikeUon. un ussp the tales" of such InfamalWn to ON"pales 1 wertenl that. to the bust of my knadadge, ag of No Information pro ldod s this Appreatlon (Including but not noted to the statement of my Mandd conditlom Is We, acNnn. complete and earned as of Me data of Nis AppUmOen. If aq WomuUan pmsded by ono Is Mnormsed to ba also, such four, astoment will be grounds fa deappmwl a Ms bounry.I NaouManlaM UbITICAC wareld^NblPppkraltm.esnp MNieq oNwslsamatlm Naskad by ono, xfieNaraml W>ApDgulsn paw PI nProcoss on tluling ' A nonaetundablo Application Screening Foe of $35.00 (as itemized below) Is required lrom each Applicant to process this Application and to choc the Information previdad. A separate Application to Rent must be Signed by each Applicant who will occupy the apartment before this Application will be considered by TICA Appnonora5lgnalure Data RECEIPT FOR APPLICATION SCREENING FEE On the data below, TICAC mNfw,1 US from the undersigned Applicant In Nonsense war Applicants AppllcaUan to Rant an apadmanl yam Owner. noeso " anwunlls lobe used W.OrNnApplkeniw,Mm,MilloarOdrlliger/eMONorbad:ground Information Tana enaunlcharped blWnacednlWowa 1. Adual cons of wait mpoM unlawful detainor(eNdlon) wares, Indoor other smening rePae aTAO 2. Cost W obtain.pMNW aid vary euooning Womands,(mq lnsluda Isms lima and onto rotated Nels) $20,00 l 2. ToWInde od(mgr WNoda55PWAppe"nt) 33500 Applaenl Whobaa wdfvalon of lelanatlon Iuppliod by APP4onnl an Ihb Appgmtm UONhcan, m,"Ag o leader. crecabi reforeaco tllarha and enter MINM W Wren. Data ApplicantsApplicantsScene.sturo , The mine Company 4.artmont COmmunitlOS, Inc, 3. a7 By: Dote l ar tnyue rental•lidng.com AryatlbnmRW.p.g.d i'41r THE IRVINE COMPANY APARTMENiCOMMUNII7ES NOTICE TO APPLICANT REGARDING INVESTIGATIVE CONSUMER REPORTS POLICY Notice to Applicant: In connection with your Application to Rent, we will obtain an Investigative consumer report, as well as and other consumer reports (each an'Invastigative Consumer ReportT from one or more Investigative consumer reporting agendas (each an ;Invastigegve Consumer Reporting Agency') regarding your credit worthiness, aviation history, character, general reputation, personal characteristics, and mode of living Such reports may Include other Infairmallon provided through credit reporting agendas, tenant scmoning service companies, and other investigative consumer reporting agencies, each of whom may ran crodlt reports; Investigative consumer reports, and eviction reports, among other reports The Investigative Consumer Report or Reports will be prepared by First Advantage SafeRont (formedy known as First American Registry). First Advantage SoleRenl an be contacted by mail at 7300 Woslmore Read, Suite 3, Rockville, MD 20650.5223, atin. Customer Relations Department, or by telephone at (888) 333.2413. Obtain a Copy of the Investigative Consumer Report: ❑ Please check this box if you wish to malty a copy of any Investigative Consumer Report mat Is prepared In connection with your Application to Rent. If you check this box, we will hand deliver a copy of each such Investigativa Consumer Report to you during the appllalian process or send a copy to the address Indicated on your application within Throe business days of the dale that such Investigative Consumer Report Is provided to us. Soon Investigative Consumer Report will also contain the name, address, and telephone number of the Investigative Consumer Repairing Agency that prepared the Report and Infermallon on how to contact that agency. Applicant's Inspection Rights: Upon your request and proper Identification, any Investigative Consumer Reporting Agency [hat provides an Invasligallvo Consumer Report regarding you, is required to allow you to inspect all of Its riles regarding you that it maintained at the time of your request NOTE: The Investigative Consumer Reporting Agency Is not required to disclose the sources of Information (other than public records and records from databases available for sale) acquired solely for use in preparing an Investigative consumer report as long as ]twos used for no other purpose. However, you may have the right to obtain the Identity of such sources Ina could action brought under California Civil Code §§ 1786 at seq. The files maintained by the Investigative Consumer Reporting Agency concurring you must also be available for your Inspecuon In the fallowing mannar. (a) In person, If you appear In person and furnish proper Idengfiation. You may also obtain a copy of your file for the aclurfl cos[ of the copying. (b) By cortlfied mall. If you make a written request with proper Identifiallon, for coples to be sent to a spaclfic addresses. The Investigative Consumer Reporting Agency sending the reports will not be liable for disclosures to third parties Mused by mishandling of mall agar it leaves the Investigative Consumer Reporting Agency. and(I the tolocharge charge. for telephone If ( call is prepaid by or chargeyou have made a written request directly to properIdentificationfor telephone disclosure, 'Proper Idengfiation' means Information that Is generally doomed sur iclant to Identify a person, including such dominants as a valid drivers llconso, social socu ty account number, military Idenbnallon card, and credit cards 11, and only If, you are unable to reasonably Identify yourself with the Information described above, the Investigative Consumer Reporting Agency may require additional tnfor nalion concaming your employment and personal or family history In order to verify your identity. The Investigative Consumer Reporting Agency must provide trained abnormal to explain to you any Information furnished lu you In accordance with those procedures, and must provide written explanation of any coded Information contained In your rile. This written explanation must be distributed whenever a file Is provided for Inspection. You are permitted to bring one other person oryour choosing with you. This parson must also fumish Identification. If you bring another pardon, the Investigative Consumer RepoNng Agency may require you to provide written pehnisslon allowing the Investigative Consumer Reporting Agency to discuss your file In that persons presence. Applicant Signature Date Rev 117.05 Nopce to Applicant Regarding Invenigalwe Comumer Report C� 04/65/2007 09:19 949854127E ,._ BERKELEY COURT PAGE '01 04/05/2007 09:19 9498541278 1 M IIWlNe 4WPA e ApAF Weft COMMUNITIES IIXba plgpnl—? u Yes enY p Id01I1M�1eIX 1 eVb o 1� Mlad mleeea4 � Yae _�....u.a.xelAnv Nx Yee i Wn BERKELEY COURT PAGE 02 Nv Covnly xM yyelewlnrexaal_�� YAMtyeen No YJWYWI�—• pepbk, PemYt PM1wnnwlbas ( )� ( 1 MCNnNrM ntlaM1N1� y provldlnp an e•maY addroes, l am elecYM W 10pBAe emelliraa The IMIro Company eBe Ila aHAlatae How Mal YOU first learn of this spertment community? 0O.C.RwWr �D&O By QnnMbrMnQ MnI ❑1'mmpbaep. Ereel ❑BJ Mxary ❑ApaMenlOxtle ❑6ITe aNVbepe•Oer• ❑O69 AOL Mwdna �OYIarUCCIXmunM �ReleI1N• ❑tlenepeper-01Mf ❑Rend U*g0AOM39) OUTi l �RxaAla6eMN �MwuMe•Onx' ❑FIXfleMw MxAn ❑sovn • �FNer I❑1�L�Allatlebk /1ouNiM ❑IAC Apt IBlo Gnlx p9D fleeex �PoelceraMeYer 1�/LWbr•Wl Meled• TT r v� c PLEABEPILLIn, N '. Reason for rolocaliOn: How many vehioles do you ownfdrtva7 MAe�C1 MAa Yer ucenea! Note: Perking Of racYeatlonal vehicles, boats ortmitars is not permitted l the Community. I. Do you have Renters Insurance? Yee 10 no I rental•Iiving,com /.,puleRnl.PW2 0 04/05/2007 09:19_ 9498541278 BERKELEY COURT �T TWIRVINEMMn AW ApARTwNTCOMM NMIES o. Consent to Verification of Credit and Other Information: Nn mak3p lHS ppptdapm vduntadyla pro pumeaa of"ma""gTICAca apploN brnli wlWKnenlhdn.pMndil WWr^NMe '^'eDw IW�no.�ed opm mAP us' Anepmdnp InwNlpapw Gomunar aePale a1M up3dlNamhaba TICAC, OwMr end dlNrn,peGNe amplryeet eM epvnla (dolladroty, ee' rMy Na tad xld oNar MlamNbn prvvltlad IOU ms N dJa ApdkNbn anal Ic 0 an wdtt repWa, brveNgauw W nwnlx nP^A� eM Wier IvpdU Ilam ic'm be aulnwlil eP TIlICAC VMN+b pWWe NtWnosts nlWrod inµ wPWemVb veAWebW MendbadxNpW'.mmeM eW�eW�anGudNp mNW�MHI, deaaNNllannadnn NDWdµMpDanYdnlNPurPe.0 lNet3dl•teeee dbr Nl aiccounlnMn.boNeudgp npaM aDxIDa l�.raafrte lea,e•Payment HNay,a Us Inoo, K. andapd eaMnmvGrvs o moaro. mil PNYaaa a9mtl Dan MY and M nOaWhy.bpN Momina..4 dale CmiWtl. 10"aaonpg Moto.M"ad !tln Intalnepon contah,ed Nbda ADPGatldn•NdWhp 1MrNaadaolwG, NfomudienbdUw Dnaa. ij0llr Nn1ancient, wPI mm Wee "Mont Wpl Dpount. lot d bN�a,alnJaInto Mped11 MMaDaWaIn' da �i,n%•IYwwdaamC NIITICAc xl3 rol�e1 NI��pMadon. Magr Nany�h.r MantaMPledd.d Dr ma.vM�ana H�daMWwummsanPv �dn w« 1 non•nfumlabta Application Screanlnp I"of SJ6.00 iea atmtCed beloWl Is miqulw0Iona each Appticallai PCOCeae Out Application he Information prOVljed. A eapalale Appllc allml to Rod mutt to signed by ewh Applicant Who will OCCUPY The apartment Wfons th PAGE 03 a On xe dale balow.11CAC Ixewd 336 WmhaundxalpmdlpppeanlNaxmMIW whMPacenra AWkaUW b PeN M epnNnenl Dam ONllx. TDe spew amvuMla lob and b xrean APprreMMa IpeMa baedl Nlbry e1M omxbec3pound NYMrelbn. The amWMdbNed H tttRlUda3loloxt• t. AGud Wale eteroalll regal WdimDa dNaNx(eNWaJ SSam,anBbratlrreaeeHllp lepoN Sr.pP 1pDAJ p. Cddleeblm,P^*epa anp vN3ya MbmNlm (mryhWda aypaercaM oNxnlalW pmn) �.� D. TNY toedlamep (mW WIeYAad 33 pxAWDamO - i _._.____._._Sl___..__.......u...r...ru.aeeuudn d.ouM aadIHDNWp apandn. Paraand,Nerena dnadkt wtlowar MamappnrWmr. 7 I ineq Company artment Communities, Inc. ear lt.rw rental•Ilving,ccm 'Pow' wbeml.rma. THE IRVINE COMPANY APARTMENTCOMMUNITIES 1 NOTICE TO APPLICANT REGARDING INVESTIGATIVE CONSUMER REPORTS POLICY Notice to Applicant: In connection with your Application to Rent, we will obtain an investigative consumer report, as well as and other consumer reports (each an "Investigative Consumer Report") from one or more investigative consumer reporting agencies (each an "Investigative Consumer Reporting Agency") regarding your credit worthiness, eviction history, character, general reputation, personal characteristics, and mode of living. Such reports may include other information provided through credit reporting agencies, tenant screening service companies, and other investigative consumer reporting agencies, each of whom may run credit reports, Investigative consumer reports, and eviction reports, among other reports. The Investigative Consumer Report or Reports will be prepared by First Advantage SafeRent (formerly known as First American Registry). First Advantage SafeRent can be contacted by mail at 7300 Westmore Road, Suite 3, Rockville, MD 20850-5223, attn. Customer Relations Department, or by telephone at (888) 333-2413. Obtain a Copy of the Investigative Consumer Report: Please check this box if you wish to receive a copy of any Investigative Consumer Reporlthat is prepared In connection with your Application to Rent If you check this box, we wlll hand deliver a copy of each such Investigative Consumer Report to you during the application processor send a copy to the address indicated on your application within three business days of the dale that such Investigative Consumer Report is provided to us. Each Investigative Consumer Report will also contain the name, address, and telephone number of the Investigative Consumer Reporting Agency that prepared the Report and Information on how to contact that agency. Applicant's Inspection Rights: Upon your request and proper identification, any Investigative Consumer Reporting Agency that provides an Investigative Consumer Report regarding you, is required to allow you to inspect all of its files regarding you that it maintained at the time of your request. NOTE: The Investigative Consumer Reporting Agency is not required to disclose the sources of information (other than public records and records from databases available for sale) acquired solely for use in preparing an investigative consumer report as long as it was used for no other purpose. However, you may have the right to obtain the identity of such sources in a court action brought under California Civil Code §§ 1786 et seq. The files maintained by the Investigative Consumer Reporting Agency concerning you must also be available for your inspection in the following manner: (a) In person, if you appear in person and furnish proper identification. You may also obtain a copy of your file for the actual cost of the copying. (b) By certified mail, if you make a written request with proper identification, for copies to be sent to a specific addressee. The Investigative Consumer Reporting Agency sending the reports will not be liable for disclosures to third parties caused by mishandling of mail after it leaves the Investigative Consumer. Reporting Agency. (c) By telephone, in summary format, if (q you have made a written request with proper identification for telephone disclosure, and (ii) the toll charge, if any, for the telephone call is prepaid by or charged directly to you. "Proper identification" means information that is generally deemed sufficient to identify a person, including such documents as a valid driver's license, social security account number, military identification card, and credit cards. If, and only if, you are unable to reasonably identify yourself with the information described above, the Investigative Consumer Reporting Agency may require additional information concerning your employment and personal or family history in order to verify your Identity. THE IRVINE COMPANY SS APARTMENTCOMMUNMES REL.jENT SELECTION POLICY (First Advantage SafeRent) Irvine Apartment Communities supports the Fair Housing Act as amended, prohibiting discrimination in housing based on race, religion, sex, national origin, handicap or familial status. The following qualification standards will be required from every prospective resident. They include, but are not limited to: IDENTIFICATION All visitors must present a valid drivels license or other photo identification in order to view the community. Other acceptable forms of identification include valid state issued I.D. card, valid Military I.D. card or a valid Passport. QUALIFYING STANDARDS Rental History: Up to 24 months of rental history may be verified on present and previous residence. A positive record of prompt monthly payment, sufficient notice, with no damages is expected. Credit History: An unsatisfactory credit report may disqualify an applicant from renting an apartment home at this community. An unsatisfactory credit report is one that reflects one or more of the following: past or current bad debts, late payments, unpaid bills, tax liens, judgments (unless appropriate "proof of satisfaction" or "closed date" documentation can be provided) or undischarged bankruptcies. If an applicant is rejected due to an unsatisfactory credit report, the applicant should be given the name, address and telephone number of the credit report provider, First Advantage SafeRent, and encouraged to obtain a copy of the credit report either from First Advantage SafeRent or the community. If the applicant believes the report contains erroneous information, the applicant should be encouraged to correct the errors and to resubmit an application to the community. Income: Written verification of income is required (i.e.: Current original pay stub, most recent tax return, bank statements, employment contract, etc.). Applicants must make 2.7 times the rent amount to qualify. Applicants for Bond Housing must make 2.5 times the rent amount to qualify. ' Evaluation The Irvine Company Apartment Communities evaluates the above information with a scoring method that weighs the indicators of future rent payment performance. For further explanation of this type of method, please refer to "Rental Scoring and your Rental Application." Cosigners/Guarantor In the event a co-signer/guarantor is required, he/she must complete an Application for Residency and meet all of the Resident Selection Criteria. A co-signer will be fully responsible for the Lease Agreement if the occupying resident(s) default. Co-signers/Guarantors must make 4 times the rent amount to qualify. C� P-, - L Applicant Signature agement Representative Signature 0 FIRSTAdvantage SafeRent Rental Scoring & Your Rental Application Many landlords rely upon "Rental Scores" to estimate the relative financial risk of leasing an apartment to you. In addition to estimating risk, rental scores are an objective and consistent way of reviewing relevant applicant information, and help speed the application approval process. How Is my rental score determined? Rental scoring systems assign points to certain factors identified as having a statistical correlation to future financial lease performance. Your rental score results from a mathematical analysis of information found in , your credit report, application, and previous rental history. Such information may include your bill -paying history, the number and type of accounts you have, collection actions, outstanding debt, income, and the number of inquiries in your consumer report. The final number, or rental score, represents an estimated level of risk as compared to the performance of other consumers in a range of scores. Because your rental score is based upon real data and statistics, it is more reliable than subjective methods of evaluating your information. Rental scoring treats all applicants consistently and impartially. Additionally, your rental score never uses certain characteristics like— race, color, sex, familial status, handicap, national origin, or religion— as factors, How is my rental score used? Rental decisions are based upon how much risk a landlord is prepared to accept. Each landlord, therefore, sets the minimum score required for approval of an application. It is possible for your rental score to yield different results depending upon where you apply. Your rental score might mean a denial at one property, while the same score might be approved at another. It ail depends upon the risk a landlord is prepared to accept. What can I do to Improve my rental score? Your rental score may change if the underlying information it is based upon changes. The total improvement, however, generally depends on how that factor relates to other factors considered by the scoring system. Nevertheless, to improve your rental score, concentrate on paying your bills on time, paying down outstanding balances, and not taking on new debt. Your chances of approval should also improve if you apply for an apartment with lower monthly rent. Where can I have my score explained? Should your application be denied based upon your rental score, you can learn which factors most negatively influenced your score by contacting the consumer reporting agency listed below. Additionally, you can obtain a free copy of your consumer report, if you make the request to the consumer reporting agency within 60 days of the denial. First Advantage SafeRent ATTN: Consumer Relations Department 7300 Westmore Road. Ste. 3 u VILLA POINT I (OMsite Baywood Apartments) Unit No. . 7�33 , CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tonants not in possession of a Section 8 certificate or voucher, Income documentation must be obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned istare the only income earning occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income's of the undersigned Individual(s) was $ �D� O n ; and, 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ f 2. 3 D. 0 0 per month. " Total Annual Eligible Income includes: wages, Ups, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Oftite Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date Indicated below: Names and Ages of Non -income Earning Household Member(s): Name Ago Signatures) of Income Earning Houaehold Member(s): " anaWre Signature Uats: S'16'—. 0 37 N . S-1&--a -7 HOUSING AND COMMUNITY SERVICES DEPARTMENT ORANGE COUNTY HOUSING AUTHORITY 1770 North Broadway, Santa ana, CA 92706, CA 92706-2642 Amendment to Housing Assistance Payment Contract Tenant's Name: 9oS2 C . MelnoTwL I� Rental Address: -7 3 /"� eAwon4 FA Inns 1. MWOMEM9161 Tenant's Phone #: 1. Amendment to Housing Choice Voucher Contract Subsidy # tt It 415 Owner's Name: 'R�S �P Mail Address: 0 Ocl D I 2& Agent's Name: Phone #: The current Contract between the OCHA and owner dated on / 0� 03 shall remain in effect except for the following: A. The total rent shall be $ �31s- per month commencing 200-;7--. C B. Of the total rent, $ g5 shall be payable by the Public Housing Agency (PHA) as housing assistance payment (HAP) on behalf of the tenant and$_ 3_�shall bepayable bythe tenant. These amounts shall be subject to change by reason of changes in the tenant's family income. HUD -established schedules and criteria, or by reason of adjustment by the PHA of any applicable• Allowance for Utilities and Other Services. Any such change shall be effective as of the date stated in a notification to all parties. 2. Rental Adjustment A. Previous tenant share of rent $ 3o B. Previous HAP D. New tenant share of rent $ 33 o $ %Z 3 E. New HAP C. Previous rent to owner $ 1 f 23 o F. New rent to owner $ f 4315 Owner shall attach a new completed and signed rental agreement. ORANGE COUNTY HOUSING AUTHORITY M Rental Assistance Representative OWNER wtue 9d, By %J Official tle S-LS� 200� Date 00'.F015-AmendmentHAP VILLA POINT I (Off�site Baywood Apartments) Unit No._ CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not In possession of a Section 8 certificate or voucher, Income documentation must he obtained.) I/We certify to the management of Villa Point 1(Off--site Baywood Apartments) that 1. The undersigned [stare the only income eaming occupant(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income" of the undersigned individuals) was $ 600 ' -,and, 3. During 2006, my total monthly rent payment to Villa Point 1(Off--site Baywood Apartments) was $ Z /7S', 7J— per month. " Total Annual Eligible Income Includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distrbutions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date Indicated below: Names and Ages of Non -income Earning Household Signatures) of income Earning Household Member(s): Membar(s); Name Ago Date: S— /7— 0 7 VILLA POINT 1(Off-site Saywood Apartments) Unit No. q j a CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIRII,ITY (For tonants not is possession of a Section 8 certificate or voucher, Income documentailon must he obtained.) I/We certify to the management of Villa Point I (Off -site Baywood Apartments) that: 1. The undersigned is/are the only Income earning occupants) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income* of the undersigned Individual(s) was $ 3. During 2006, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ Z L6 o . 61 per month. * Total Annual Eligible Income Includes: wages, tips, overtime, bonuses, commissions, net income from a business or rental property, interest and dividends, social security payments, retirement fund or . pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fUe allowance). The undersigned acknowledge(s) that Villa Point I (Off -site Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date indicated below: Names and Ages of Non -income Earning Household Member(s): Name Age Signature(*) of income Earning Household Mombar(s); signidre C Man u signs m8. Date: .�/�7— . 0 VILLA POiNT I (Offsite Baywood Apartments) Unit No. -- 13 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of ti Section 8 certificate or voucher, Income docomentaNnn must he obtained.) [Me certify to the management of Villa Point I (Off --site Baywood Apartments) that: The undersigned is/are the only income eaming occupants) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible Income" of the undersigned individual(s) was $ Z 000, 00 ; and, 3. During 200$, my total monthly rent payment to Villa Point I (Off -site Baywood Apartments) was $ 1i48-1.00 per month. Total Annual Eligible income Includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Offsite Saywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information in the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California on the date Indicated below: Names and Ages of Nondncome Earning Household Signatum(s) of income Earning Household Member(s): Membar(s); flame Age 3lpnature sib. oat*: 5/___ 1 oy0-7 VILLA POINT II (Offisite Saywood Apartments) Unit No. 0115 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY (For tenants not in possession of a Section 8 certificate or voucher, Income documentatlon must he obtained.) I/We certify to the management of Villa Point 1(Off--site Baywood Apartments) that: 1. The undersigned is/are the only income earning occupent(s) of the above indicated leased premises; and, 2. During 2006, the Total Annual Eligible income* of the undersigned Individual(s) was l9- 04 Xt ; as -ad, S e� 6%dy✓ MIQAp �J 3. During 2008, my total month ent payment to Villa Point I (Off -site Baywood Apartments) was $f.5/� " per month. * Total Annual Eligible Income includes: wages, tips, overtime, bonuses, commissions, net Income from a business or rental property, interest and dividends, social security payments, retirement fund or pension payments and distributions, disability benefits, workers' compensation and disability pay, severance pay, alimony, child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Villa Point I (Oftite Baywood Apartments) and the City of Newport Beach are relying on the accuracy of the provided information In the leasing of an apartment to the undersigned; and in conferring on the undersigned the monetary benefits of the Agreement which restricts the rents collectible for occupancy of the above indicated leased premises. The undersigned consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of pedury in Newport Beach, California on the date indicated below. Names and Agas of Non4ncome Earning Household Member(s): Name Age Signature(s) of Income Eaming Household Mlembor(s): /-� ltosS /1, eranetne --- oat.. ID qt46( t;g Md(leyc(�� lathe Nrvj�h�, b�1,�ti�.e Sits �'i.Bc t �tw 06/06/2007 22:19 94SG447225 BAYWOOD PAGE 02 -5 NOTICE OF INTENT TO VACATE i 'the undersigned (whether one or more, "Resident") hereby provide notice to Lundlord that I/we intend to vacate the below apartment ("Premises') and to tcnninala the Lease Fur the Premises on or before 11:59 P.M. on the "Vacate Date" specified below. 'Tice Vacate Date is a firm duce and is at least till ty (3Q) days From the date of -the dclivcryyr service of this Notice on Landlord. Name OF Apartment Community: Address: qi-'I- 4,411W /1f.an Vucatc Duty 12 V—p �? yy Lcusc Brcak Option / Rant Responsible Date(sce Section I below): (0 /-2�(wt 7—' ❑ Rant Rest000mblc Resident expressly understands that the effect of this Notice will be to to minale the Lease and Resident's right to occupy the Praises us of the Vocalo Date, and that if Residonl fulls to vacate the Premises by such date, Lundlord has the right to institute legal proceedings for unlawful dclainur against Resident to recover possesa\on of the Premises, us well as ddmugcs dnd ottorncys' rocs us provided by law or In the Louse. Refildent I\ek\I\,\V Il'llltCN (lie lulluwing uhlipt(Win undo. the I,Cnav du\t nliply it, Rcs41cu1'$ alrl wilder of Ilia• 19eillist'H: 1. Roos. The Vacate Date is the date Resident will vacate the Premises. The "Rent Responai0la Dula" ulmown ubovc is the duic Through which Resident is resPnn$ihlc to pay rent under the I.cuSC. Par example, Wlho term of Resident's twelve-month Louse expires on Juno I, 2002, and Resident given this Notice ram May 15, 2002 thud Resident inlendn to vacate on June 1, 2002, the Rvsldcol will be ieponslble for paying Rent to and including June 15, 2002 (even though the "Vacate Date" is June I. 2002). 2, Indcmnity, Resident Is obligated to indemnify Landlord flom any loss or liability (Including, without limitation, claims by any succecdinS resident as a ic"ilt of Resident's failure to vacate) incurred by Landlord due to Resident's Rulurc to vlroatu lhu Prcmiscs by the Vacate Dale. 3. (p$b dtpg,�pj�,rgeplM by Landlord. Landlord may, upon reasonable notlec to Resident, enter the Promises prior to the Vacate Dec it, examine the same for the purpose of making repairs. or showing the Pi emises to prospc live residents. 3. V,gea a Before Rod or l case Term. Resident acknowledges that Resident's obligations for payment of rent and othur amounts will depend upon whether Resident signed a Lease Brcak Addendum at the start of the Lcusc: A. No Lense Bleak Addendum. if Resident did not sign a Lease Break Addendum at the stud of the I.cuse, Resident Is responsiblc for (i) payment of rent until tho expiration date specified in cite L.oase, or until Resident's apurunent becomes occupied by a new resident, whichever occurs first. and (Ili reimbursing Landlord for any concessions provided by Lundlord at the stud of the Lease iflhe apartment becomes occupied by a new resident prig to the end of Resident's stutcd lease let m. B. Lease Break Addendum. If ttc5idcni signed a Lease Rrcak Addendum all the start of the Lome. rather than making the payments outlined in ••d.A" above, 12ebWent may satuct the "Lcusu Break" option. If the Rcuidont aelecl$ till$ upiiuil, Ilse Resident is responsiblc for payment of the amounts specified In the Lease Brook Addendum on the data dill ty (30) clays prior to the Vacate Date. The amounts in the Lease Brook Addendum cover rent for the Resident's last thirty days in the, a parimanl, the Lease Brcak pee, and the mimbuisemcill of concessions provided by landlord at the start of the Lease. 5, Romnd of Socurity Deoosit. Resident acknowledges that„to the extent tiny portion of the Security Deposit Is unused aver cleaning of ehc Prcntlsca sad sntlsthclion of other Resident obligations under the ladsc. Lundlord will refund the mmidning balance by John check puyabie to the names of the Residents shown on the I.casc. The check will be sent to the forwurding addre5s provided by Resident below. Please died$ red. or/ FII ost rpltllfeablefor your move -our, __ Job Transfer/Rclocidion _ Purchased Homc/Condo _ Rent InercusdPinuncial t% _Need Marc Space _ Roommate Situation Other: Transfefred To Other TIC: Property - Name: Rcusons Al/ Xesidenfs scoot +fur ire order for tlrfs nattec to be convltlered eff'ctivo ti¢sicicnt: Print Name: f/_1(� 7.5/ Prhn Name: Print Name: r.N� NHS Print Name: Print Numc: � `x porwardiog Address: Print Numc: R.,SMSI P() Tclepho\fcy7� y/ Print Naloo: ••• \nlhy WF A2c ZeAllviR 5e4JDe.X,re24s/i✓4 /SG+nc• a/(; M Receipt of Notice Acknowledged on behalf of Lamilard-5"M!A�J�a xTltsii 5(��OtRS a IVG+4 �,CS �t Sof+TC• ICW a b# I •visa Apartment Communities, a Delaware limited p)tnecixh�pB°';'� 'f p S7�'�S Pa'rTYs �v�4`t D*Y Ye- r�ertlnd/ j�[[y!(y^f4 [yv 2esPLGiVlhO �LNtS D.�WJJ Dyt The hvinc Company Apartment Com'muniliea, its duly au`�� �40� GOKO1z U1�W e'i'! �jmjtil.(+N Ti t Nf mss'i,;Sl J� L- T��r( PNDIC4 w flAl Pv" ,1 Print Namcur2r21 _tom Ti4ot:t ik��,,r�y�,�; `,,,r(y pate of Rceeipt of Notice; t�lM - /+r.�eTT/!d�{k_ alylf,,� �a71 C<Rev.SttS) >r� �``'�b�HUirs - -- f1lEe,&"SSWL�I�V1/ lift••— e,,awey- t:.a a osf�f lvexr�'o &Y GT�PS TV'f g' d'4+ff smile e�rr2Yl+oo2 sir �2 0.17F.L 0 • snzo�� IRVINE APARTMENT MANAGEMENT COMPANY November 25, 2002 City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 Attn: Daniel Trimble Program Administrator RE: Affordable Housing Reporting — Baywood Proiect Agreements to Provide and Maintain Affordable Housing "Villa Point" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of July 2002 through September 2002. Should you have any questions, please do not hesitate to call me at (949) 450-4290. Sincerely, Yvette M. Machan Bond Compliance Auditor Irvine Apartment Management Company 43 Discovery, Suite 150, P.O. Box 57060, Irvine, California 92619-7060 • (949) 450.4262 • Fax (949) 450.5802 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY July - September 2002 BAYWOOD r a Villa Point - Moderate Income r/ Nlti� Ian %•� !o a?gbo Apartment Resident Floorplan # Of Move -In Move -Out Household/ecert. Address Name Size Occ. Date Date Income Rent Due 1. 745 1 Vacant 2+2 09/03/02 4/03 2. 346 Lederman 2+2 2 03/23/02 52,575 $1,440 4/03 3. 351 Okamura/Sbiroma 2+2 3 4/30/01 40,237 $1,345 4/03 4. 355 Minch 2+2 2 05/11/02 56,654 $1,260 4/03 5. 517 Davis 2+2 2 11/27/98 23,596 $1,305 4/03 6. 667 Moses 2+2 1 10/26/01 58,750 $1,340 4/03 7. 676 Vacant 2+2 09/08/02 4/03 8. 678 Naderi 2+2 1 1 10/15/00 64,000 1 $1,425 4/03 9. 1 762 1 McPhee/Kim 2+2 2 6/21/02 46,450 $1,305 4/03 10. 765 1 Edwards 2+2 2 8/26/00 60,000 $1,425 4/03 11. 766 Shabhosseini 2+2 1 10/14/95 39,000 $1,360 4/03 12. 773 Tamadon 2+2 3 05/17/02 60,049 $1,260 4/03 13. 913 Vacant 2+2 09/09/02 4/03 14. 917 Vacant 2+2 09/16/02 4/03 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 1 LindahVIl? $49 2+2 3 04/09/02 5,580 $1046 4/03 16. 315 1 Heli TTP $331 2+2 1 8/11/90 18,500 $951 4/03 17. 323 Stull/TTP $259 2+2 3 6/29/91 11,760 $951 4/03 18. 333 Hayworth 2+2 2 11/17/01 38,726 $1046 4/03 19. 337 Reese/71? $347 2+2 2 6/23/96 32,000 $951 4/03 20. 261 Veera 2+2 1 7/20/02 28,550 $1027 4/03 21. 345 Penberth 2+2 1 12/1/00 19,548 $928 4/03 22. 352 Philli s/TTP $286 2+2 3 10/13/00 1 2,596 $928 4/03 23. 356 Sisson/TTP $654 2+2 2 7/6/91 26,000 $951 4/03 24. 513 Cole/TTP $188 2+2 1 10/9/97 9,984 $928 4/03 25. 656 NoraMP $316 2+2 2 3/15/97 71431 $928 4/03 26. 743 Hicks 2+2 1 4/13/97 18,000 $928 4/03 27. 746 Davis 2+2 2 03/15/02 25,764 $928 4/03 28. 783 Mel oza/TTP $17 1 2+2 1 2 6/14/90 2,000 $928 4/03 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TTP = Total Tenant Portion for HUD apartments 160 610 • $AYWOOD EXPANSION • ��i�e� a� l INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons.who intend to reside in the unit: 1, 2. Name of Members Relationship of the to Head of Household 3. 4. Social Security 5. Place of Household Household Andy Veira, SOW Age 1 Number 5-13-9510yfo Employment aVrkr'&a SkeVen fYlay-lin 991? % -el &N, "ice. P Sens&e �.If q-OI `/Sua ae/ & g-An��c Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this p gra h 6, of all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit fs $� /� i R 2 � I Included in the total anticipated income listed above are: cl �( J (a) all wages and salaries, overtime pay, commissions, fees, tip$ and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support.payments and regular contributions and gifts received from persons not residing in the dwelling: ' (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income taxdiability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (e) special pay to a household member who is away from home and exposed to hostile fire, (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (I) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act, (k) income derived from certain submarginal land ofthe United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program, (in)payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) —Yes No and) YesNoor (b) have they dispo ed of any assets (other than at a foreclosure or bankruptcy sale) during t e last two years at less than fair market value? Yes A No (c) If the answer to (a) or (b) jabove is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes.-7, No IS total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to a derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ ,and 0, (2) the amount of such income, if any, that was included in item 6 above: $ ' *. 8. Neither myself -nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have.been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct Executed this day of "' " r in the Cityof , California. Applicant '• ' Applicant (Signature of all persons over the age of 18 years listed In number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6,above: b. (1) If the amount entered in 7(c) above is greater than A000, enter the total amount entered,*7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determingjKhat the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line l.b(3)): 2. The amount entered in 1.c: Qualifies the applicant(s) as a Low Income household. Qualifies the appficant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned:— 341 ' Bedroomsize: 2A--- Rent: 00 i 4. This apartment unit(was/was not) last occupiedfora period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: ---1 =— Employer income verification. Copies of tax returns. Other( Date P Project P)/ • 0• 1Umt Ir i Applicant's Name: Others Residing in Savings Accounts: INCOME RESTRICTED FINANCIAL WORKSHEET I Salary l Salary Salary Salary Commissions/Bonuses $_T�c 1 e;17 . Baance x %= $ ff i// Ban 9 Balance x %_ $ Ban 3 ��� Balance x %_ $011 Interest Bearing yy 5 Checking Account B n$ A. Balance x %= $ X/ B nj A Balance x %= $ - _------- Stocks/Bonds: Ty� / ' Amount x % = $ Trust Fund: Type Amount x % = $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, p tb tal support, etc.) Show calculation, how Annual is arrived at! I,/e NI Annual S Z Y� 1R Annual $� Annual $ XJ Property Owned By Resident: Equity x_%= TOTAL ANNUAL ELIGIBLE INCOME S_ Maximum Annual Household Income Limit s `Y 0, / 0 EMS Unit No. 31-1) CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income eaming occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ a& 805 _ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the Accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on. the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: A3 01 Income=old members: Resident Resident Resident Resident a Control number Void For Official use Only 22222 �, OMB No. 1545.0008 b Employer Identification number 1 Wages, lips, otharcompensation 2 Federal Income tax withheld e Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld STAR Professional Therapy, Inc. 5 Medicarewage's and bps 6 Medicare tax withhel 23961 Calle de la Magdalena Suite 440 Laguna Hills, CA 92653 7 Social security lips. a Allocated tips d Employee's social security number 9 Advance BID payment 10 Dependent care benefits e Employee's name (first, middle initial, last) 11 Nonquaffied plans 12 Benefits Included in box 1 ....... ndY._Ysaxa.............. 13 Sea insirs. for box 13 14 Other 341 Baywood Dr. Newport Beach, CA 92660 40.28 15 Statutory Deceased Pension Legal Deterred employee Ian re . compensation f f Employee's address and ZIP code ❑ ❑ ❑ 16 State Employer's state I.D. no. 17 State wages. tips, etc. 16 State income lax 19 Locality name 20 Local wages, Las etc 21 Local income lax ..-..&AJ.....457-59.5-.8.............................57.53..2 5........... 5.4.. 6................... .................. ..... ........................... LL Wty '`r Wage and Tax 2000 ,Statement Copy A For Social Security Administration —Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. 40-0971237 Department of the Treasury —Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see separate Instructions. b bmployef identification number 1 Wages, bps, other compensation 2 Feaeral Income tax wilrinein 33-0921 24 1050.00 91.26, c Employer's name, address, and ZIP wide 3 Sodarsecurity wages 4 Sccial security tax withheld STAR Professional Resources, Inc. 5 Medicare wages and tips 6 Medicare tax wdhhela , 23961 Calle de la Magdalena Suite 420 1050.00 15.23 Laguna Hills, CA 92653 7 Social security tips 6 Allccatetl tips I d Employee's social security number 9 Advance EIC payment 10 Dependent care benefits ; 6 I e Employee's name (first, middle initial, last) 11 Nonquatified plans 12 Benefits included in box 1 Veera....................................... : ....................... -------- 13 See Irises; for box 13 14 Other 341 Baywood Dr. , Newport Beach, CA 92660 15 Shtrttry Dao3lsei Pansm, ,ego' De=•rod s. employee 1�lail •'G. o^.mpits. I Employee's address and ZIP code El ❑ ❑ 16 Sla'z Employers state I.D. no. 17 State wages tips, etc. 16 State Income tax 19 LccaUry •lame 20 Lcca'rn_gas Is e'c 21 cxa :-:one tax .CA..J. ...............--------- .......................... o it Wage and Tax 2000 12 a Statement Copy A For Social Security Administration —Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable 48-0971237 Depanment of the Treasuy—Ir•ternal Revenue Seri For Privacy Act and Paperwork Reducti;- Act Notice. see separate Instructions 7 r APARTMENT HOMES PARENTAL / FAMILY SUPPORT Resident: Address: Commun I / We will contribute $ OIC)/ ©610 per year to the above referenced resident. (714) 644.5555 FAX: (714) 644.7225 I / We declare under penalty of perjury that the foregoing is true and correct. This 1 BAY W OO D DRIVE information is made with the knowledge that it will be relied upon by the owner NEWPORT BEACH,CA to determine maximum income for eligibility to occupy the above mentioned 92660 apartment; and I / We declare that all information set forth herein is true, correct IN and complete. �11 �^ �AA1 Executed this / % day of Aft 0,V/ , -fq' '40, 0 JZtr�t>���.1dJ�tv�— Signature Signature 11/A\C IRVINE APAM MENT COMMUNITIES . A HIGHER STANDARD OF 'LIVING BAYWOOD EXPANSION 1] 0 MODERATE INCOME UNIT SUBORDINATED LEASE ADDENDUM This Addendum becomes a part of.that certain Lease dated' by and between Irvine Pacific and Resident(s) THIS LEASE IS SUBORDINATE TO ANY MORTGAGE CURRENTLY EXISTING OR AT ANY TIME CREATED IN THE FUTURE OVER THE PREMISES. ' f/1 (INITIALS) (INITIALS) j64J, - Resident hereby acknowledges that the Premises are subject to an agreement by and between Owner and the City of Newport Beach (the "Agreement"), which (i) restricts occupancy of the Premises to persons or families whose aggregate gross annualized income does not exceed one hundred percent (100%) of the Orange County annualized median income as periodically revised and published in the County of Orange (the "Median Income"), and (B) further restricts the rent Owner may charge for occupancy of the Premises. As a material inducement to Owner to enter into this Lease, and in order to secure the benefits hereof and of the Agreement, Resident hereby certifies that the information provided and statements made in the Income Computation and Certification, relied upon by Owner in verifying Resident's qualification for occupancy of the Premises pursuant to the Agreement, are in all respects accurate, and acknowledges that the accuracy of such information and statements is material to Owner's willingness to enter into this Lease. In order to carry out the intent'of this Lease and.the Agreement, Resident agrees as follows: (a) Resident agrees that this Lease entitles Resident to occupy the Premises only so long as there is no material change (as defined in subparagraph (c)(III) below) in the aggregate annualized gross income of the occupants of the Premises. Therefore, in the event of any increase in the aggregate gross income of the occupants of the Premises in excess of ten percent (10%) in any year during the term of this Lease (whether due to salary raise, a change in occupants, or otherwise), Resident agrees promptly to so notify Owner. (b) Resident agrees promptly to comply with all reasonable requests (reasonable for these purposes meaning no more often than quarterly) by Owner to update the information provided and statements made in the Income Computation and Certification, hereby certifies that all such updated information shall be accurate, and acknowledges that the accuracy of all such updated information shall'be material to Resident's continued occupancy of the Premises. Resident further agrees to provide such proof of the accuracy of the matters shown in the Income Computation and Certification and any updated information as may be reasonably requested by Owner, and to cooperate with Owner in obtaining independent verification of the accuracy of the Income Computation and CertificatioA and updated information. (c) Owner shall have the right and power to terminate this Lease, at the direction of the City, upon thirty (30) days written notice to Resident, in the event of (I) Owner's discovery of any falsification of the information provided by Resident in the Income Computation and Certification or in response to any request for updated information, (ii) Resident's failure or refusal promptly to notify Owner of a ten percent (10%) increase in aggregate annualized gross income of the occupants of the Premises, or to comply with a reasonable request to update, or to verify or cooperate in the verification of, information and statements made in the Income Computation and Certification or any updated information or (III) Owner's discovery of a material change in the aggregate annualized gross income of the occupants of the Premises (a material change for these purposes being a change in such income resulting in an aggregate annualized gross income exceeding.ten percent (10%) of the then current income qualifying limit). Resident hereby agrees that Owner may provide copies of the Income•Computat' and ertification and any updated information with respect thereto to the City of Newport Beach or its agent for ve . 'op. i Date:— —M91 q I �� \ n Resident Resident IS2�C IRVINE APARTMENT MANAGEMENT COMPANY July 15, 2002 Christy Teague City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RECEIVED BY PLANNING DEPARTMENT CITY OF'NEWPORT BEACH AM JUL 19 2002 PM 7181911011111�I112i81415)6 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing 6• "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of April 2002 through June 2002.. Should you have any questions please do not hesitate to call me at (949) 450-5841. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach Baywood 43 Discovery, Suite 150, P.O. Box 57060, Irvine, California 92619-7060 • (949) 450.4262 • Fax (949) 450-5802 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY March 2002 BAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Prosser 2+2 3 5/18/01 46,504 $1.425 4/03 2. 346 Vacant 2+2 10/12/01 $1,400 4/03 3. 351 Won 2+2 3 4/30/01 50,000 $1,325 4/03 4. 355 Kinle 2+2 2 2/28/99 59,000 $1,380 4/03 5. 517 Davis 2+2 2 11/27/98 23,596 $1,305 4/03 6. 667 Moses 2+2 1 10/26/01 58,750 $1,340 4/03 7. 676 Freeman 2+2 1 5/21/99 42,000 $1,385 4/03 8. 1 678 1 Naderi 2+2 1 10/15/00 64,000 $1,425 4/03 9. 762 Torabba i 2+2 1 3/27/00 42,500 $1,365 4/03 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/03 11. 766 Shahhosseini 2+2 1 10/14/95 39,000 $1,360 4/03 12. 773 Vacant 2+2 10/31/01 $1,385 4/03 13. 913 Holden 2+2 1 12/20/99 88,780 $1,425 4/03 14. 917 Cole 2+2 1 8/23/01 70,000 $1,400 4/03 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 1 Martinez 2+2 2 4/21/01 29,249 $891 4/03 16. 315 Heli P $331 2+2 1 8/11/90 18,500 $951 4/03 17. 323 Stull/TTP $259 2+2 3 6/29/91 11,760 $951 4/03 18. 333 Hayworth 2+2 2 11/17/01 38,726 $1046 4/03 19. 337 Reese/TIP $347 2+2 2 6/23/96 32,000 $951 4/03 20. 341 Veem 2+2 1 2/27/97 28,550 $951 4/03 21. 345 Penberth 2+2 1 12/l/00 19,548 $928 4/03 22. 352 Philli s/TTP $286 2+2 3 10/13/00 1 2,596 $928 1 4/03 23. 1 356 1 Sisson= $654 2+2 2 7/6/91 26,000 $951 4/03 24. 513 Cole/TTP $188 2+2 1 10/9/97 9,984 $928 4/03 25. 656 North/TTP $316 2+2 2 3/15/97 7,431 $928 4/03 26. 743 Hicks 2+2 1 4/13/97 18,000 $928 4/03 27. 746 Davis 2+2 2 03/15/02 25,764 $928 4/03 28. 783 Mel oza/TTP $17 2+2 2 6/14/90 2,000 $928 4/03 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TTP = Total Tenant Portion for HUD apartments aviNE APARTMENT MANAGEMENT COMPANY BOND SUMMARY March 2002 BAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 1 261 1 Prosser 2+2 3 5118101 46,504 1$1.425 4/03 2. 1 346 1 Vacant 2+2 10/12/01 $1,400 4/03 3. 1 351 1 Won 2+2 3 4/30/01 50,000 $1,325 4/03 4. 355 Kinle 2+2 2 2/28/99 59,000 $1,380 4103 5. 517 Davis 2+2 2 11/27/98 23,596 $1,305 4/03 6. 667 Moses 2+2 1 10/26/01 58,750 $1,340 4/03 7. 676 Freeman 2+2 1 5/21/99 42,000 $1,385 4/03 8. 678 Naderi 2+2 1 10/15/00 64,000 $1,425 4/03 9. 762 Torabba i 2+2 1 3127/00 42,500 $1,365 4/03 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/03 11. 766 Shabhosseini 2+2 1 10/14/95 39,000 $1,360 4/03 12, 773 Vacant 2+2 10/31/01 $1,385 4/03 13. 913 Holden 2+2 1 12/20/99 88,780 $1,425 4/03 14. 917 Cole 2+2 1 8/23/01 70,000 $1,400 4/03 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert, Address Name Size Occ. Date Date Income Rent Due 15. 281 Martinez 2+2 2 4/21/01 29,249 $891 4/03 16. 315 Heli $331 2+2 1 8/11/90 18,500 $951 4/03 17. 323 Stull/TTP $259 2+2 3 6/29/91 11,760 $951 4/03 18. 333 Hayworth 2+2 2 11/17/01 38,726 $1046 4/03 19. 337 ReesenTP $347 2+2 2 6/23/96 32,000 $951 4/03 20. 341 Veera 2+2 1 2/27/97 28,550 $951 4/03 21. 345 Penberth 2+2 1 12/1/00 19,548 $928 4/03 22. 352 1 Phillis/TTP $286 2+2 3 10/13/00 22596 $928 4/03 23. 356 Sisson/T 1P $654 2+2 2 1 7/6/91 26,000 $951 4/03 24, 513 Cole/TI?$188 2+2 1 19/97 9,984 $928 25. 656 North/TTP $316 2+2 2 15/97 7,431 $928 26. 743 Hicks 2+2 1 L4/13/97 18,000 $928 H4/O3 27. 746 Davis 2+2 2 /15/02 25,764 $928 28. 783 Mel oza/ TZT $17 2+2 2 14/90 2,000 $928 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TT? = Total Tenant Portion for HUD apartments BAYWOOD EXPANSION• • INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household A e Number Employment .1i55c� Pdtyis �� "rD5 t 2 0 red �G�� anviS Puri ctl� 1t2gi4 7.11 1 Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this ah 6 of all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is R— Included in the total anticipated income fisted above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (9 the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (f) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); -. (e) special pay to a household member who is away from home and exposed to hostile fire; W relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; W payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (I) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (in)payments received from the Job Training Partnership Act (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: - (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluJing the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes No; or (b) have they dispo&o of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) if the answer to (a) or (b) above is yes, doe t mbined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes No ($ total assets) (d) If the answer to (c) above is yes, state: - (1) the amount of income expected to be Jeri from such assets in the 12-month period beginning on the date of initial occupancy in the unit, that you propose to rent: $� and (2) the amount of such income, if any, that was included in item 6 above: $ f 8. Neither myself nor any other occupant of the unit Uwe propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit and Uwe declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. Uwe acknowledge that Ilwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. Uwe declare under penalty of perjury that the foregoing is true and correct. �da of r ""V C" b � in the City of Ney�I puc-a- f�eu�h, California: Executed this y n � , XppBcanf Applicant rv------ (Signature of all persons over the age of IS years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (l) if the subtract fromtentered in that figure thec) above is amount entered In 7(d)(2) andeater than fienterer the total the remaining balance entered in (d)(1) (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determinewba the total annual earnings on the amount in7(c) would beifinvested inpassbook savings ($ //� ,_),subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (C4 — (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line i.a plus line 1.6(3)): 2. The amount entered in 1.c: _ Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate income household. , 3. Number of apartment unit assigned: I�w Bedroom size: 2— -r '2.Rent —' 4. This apartment unit (wastwas not) last occupied for a period of 31 consecutivb days by persons whose aggregate anticipated annual income as certified In the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies rC I- �^��•^� Other( 9 i INCOME RESTRICTED FINANCIAL WORKSHEET Project 'Ut wu a UnitNo. Applicant's Name: II NY I<�> Annual Salary $ Others Residing in Unit: , Ckt I Q6 U 1� / Annual Salary $ 4�r Annual Salary S. Annual Salary $ Commissions/Oonuscs Savings Accounts: Bank N N— Balance x % = Bank Bank Balance Balance Interest Bearing Checking Account Bank Balance x %_ Bank Balance Stocks/Bonds: Type _n l P� Amount x % = S Trust Fund: Type Amount x % = S Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental suupppoort, etc.) Show calculation, ho%v Annual is arrived at! Type i(-/DCn��//ll rt �N�1 I f I Annual 5 JO C/ Type I y �I� I 883x L2 Annual jjO $ Type Annual S —-Proparty-Owned— —------- --_------'-------------- -- -- ByResidenc Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME S1i�iA Maximum Annual Household Income Limit 5���e • m • a FORM SSA-1099 — SOCIAL SECURITY BENEFIT STATEMENT IN BOX 5 MAY BE TAXABLE INCOME. 2001 • SEE THE ROEVERSE FOR MORE I FORMATIONSHOWN Box 1. Name Box 2. Beneficiary's Social Security Number ELISSA A DAVIS 105-18-2903 Box 3. Benefits Paid in 2001 Box 4. Benefits Repaid to SSA In 2001 Box 5. Net Benefits for 2001 law 3 minus Box a) *$15,168.00 NONE $15,168.00 DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN BOX 4 Paid by check or direct deposit $14".00 NONE Medicare premiums deducted from your benefit $600.00 Total Additions $15,168.00 Benefits for Y001 $15,168.00 Box 6. Voluntary Federal Income Tax Withheld NONE *Includes; $24.00 Paid in 2001 for 2000 Box 7. Address ELI5SA DAVIS 755 ALDERWOOD DR NEWPORT BAACH CA 92660-7156 Box 8. Claim Number (Use this number if you need to contact SSA.) 105-18-2903A Form SSA-1099•SM (1 • KEEP THIS STATEMENT OF DISABILITY INSURANCE FOR YOUR RECORDS. DATE ISSUED 02/28/02 SSN: 105-18-2903 NAME: ELISSA DAVIS CLAIM EFFECTIVE DATE: 01/28/02 WEEKLY RATE: $269.00 WEEKLY RATE IS FOR 7 DAYS EXCEPT FOR THE MANDATORY 7-DAY WAITING PERIOD, YOU WILL BE PAID FOR EVERY DAY YOU ARE DISABLED AND ELIGIBLE1 INCLUDING WEEKENDS. IF YOU ARE NOT PAID FOR ANY DAYS, YOU WILL BE NOTIFIED WHAT DAYS WERE NOT PAID AND WHY THEY WERE NOT PAID IN THE MESSAGE AREA BELOW. THE DISABILITY INSURANCE OFFICE PROCESSING YOUR CLAIM IS: EMPLOYMENT DEVELOPMENT DEPARTMENT TELEPHONE: (600) 480-3287 I PO BOX 1466 SANTA ANA, CA 92702-1466 ) THE ATTACHED CHECK IS FOR THE FOLLOWING PERIOD(S): 02/04/02 THRU 02/,26/02. ) NO. OF DAYS BENEFIT AMT. AMT. DEDUCTED AMT. PAID , 23 $683.86 $0.00 $883.86 ti MESSAGE -AREA I r m IMPORTANT NOTICE:- IF YOU DO NOT UNDERSTAND ANY FORM SENT TO YOU BY THIS OFFICE, CONTACT US FOR ASSISTANCE AT THE TELEPHONE NUMBER SHOWN ON THE CHECK STATEMENT. r _NOTICE OF CLAIM DATE ADJUSTMENT !++ YOUR FIRST CLAIM FOR DISABILITY INSURANCE HAS BEEN DISALLOWED BEGINNING 01/27/02 THROUGH 01/27/02. o THE BEGINNING DATE OF YOUR CLAIM HAS BEEN ADJUSTED FOR THE FOLLOWING REASON: i THE BEGINNING DATE MUST BE AT LEAST ONE DAY AFTER THE LAST DAY YOU WORKED. ) * SECTION 2627, CALIFORNIA UNEMPLOYMENT INSURANCE CODE. DE 2517-17 (4/88) I This determination is final unless you file an appeal within twenty PP Y (20) days from the mailing - of this notification. You may PP y giving a detailed statement as to why you believe the appeal b determination is in error. All communications regarding this Disability Insurance claim should include your social security number and be addressed to the office shown above. I DE TUUOI:%pcv. (5 iE?h•!"S• TVS FOR IC 'i "+c ':_PLC c �:_-.._::.i:F.F SO F='-C 10 FSR<_CC•L CU PA061 (499) LASH F 6 0 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY pril-2002 -7 BAYWOOD Villa Point -Moderate Income Apartment Resident Floorplan # Of Move -hi Move -Out Household Recert. Address Name Size Occ, Date Date Income Rent Due 1. 261 Prosser 2+2 3 5/18/01 46,504 $1.425 4/03 2. 1-34_6 - Lederman- -2+2"- -2 '03(23102_- __ '52;575 $1;440 -4/03 3. 351 Won 2+2 3 4/30/01 50,000 $1,325 4/03 4. 355 Kinle 2+2 2 2/28/99 59,000 $1,380 4/03 5. 517 Davis 2+2 2 11/27/98 23,596 $1,305 4/03 6. 667 Moses 2+2 1 10/26/01 58,750 $1,340 4/03 7. 676 Freeman 2+2 1 5/21/99 42,000 $1,385 4/03 8. 678 Naderi 2+2 1 10/15/00 64,000 $1,425 4/03 9. 762 Torabba i 2+2 1 3/27/00 42,500 $1,365 4/03 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/03 11. 766 Shabhosseini 2+2 1 10/14/95 39,000 $1,360 4/03 12. 773 Vacant 2+2 10/31/01 $1,385 4/03 13. 913 Holden 2+2 1 12/20/99 88,780 $1,425 4/03 14, 917 Cole 2+2 1 8/23/01 70.000 $1,400 4/03 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Lindahl/TTP $49, 2+2 . 3 _04/09/02 . _ 55,58Q _ 11046 = "4103D 16. 315 Heli $331 2+2 1 8/11/90 18,500 $951 4/03 17. 323 Stull/TTP $259 2+2 3 6/29/91 11,760 $951 4/03 18. 333 Hayworth 2+2 2 11/17/01 38,726 $1046 4/03 19. 337 Reese/TTP $347 2+2 2 6/23/96 32,000 $951 4/03 20. 341 Veera 2+2 1 2/27/97 28,550 $951 4/03 21. 345 Penberth 2+2 1 12/1/00 19,548 $928 4/03 22. 352 Phillips/TTP $286 2+2 3 10/13/00 2,596 $928 1 4/03 23. 356 Sisson/TTP $654 2+2 2 7/6/91 26,000 $951 4/03 24. 513 Cole/TTP $188 2+2 1 10/9/97 9,984 $928 4/03 25. 656 Nortb/TTP $316 2+2 2 3/15/97 7,431 $928 4/03 26. 743 Hicks 2+2 1 4/13/97 18,000 $928 4/03 27. 746 Davis 2+2 2 03/15/02 25,764 $928 4/03 28. 783 Me] oza/TTP $17 2+2 2 6114190 2,000 $928 4/03 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TTP = Total Tenant Portion for HUD apartments B*YWOOD EXPANSION ' INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of `H/ouspehh{oolld��/t '��) Household cA�ge Number - �jn�wynEt!mpllovment �ll�l°i IC f�Y II U/uf l� ��J ✓5 -D 2 1 Ifll t Wyon Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this r raph 6 of ll persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is P t 6, Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation forpersonal services, before payroll deductions, (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay, (f) the maximum amopnt of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (1) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts,- (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (a) special pay to a household member who is away from home and exposed to hostile fire, (f) relocation payments under Title If of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (I) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act, (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (in) payments received from the Job Training Partnership Act, -- (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (exclu Ing the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust lend) Yes No; or (b) have they dispoVd of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes ZA No (c) If the answer to (a) or (b) above is yes, doe t m�qilifned total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ Lam_ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected t b i ed from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $_ and i /t (2) the amount of such income, if any, th t was included in item 6 above: $ I A 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit, and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of "� tLV—tom in the City of '"� �`� bSGO California. Zlf) j Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed In number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered i 7 )(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine4vI at the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ , (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La. plus line Lb(3)): 2. The amount entered in I.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. /J.�� 3. Number of apartment unit assigned: � Bedroomsize: 2 tZ Rent: 1440 f $ V $ 4. This apartment unit(was/was not) last occupiedfora period of 31 consecutive days bypersons whose aggregate anticipated annual income as certified In the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. Other ( INCOME RESTXCTED D Project FINANCIAL. WORKSHEET J� Unit No. —1 Applicant's Name: �It li (/y pl t(,t n ' i&nnual Salary Others Residing in Unit: t Annual Salary Salary Salary Commissions/nonuscs $ Savings Accounts: Bank i1�'tl't LY�I''�IJ QVI1LABalance x %_ Bank Bank Balance Balance = $ Interest Bearing Checking Account Bank Balance x % _ $ Bank Balance x % = $ Stocks/Bonds: Type Amount x % = S Trust Fund: Type Amount x % = S Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, "�% support, etc/.)) Show calculation, how Annual is arrived at! Type jrm� �W i/l u T Annual $ lAn..._.. I it Type Annual $ Type Annual Property Owned By Resident: Address Equity x_%= $ TOTAL ANNUAL ELIGIBLE INCOME S Maximum Annual Household Income Limit $ AUTOMOBIL&CLUB OF SOUTH ERID-ALIFORNIA ADMINIS TIVE OFFICES: P.O. BOX 25001 SANTA ANA, CA 92799-5001 TAX ALLOWANCE AND STATUS CHECK NO. 03202208 FEDERAL 99 Married PAY DATE 02/15/2002 02/01/2002 THROUGH 02/15/2002 STATE 99 Married SOC. SEC. NO. 595-30-9877 SUMMARY OF EARNINGS CURRENT EMPLOYEE H 000112706 GROSS PAY 1,801.29 4,862.25 CHARGE SECTION 00191 FEDERAL TAXABLE INCOME 1,680.53 4,504.79 RIOS, NICOLE M Total Tax Deductions 148.43 A286 00191 Total Pre -Tax Deductions 120.76 Total Other Deductions 0.00 NET PAY 1,530.15 4,099.98 Account Number Amount 11270600000 NET PAY 1,480.16 11270600001 FIXED #1 50.00 TOTAL DEPOSITED 1,530.15 EARNINGS DETAIL DEDUCTION DETAIL HOURS DESCRIPTION CURRENT YR-TO-DATE DESCRIPTION CURRENT YR-TO-DATE 86.67 REGPAY 1,393.51 3,794.64 CADI AC 15.61 41.95 11.66 OT1 281.22 679.89 MEDICARE 25.18 67.67 8.00 WRKHOL 128.63 128.63 OASOI AC 107.64 289.34 GPLIFE 1.95 5.85 FED WH FL'rHOLI 128.63 CA AC WH HOLIDAY 257.26 DENTAL 4.84 14.52 UNPDSIC 128.63 - FURSAV 55.58 161.92 0.25 - TARDY 4.02 - 4.02 - MEDICAL 51.70 155.10 VISION 8.64 25.92 COMMENTS: Deposited to Bank Account per authorization Please Notify Payroll when changing bank, branch or account number Address on file: RIOS, NICOLE M 22485 DEERBROOK MISSION VIEJO CA 92692-4534 LAW0001A E200107 AUTOMOBI* CLUB OF SOUTHEIO CALIFORNIA ADMINISTRATIVE OFFICES: P.O. BOX 25001 SANTA ANA, CA 92799.5001 TAX ALLOWANCE AND STATUS CHECK NO, 03208278 FEDERAL 99 Married PAY DATE 02/28/2002 02/16/2002 THROUGH 02/28/2002 STATE 99 Married SUMMARY OF EARNINGS CURRENT YTD SOC. SEC. NO. 595-30-9877 EMPLOYEE11 000112706 GROSS PAY 1,561.47 6,423.72 CHARGE SECTION 00191 FEDERAL TAXABLE INCOME 1,440.50 5,945.29 RIOS, NICOLE M Total Tax Deductions 127,91 A286 00191 Total Pre -Tax Deductions 120.97 Total Other Deductions 0.00 EARNINGS DETAIL NET PAY 1,310.64 4ennunt Numhnr 11270600000 NET PAY 11270600001 FIXED N1 TOTAL DEPOSITED DEDUCTION DETAIL 5,410.62 Amount 1,260.64 50.00 1,310.64 HOURS DESCRIPTION CURRENT YR-TO-DATE DESCRIPTION CURRENT YR-TO-DATE 78.67 REGPAY 1,264.88 5,059.52 CADI AC 13.45 55.40 6.83 OTI 164.72 844.61 MEDICARE 21.69 89.36 8.00 HOLIDAY 128.63 386.89 OASDI AC 92.77 382.11 GPLIFE 1.95 7.80 FED WH 0.08 STRAIGT 1.29 1.29 CA AC WH FLTHOLI 128.63 DENTAL 4.84 19.36 UNPOSIC 128.63 - FURSAV 55.79 217.71 WRKHOL 128.63 MEDICAL 51.70 206.80 TARDY 4.02 - VISION 8.64 34.56 COMMENTS: Deposited to Bank Account per authorization Please Notify Payroll when changing bank, branch or account number Address on file: RIOS, NICOLE M 22485 DEERBROOK MISSION VIEJO CA 92692-4534 LAW0001A E200107 • 0 PARENTAL / FAMILY SUPPORT Resident: R ioS _ LPcle),,)oy, Address: Community: I / We will contribute F g O _ O O pci• year to the above referenced resident. I / We declare under penalty of perjury that the foregoing is true and correct. This information is made with the knowledge that it will be relied upon by the owner to determine maximum income for eligibility to occupy the above mentioned apartment; and I / We declare that all information set forth herein is true, correct and complete. �0 Executed this 3 day of /'lCt 2 c'O>— Signature Signature ' BAAINVOOD EXPANSION• l INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household A e Number Emvlovment III I I(11 tl-,h i,l Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this Para 6, of all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $ Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay, (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; W payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excludi g the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes No; or (b) have they dispo a of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? YesZ, No (c) If the answer to a) or (b) above is yes, dpe,s jh�combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ i'�1 LYr total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be d rh'ved from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $_ lt/ and �} 1 /� (2) the amount of such income, if any, that was included in item 6 above: $ +X 8. Neither myself nor any other occupant of the unit 1/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and llwe declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that Ywe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner'to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. /, Executed this . day of �I ru`�' )" in the City of "1�� ,California. Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) Fi FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ 4 ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balanc $_ —); (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line 1.a plus line 1.b(3)):. 2. The amount entered in l.c: —X—_ Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. $ $ Does not qualify the applicant(s) as a Low or Moderate Income household. � �i,� �t r A t 3. Number of apartment unit assigned: 24•I t Bedroom size: v Rent: `u 4. This apartment unit (w/ts�asnot) last occupied for aperiod of31consecutive days bypersons whose aggregate anticipated annual income ascertified in the above manner Alfon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. _L Other( 0 • INCOME RESTRICTED ProjectFINANCIAL WORKSHEET . �/I�r�VV1UU Unit No. Applicant's Name: �I��{/ V I I �t�lA V Annual Salary $_J�t L? Others Residing in Unit: Annual Salary $ Salary $ Salary Commissions/Bonuses Savings Accounts! Bank Balance x %= S Bank Balance z %_ $ Bank Balance x % _ $ Interest Bearing Checking Account Bank Balance x %= $ Bank Balance x % _ $ Stocks/Bonds: Type Amount x % _ $ Trust Fund: Type Amount x % _ $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc. 1S'how calculation, how Annual is arrived at! Type Annual S✓` _ Type Annual $ Type Annual S Property Owned By Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME $ �F,�y-'� Maximum Annual Household Income Limit S t.HItIS I IAH CHURCH - - - Tiarc,Lindahl S 0 1/25/2002 YTD 7776 Bayport Drive MOPS hourly tate (3:30@$6.75) 23.63 23.63 Huntington Beach, CA 92648 Social Security Employee -1.47 -1.47 Medicare Employee -0.34 -0.34 576-78-6770 First Christian Church 1207 Main St. Huntington Beach, CA 92648 01 /01 /2002 =.01 / 15/;W2 ,Pay Period 21.82 FIRST CHRISTIAN CHURCH 3 4 B 5 Tiarc Lindahl 3/8/2002 YTD 7776 Bayport Drive MOPS hourly rat (14:00@$6.75) 94.50 330.76 Huntington Beach, CA 92648 Social Security Employee -5.86 -20.51 Medicare Employee -1.37 -4.80 576-78-6770 First Christian Church 1207 Main St. Huntington Beach, CA 92648 02/16/2002=`02/28/2002'Pay Period 87.27 FIRST CHRISTIAN CHURCH C // 4 /// 3443 Tiarc Lindahl 2/25/2002 YTD 7776 Bayport Drive MOPS hourly rat (14:00@$6.75) 94.50 236.26 Huntington Beach, CA 92648 Social Security Employee -5.86 -14.65 Mcdicarc,Employce -1.37 -3.43 576-78-6770 First Christian Church 1207 Main St. Huntington Beach, CA 92648 02/O1/2002 - 02/15/2002 Pay Period 57.27 FIRST CHRISTIAN CHURCH Tiare Lindahl 7776 Bayport Drive Huntington Beach, CA 92648 576-78-6770 First Christian Church 1207 Main St. Huntington Beach, CA 92648 16 3397 2/8/2002 YTD MOPS hourly rat (17:30 n 56.75) 118.13 141.76 Social Security Employee -7.32 -8.79 Medicare Employee -1.72 -2.06 01/16/2002 - 01/31/2002 Pay Period 109.09 OQ)44 G O PC © MONARCH BUSINESS FORMS (949) 780.779I G 8s K Management Co., Inc. CONFIDENTIAL VERIFICATION OF CIIILD SUPPORT / FAMILY SUPPOIrr To: 57 REET ADDRESS CITY .STATE ZIP CODE From: PLEASE COMPLETE AND RETURN TO THE RESIDENT MANAOtn OR SURFSIDE VILLAS 7795 NEPIuNE DRIVE , HUNTINGTON BEACH, CA 92649 SUBJECT: Verification of Information Supplied byan Applicant for Housing Assistance Dale Mailed Parent's/Guardian's Name Jla�q r GI t Yy !S;[ YlQ Address STREET ADDRESS CIrY STATE ZIP The child/children indicated below are member(s) of a household that is/has applied for/or is receiving housing assistance under a program of the U.S. Department of Housing and Urban Development (HUD). HUD requires the housing owner to verify all information that is used in determining this person's eligibility or level of benefits. The above named parent/guardian has authorized the complex indicated above to verify child/family support income for the child7chlldren indicated below. We ask your cooperation in providing the following information and returning it tote compleic indicated at the top of the page. Your prompt return of this information will help to assure timely processing of the application for'assiskance. Enclosed is a self-addressed, stamped envelope for this purpose. The applicant/resident has consented to this release of information as shown below. CHILD'S NAME ;: CHILD'S SOCIAL SECURITY NO. ,EFFECTIVE DATE CHILD/FAMILY SUPPORT OF INCOME INCOME AMOUNT p 2' �cn ,► $ i � . oo Ad-1 C i�.h A-rn T to►lo • � • c� 82- � $ its, coo $ $ $ $ $ 10,00 AU 11101114LU SIUMAMITl-l� tit laarf6l'II ;1^�j... ryy <LI4rnV+ V 7. .1.. ... L.. _ ._ .�_ r VW UV I IU, I Iavu w OIVKQII us 10 m R eRner the requesting organization or the organization supplying the information is left blank. RELEASE: I hereby aut ze the release of the requested information. Information obtained under this consent is limited to infonnalion that is not older than 12 months.There are circumstances which would require the owner to verify information that is up to 5 years old, which would be authorized by me on a separate consent attached to a copy of this consent. -DbA 0 . IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY May 2002 BAYWOOD Villa Point -Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Prosser 2+2 3 5/18/01 46,504 $1.425 4/03 2. 346 Lederman 2+2 2 03/23/02 52,575 $1,440 4/03 3. 351 Won 2+2 3 4/30/01 50,000 $1,325 4/03 ZC_-_-355- -Minch 2+2 2 05/11/02 56,654 $1,260 4/03 5. 517 Davis 2+2 2 11/27/98 23,596 $1,305 4/03 6. 667 Moses 2+2 1 10/26/01 58,750 $1,340 4/03 7. 676 Freeman 2+2 1 5/21/99 42,000 $1,385 4/03 8. 1 678 1 Naderi 2+2 1 10/15/00 1 64,000 $1,425 4/03 9. 762 Torabba i 2+2 1 3/27/00 42,500 $1,365 4/03 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/03 11. 766 Shahhosseini 2+2 1 10/14/95 39,000 $1,360 4/03 q2- 773-"Tamado'n 2+2 3 05/17/02 60,049 $1,260 4/03 13. 913 Holden 2+2 1 12/20/99 88,780 $1,425 4/03 14. 917 Cole 2+2 1 8/23/01 70,000 $1,400 4/03 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Lindahl/TTP $49 2+2 3 04/09/02 5,580 $1046 4/03 16. 315 Heli $331 2+2 1 8/11/90 18,500 $951 4/03 17. 323 Stull/TTP $259 2+2 3 6/29/91 11,760 $951 4/03 18. 333 Hayworth 2+2 2 11/17/01 38,726 $1046 4/03 19. 337 Reese/TI'P $347 2+2 2 6/23/96 32,000 $951 4/03 20. 341 Veera 2+2 1 2/27/97 28,550 $951 4/03 21. 345 Penberth 2+2 1 12/1/00 19,548 $928 4/03 22. 352 1 Phillips/TT? $286 2+2 3 10/13/00 1 2,596 1 $928 4/03 23. 356 Sisson/TTP $654 1 2+2 2 7/6/91 26,000 $951 4/03 24. 513 Cole/TTP $188 2+2 1 10/9/97 9,984 $928 4/03 25. 656 North/TIP $316 2+2 2 3/15/97 7,431 $928 4/03 26. 743 Hicks 2+2 1 4/13/97 18,000 $928 4/03 27. 746 Davis 2+2 2 03/15/02 25,764 $928 4/03 28. 783 Mel oza/TTP $17 2+2 2 6/14/90 2,000 $928 4/03 Total numb( % of propej TTP = Total BAYV ,POD EXPANSION • 355 INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment �ca��er/�,�. Mfnee(_ rn�me�fes Z`I �lDa-Rl-`��?� •l%ttni5�_ Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this aragrapIt 6, of allpersons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $�1 RA Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions, (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (1) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (e) special pay to a household member who is away from home and exposed to hostile fire; (0 relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; .- (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land)__'.i-Yes No; or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes --K_NO (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes -Z—No I$ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ /��N- , and (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any Interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that 1/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this—day'of I�, 2002 in the City of Iw' Q I a'` aC� , California. � Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number2 above required) Cl • FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount enteredgy7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ Z' ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine at the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ (3) Enter at right the greater of the amount calculated under (a) or (2) above: C. TOTAL ELIGIBLE INCOME (line La plus line 1.b(3)): 2. The amount entered in I.c: Qualifies the applicant(s) as a Low income household. lr�— Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned:_.c.366 .—Bedroom size. axa Rent: $ a $ 5( / Cosy' 4. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies Other( E • INCOME RESTRICTED FINANCIAL. WORKSHEET Project LL.LC 5. Unit NoJ cJc55 V ���,DIQ/ k Y 1 Annual Salary $ Applicant's Name: Others Residing in Unit:Annual Salary $``at�b+10�? ✓` Annual Salary Annual Salary $ Commissions/Bonuses S Savings Accounts: BankWAmQ6ALWBaIance o� Iq D x'_%= $ 15+2.�Q Bank S Balance114(p(e x_$ Bank Balance x % = $ Interest Bearing Checking Account Bank A2ABalance x % = $ Bank Balance Stocks/Bonds: Type Amount x % = Trust Fund: Type �J/lT Amount x % = Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type /1/4 Annual S Type Annual Type Annual Property Owned / n By Resident: Address Equity x_%= TOTAL ANNUAL ELIGIBLE INCOME c Maximum Annual Household Income Limit S ��_ ucks Coffee Com an z4o1 Utah S., Sth floor P.O Box 34067' Seattle, WA 98124-1067'n96.5282 tarb SOCIAL SECURITY NO EARNINGS GHECKNUMBE'R PARTNER NO PARTNER NAME ' 14014958 RECORD 6454965 6 00310425 NICOLE KERN 70 04/2112002 Vac Bal' 36.84 QTD Hrs' 122,2 DEDUCTIONS CURRENT 9EDUOT04 Y.T•D DEDUCTIONS HOURS CURRENT EARNINGS YT.D.EARNINGS : 51 81 576.87 EARNINGS 539.96 48.20 Income Tax -FED 32.42 337.52 Regular Time 55.15 118.58 Social SeCU-FED 0.33 4.So 7.59 78.94 Overtime 0.00 63.44 Medicare Ta-FED 5.97 70.37 Personal Holid 0.00 164.90 Income Tax -CA 0.00 5171 .20 Vacation 539.76 55 2 TX EE Disab-CA 16.80 151.20 Gross Wage 539.76 5595.3.2 ealth Insuranc 420.46 Gross Pay Net Pay yam, il' ` PLEASE DETACH BEFORE DEPOSITING AND KEEP FOR YOUR RECORD------------ AR7NERN0. PARTN' _'`FAME SOCIALSEGURITYNO. } iERIGD EARNINGS�KNUMBER 00310425 INICOLE KERN 614014958 03/2512002 RECORD 6416813 nnimnnno vac NARN1N05 eaR IiONRS CURRENTEARNINGS --- - Y.T,D.EARNINGS AEDEC'flONS CURRe oaPOCnONs Y.T.D,77EOUCTtCNS Regular Time 51.77 502.17 4713.24 Income Tax -FED 68.33 525.06 Vacation 8.00 77.60 164.90 Social Secu-FED 39.25 305.10 Personal Holide 6.54 63.44 63.44 Medicare Ta-FED 9.18 71.35 Overtime 0.46 6.69 113.78 Income Tax -CA 8.17 64.40 Gross Wage 649.90 5055.36 TX EE Disab-CA 5.70 44.29 Gross Pay 649.90 5055.36 Health Insuranc 16.80 134.40 Net Pay 502.47 PLEASE DETACH BEFORE DEPOSITING AND KEEP FOR YOUR RECORDS Catherine M. Minch . 2775 Mesa Verde Dr. E #U103 i Hrly thrpy (75.00@$17.50) Costa Mesa, CA 92626 5 Hrly trvl time (5.38@$6.75) 401(k) plan 562-91-9678 Health Insurance (Emp) Dental Insurance (Emp) Used/Available Professional Liability Sick 0.00 / 0.00 Mileage Reimbursement Vac 0.00 / 0.00 Federal Withholding Social Security Employee Center for Autism and Related Disorders, 12 Medicare Employee 23300 Ventura Blvd CA - Withholding Woodland Hills, CA91364 CA- Disability Employee Phone (818) 223-0123 ext. 34 7 Hrly ofc Fax (818) 223.0133 Wage Deduction 8 Hrly train attend Wage Adjustment Prior Pcriod 03/16/2002 Q3/31/2002 Pa Period ar . 4/10/2002 (i9 1,312.51 9,393.92 36.34 275,50 -13.49 -98.07 -36.10 -252.70 -4.12 -28.84 -5.00 -35.00 71.28 567.87 -173.00 -1,310.00 -81.13 -590.65 -18.98 -138.14 -38.64 -298.02 -11.78 -85.74 0.00 120.80 0.00 -34.00 0.00 18.00 0.00 34.00 �,037.89 . I MR 8 2 C.A.R.D.,INC. 3/26/2002 8,081.41\ Catherine M. Minch I Hrly dapy (79.50@$17.50) 1,391.25 6.80 120.80 ) 2775 Mesa Verde Dr. E tl1U103 7 Hrly of; (0.57@$12.00) 41 85 41.85 239,16 Costa Mesa, CA 92626 5 Hrly trvl time (6.20@$6.75) .84.58 562.91-9678 401(k) plan Health Insurance (Emp) -36.40 410 -216.60 -24.12 Used /Available Dental Insurance (Emp) Professional Liability -5.12 81.28 .30.00 496.59 Sick 0.00 / 0.00 .00/ .00 Mileage Reimbursement .19700 -1,137.00 Vac Federal Withholding .8678 •509.52 , Center for Autism and Related Disorders, 12 Social Security Employee 20.29 -119.16 -259.38 23300 Ventura Blvd Medicare Employee CA -Withholding 44.41 -12.59 -73.96 Woodland Hills, CA 91364 CA • Disability Employee 0.00 .34.00 Phone (818) 223.0123 ext. 34 Wage Deduction 0.00 18.00 Fax (818) 223-0133 8 Hrly train attend 0.00 • 34.00 Wage Adjustment Prior Period „�,n,,onn - 03/15/2002 Pay Period �` 1,100.49 Washington Mutual MAY 08, 2002 NICOLE KERN 506 CINDERELLA DRIVE UP CLAREMONT, CA. 91711 TO WHOM IT MAY CONCERN, THIS LETTER IS TO STATE THAT NICOLE KERN HAS AN ACCOUNT lffffR 19ASHMEiTON MUTUAL. THE ACCOUNT WAS OPENED ON 04/01/2002. THE CURRENT BALANCE OF THE ACCOUNT $2,190.61. IF YOU RAVE ANY FURTHER QUESTIONS PLEASE FEEL FREE TO CALL AT 714/549-9141, SINCERELY, VICTOR SALAS OPERATIONS SUPERVLSOR Costa Mesa -Mesa Verde Financial Center 1455 Baker St. Costa Mesa, CA 92626 phone 714.549.9141 fax 714.549.5113 Q FDIC tUa Inswed Account Statement Statement Date: March 31, 2002 Page 1 of 3 663-1718467 1,140,637 CATHERINE M MINCH 2775 MESA VERDE DR. E. APT# U103 COSTA MESA CA 92626 UNITED STATES OF AMERICA If you have any questions about this statement or your accounts, call: OMM9.3557 (1.800-TO-WELLS). Or write: WELLS FARGO BANK, N.A., P.O. BOX 6995, PORTLAND, OR 97228-6995. IMPORTANT ACCOUNT INFORMATION: TO 'APPROVE AS MANY OF YOUR POINT -OF -SALE (PO&) -TRANSACTIONS -AS POSSIBLE, WELLS FARGO IS CHANGING OUR APPROVAL CRITERIA. IF YOU PERFORM A POS TRANSACTION AND DO NOT HAVE SUFFICIENT FUNDS IN YOUR ACCOUNT TO COVER THE TRANSACTION, WELLS FARGO MAY COVER THE ITEM IF YOU HAVE OVERDRAFT PROTECTION, PAY THE ITEM AND CREATE AN OVERDRAFT TO YOUR ACCOUNT, OR DECLINE THE TRANSACTION. IF WE AUTHORIZE THE TRANSACTION, YOU MAY BE ASSESSED A FEE, WHICH WILL VARY DEPENDING UPON THE ACTION TAKEN. OVERDRAFT PROTECTION IS AVAILABLE TO HELP YOU AVOID THE INCONVENIENCE AND EXPENSE OF OVERDRAFTS AND RETURNED ITEMS. WE ENCOURAGE YOU TO CONTACT YOUR LOCAL BANKER, CALL OUR PHONE BANK OR VISIT US ONLINE TO SIGN UP FOR OVERDRAFT PROTECTION OPTIONS. Regular Savings Catherine M Minch Account Number: 663-1718467 Activity summary Balance on 02/28 $1,466.95 Deposits and interest 0.32 Withdrawals - 0.00 .......................................................................................... Balance on 03/31 $1,467.27 Interest you've earned Interest earned during this period Average collected balance this period Annual percentage yield earned interest and bonuses paid to date this year Total interest and bonuses earned in 2001 SO.32 $1,466.95 0.26% $0.83 $2.75 YOU CAN COUNT ON WELLS FARGO HOME MORTGAGE TO HELP YOU FIND THE BEST HOME FINANCING SOLUTIONS. IF YOU'RE THINKING OF BUYING A HOME OR REFINANCING YOUR CURRENT MORTGAGE, WE HAVE THE MORTGAGE TO SUIT YOUR NEEDS, AND AS A WELLS FARGO BANK CUSTOMER, YOU ARE ELIGIBLE FOR A SPECIAL DISCOUNT WHEN YOU FINANCE YOUR HOME WITH WELLS FARGO HOME MORTGAGE. FOR DETAILS, CALL 1-866-295-9153, OR VISIT YOUR LOCAL WELLS FARGO BRANCH LOCATION AND MENTION CODE DMX7AYG. WELLS FARGO HOME MORTGAGE, EQUAL HOUSING LENDER. A&WOOD EXPANAN INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members of the Household Relationship to Head of Household Household Age Social Security Place of -` Number Employment L Oil na� CI (X Cam, i �t Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this a rapt , �o I persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $ Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in'lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling: (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (I) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes, (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program, (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital inv e' b xc u ing the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes No; or (b) have they dispos of any assets (other than at a foreclosure or bankruptcy sale) du ng the last two years at less than fair market value? Yes No (c) If the answer to (a) or (b) above is yes,$11 a combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be r" om such assets in the 12-month period beginning nning on the date of initial occupancy in the unit that you propose to rent: $ and (2) the amount of such income, if any, that wa included in item 6 above: $.�/�\ YC B. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner'), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or nest in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of mylour agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate mylour occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. of of V" I in the City of , California. Applicant Executed this Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7 )(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determit}}tr hat the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($—(S ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance($ , (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): 2. The amount entered in l.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicaan/n�t�(/ss))� assa�a Low or Moderate Income household. /� 3. Number of apartment unit assigned: .L�_Bedroomsize. Rent: I&U 4. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: --)C— Employer income verification. Copies of tax returns. � Other IN 51 > -7 / 1) 2 .. Manager Date Project Unit No. T Applicant's Name: Others Residing in Unit: INCOME RESTRICTED FINANCIAL WORKSHEET Annual Salary S V Annual Salary S Annual Salary S Salary Couunissions/nanuscs S , y-; n Savings Accounts: Bank_ Balance�L� x ✓/° Bank Balance x % = S Bank Balance x % = $ Interest Bearing Checking Account Bank Bank Stocks/Bonds: Type Trust Fund: Type Other: Balance x %= Balance x % = Amount x % = (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Annual S Type Annual S Type Annual S Property Owned By Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME Sw o v Maximum Annual Household Income Limit Slit V 1 r� UbIIG/'UU2 Ul:n'U ,'z3'1:,rbUU'3b E9F ROX CONSULTING GROUP LLC, 16585 C. VON KARMAN SUITE 222 IRVINE, CA92614 Enployee Nunber 0067 DepartmentNunber, 30 Social Sawrity Number. 611- 04-9979 AMrilalStatus: MARRIED Number Of AllowArms: 07 Rate: 17.0000 AL1 1 hl',IHUU(ti Hours and Eernlr gs d ion Hours hiaPe^od Year -TO -Data REGLAR 115.50 1929.50 3289.50 0/TIME I 216.75 r=Ftuc. 03 (� Earnings Statement b"fff1.1 Pay Penod: 4/2612002 t0 5/10/200:1 Pay Date: 5/1512002 Chock#: 100045 ALIREZA TAMADON 23126 SAMUEL ST 3 TORRANCE, CA 90505 43,506.25 � ?w1,929.50�_� s274.61 1_ �1,�54.84 I� r ■ ,.. w:. EGIF ROX CONSULTING GROUP LLC. 16585 C. VON KARMAN SUITE 222 IRVINE. CA 99614 Employee Number. 0067 Department Number: 30 Social Security Number. 611-04-9979 Marital Status: MARRIED Number Of Allowances: 07 Rate: 17.0000 .:Llio-ifliZOH r,,ue Ya Earnings Statement n,���-°�tv Pay Period: 4/05,2002 to 4/19/2002 tU Pay Date: A/30/2002 Checkt 100036 ALIRE7.A TAMADON 23126 SAMUEL ST 3 TORRANCE,CA90505 and Deduotiom its Penod F Year• o• to 120.62 120.42 43.30 43.30 2.66 2.66 14.19 14.19 Uroaa Pay Year To Qab Qrosa Pay Thfa Patkxt 1 Net Pay Tbk Podod Total Daduotiuna This Period 41,576.75 $1,576.75 *180.77 1 _ 41,395 98 I ub/1�;1uU2 ui;o9 JzdjjiMil) ALITAM(DON PAGE tit _ ' - w... • k ,. a .4 a:o THE EAYs • PAGE 01 r„r• Orn )S)i i On•4r..ru Cu\L ♦e��n yt :r.t Cn.LA vine.. r Ar�tRT,titcr+r EIoait:> EMPLOYMENT VERIFIeA.TI()N Date Dear Sir/Madam; I l a 0?'j a vy)AA '//(n A current employee of your f� a lied Orr r residency. pp Since it is our policy to verify amp loymont dates, position, and salary in order to quality a Ntura resident, we would appreciate your cooperation in,completing the following and retuning it to us as soon as possible. We must have each item verified in order to proceed with the lease. • Start Date; • Annual Sal; • Coimitissio • 'Tote! Anat Information. Ve Title: fee Thank you in advance Ibr your prompt attention to this matter. Sincerely, 04, W�� The Bays Apartment Homes Leming Staff IRVINB APjLmTmgNT COMMUNMIiS A If In III A t14%111411 tM 1111It. 0., i�"-: U- "I: iA e.:r 7..•I' uU r� L I i I-Wut _U BankafAmerica *0"" ALIREZA TAMADON statement O Bank of America: in Balance To assist you in reconciling your account, we have provided the following summary Information, A reconciliation worksheet is printed on the reverse of this page • Your ending balance from this statement .................................. .. .... .. ..... ............. ............. . .... ........ ....... ............... .. ..... $994.18 • Add amount transferred to your account from your ovordrafi piotection plan to your checkbook register .................. 100.00 • Subtract other account fees from your checkbook register........................................................................................... 7.95 • Subtract the monthly service charge hom your rheckboolt register . ........................................... ........... ........ 5.50 O Your Regular Savingti Account Account slumber: 23417.044E7 r tateinenl Period: March 12 through April 10, 2002 Boglnning Balance on 03/12/02 $516.02 Annual Percentage Yield eat nod this period 0.50% _ Interest Paid 22 I Interact paid year-to•dale Ending Balance 5516.24 O Important Information About Your Account Your account earned S.21 In Interest this statement period. The Imorest Paid ahown above leflects interest -earned since your last payment date. ❑ Account Activity Date Ported Doscnpaon R,remnee Netnorr Anwwii Interest Paid 03120 Interest Paid from 03/01/02 Through 03/31/02 Si22 0 ATM Information This period, you visitod the following ATM locations: Bank of America's ATM Network • j�099303 Doi Arno Center, Torrance. CA • #G22949 Sepulveda -Hawthorne, Torrance, CA Non -Bank of America ATMs • #0P41 Sanwa Bank, ATM At Redondo, Redondo Beach, CA 000e00 os3.ros Caldotnia Page 3 of 3 0 nocro«rvv.. r 0 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY June 2002 BAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Prosser 2+2 3 5/18/01 46,504 $1.425 4/03 2. 346 Lederman 2+2 2 03/23/02 52,575 $1,440 4/03 3. 351 Okamura/Shiroma 2+2 3 4/30/01 40,237 $1,345 4/03 4. 355 Minch 2+2 2 05/11/02 56,654 $1,260 4/03 5. 517 Davis 2+2 2 11/27/98 23,596 $1,305 4/03 6. 667 Moses 2+2 1 10/26/01 58,750 $1,340 4/03 7. 676 Freeman 2+2 1 5/21/99 42,000 $1,385 4/03 S. 678 Naderi 2+2 1 1 10/15/00 1 64,000 1 $1,425 4/03 9. 762 McPhee/Kim 2+2 2 6/21/02 46,450 $1,305 4/03 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/03 11. 766 Shahhosseini 2+2 1 10/14/95 39,000 $1,360 4/03 12. 773 Tamadon 2+2 3 05/17/02 60,049 $1,260 4/03 13. 913 Holden 2+2 1 12/20/99 88,780 $1,425 4/03 14. 1 917 Cole 2+2 1 8/23/01 70,000 $1,400 4/03 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Lindahl/TTP $49 2+2 3 04/09/02 5,580 $1046 4/03 16, 315 Heli $331 2+2 1 8/11/90 18,500 $951 4/03 17. 323 Stull/TTP $259 2+2 3 6/29/91 11,760 $951 4/03 18. 333 Hayworth 2+2 2 11/17/01 38,726 $1046 4/03 19, 337 Reese/TTP $347 2+2 2 6/23/96 32,000 $951 4/03 20. 341 Veem 2+2 1 2/27/97 28,550 $951 4/03 21. 345 1 Penberth 2+2 1 12/1/00 19,548 $928 4/03 22. 352 Philli s/TTP $286 2+2 1 3 10/13/00 1 2,596 1 $928 4/03 23. 356 SissonrM $654 2+2 2 7/6/91 26,000 $951 4/03 24. 513 Co/TTP $188 2+2 1 10/9/97 9,984 $928 4/03 25. 656 Norffi P $316 2+2 2 3/15/97 7,431 $928 4/03 26, 743 Hicks 2+2 1 4/13/97 18,000 $928 4/03 27. 746 Davis 2+2 2 03/15/02 25,764 $928 4/03 28. 783 Mel oza/fTP $17 2+2 2 6/14/90 2,000 $928 4/03 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TTP = Total Tenant Portion for HUD apartments BAYWPOD EXPANSION �n ?oofrnrinA& INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to necuuv the unit beine aoolied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2 Name of Members Relationship of the to Head of Household Household Household - "A GUM 3. 4. S. Social Security Place of A e Number Employment �6 Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this 'a rah of all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $— Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment, (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (0 the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses, (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments, (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (exclliicjing the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) —Yes ^ No; or (b) have they dispoKA of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answer to (a) or (blSbove is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes No ($ total assets) (d) If the answer to (c) above is yes, state: ' (1) the amount of income expected to,bg�depved from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ t - . �-F and (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit, and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that Ywe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that /the foregoing is true and correct. Executed this day of in the City of � o California. —'a=-- Applicar /Lf �,ifYYto�—GL Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered V,�(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determi at the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($); (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): 2. The amount entered in 1.c: Qualifies the applicant(s) as a Low Income household. --X— Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as Low or Moderate Income household. �� 2 3. Number of apartment unit assigned:� ° Bedroomsize: 2- Reht: 4. This apartment unit OA/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above mann upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: XEmployer income verification. Copies of tax returns. --,L` Other( • INCOME RESTRICTED FINANCIAL WORKSHEET Project Unit No. Applicant's Name: C �UL�� + Annual Salary $ N Others Residing in Unit: Annual Salary $-1911,12 Annual Salary S Annual Salary $ Savings Accounts: Batik Bank Bank Interest Bearing Checking Account Bank ' Bank Stocks/Bonds: Type Trust Fund: Type Other: Type Type Type Property Owned By Resident: Addre Cuounissions/nonuses Balance x %= S Balance x %= $ Balance x %= S Balance x %= $ Balance x %= $ Amount z % = S Amount x % = (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! / S t [07004:�, $ l Annual Annual Annual Equity x_ % = S hh TOTAL ANNUAL ELIGIBLE INCOME S ql_ Maximum Annual Household Income Limit S t� _ • - ------ - - • iE NAME SCHOOL DISTRICT OF LOSANOELESCOUNY - EOCIAL SECURITY NUMBER 1.4V'�Ep1sU1pYERENsiq€ PAY LOC su�ip�°xe DiST.NO. 573-73-2786 SOO S 0/ 0 705 C3I 630 CARNINGS TYPE END DATE SALARY RATE UNIT&AMOUNTS NE -------- ----REDUCTIONS---------------= ZEGULAR 03-31-0'1 6.25 94.25 89.06 8126785 UE DATE 1U-U1 ------------- TOTALS-------------- GROSSPAY 569.06 REDUCTIONS -------- ---------- TAXES ------------------ TAXES 63.77 MEDCAR DED 8. 54 osoucTws FWT 55. 23 �r— HET PAY nJZJ. G7 ---------LEAVE BALANCES---------- VACATION SICK COMPTIME MEDCAR CON GR EARN S T F. R S ZU44.Jt FED TAX 114.14 STATE TAX MEDCAR DED 29.64 MEDCAR CON 29.64 s 7lUU NUHIH GRAND AVLNUL NA'/L�NUI, LR�frLAY %� +� /) r �1;�2 Nov `bN - 01 co l0D I OLD AETACH I ALONG PERFORATION I BARE FILIN• ti Ysl Tc....a TA' V.a 1.er...eh1 nrnnno f`nn ntv Cnnnt•in}nnrlen} of SrTtnnic Employe. Nam* CHUNG,AARON S District Nam. 082 - PLACENTIA-YORSA LINDA UNIFIED Check Number 00290541 6-Numhrt %7.A Pry Sib S.qu.nc. Numbor 06430 F.d*raI Additional Amount SINGLE 0 ,P.yroll Number 10B Pjyrall'11vur D,. 05-10-20021 P.y,.Il Ending Data 04-30-2002 State 1 Mental Sblm Exam Uen Extra Ex.mpuon Additional Amount SINGLE 1 0 0 I 1 ' r I I �11 Hours and Earnings Tax Deductions Dueri lion Rat. of Pey Hour/Unds Earnings Tex Dueriptian Cumnt Amount Cel.ndae Year -To -Date HRLY/DAY/MO HRLY/DAY/MO ASS/PAY ADJ I CURRENT GROSS PAY: YEAR-TO-DATE GROSS PAY: 11.690 12.910 12.910 1.3 61.2 12.0- 15.20 790.09 154.92- 650.37 3, 486. 76 FEDERAL STATE SOCIAL SECURITY MEDICARE STATE DISABILITY INS TOTAL: 42.95 40.32 9.43 92. 70 261. 19 216.18 50.56 Pre - ax etlrement E.P.M. Curram er mer Cal .... I Summ F,ac.l Y•T-D Curran!C.londv Y-T-D Fiscal Y-T-D I •' •• Pre -Tax Deductions Other Dedu ' ucr Lou meant escn eon mount I' CURRENT TOTAL: YEAR-TO-DATE TO C. S. E. A. STATE DUES TOTAL: 9.76 9.76 Gress Pa Pra•Tax D.ductions Pr* -Tax Rallremepl Other Daduclions Tax Daductions Advanced Eern*d Income Cmdn Earned Salary Advanoa NET PAY CURRENT 6 0, 7 _ 9.76 92, 70 547. 91 IV L v DETACH CHECK ALONG PERFORATION v A DTTC\/C;<,ALG P FO� CLDANDOACH I ALONGI'L ORATION I BEFQ , ,,, William M_ TTnI x,rm>h1 nl ,n. rso l+.....,5.. c...,..«:.-a.-«a__a _e o Emptoyea N.M. CHUNG,AARON S Di.lrict Nam. 082 - PLACENTIA-YORBA LINDA UNIFIED Check Number 00256219 S.S.A. Number 576-II-6976 Pay Sri. I' i f' I �4500 �, I i'• Sequann Number 06397 Federal Marital Satus Exemption Addilional Amount SINGLE Op P.yrall Number 098 Payroll bma D� ate 04-'10.2002 J Payroll Endmg Dola• 03-31-2002 $tUa, Marital Status Exemption Eava Exemption Additional Amount SINGLE 0 0 Important f.3Ujk.• -r �`• L--}sg j °�.���i� r '� - , �L - Hours and Earnings Tax Deductions Descri tie. Rate of Pa Hour/Units Earnings Tax Descnption Current Amount Calendar Y.ar-To-D.la NRLY/DAY/MO CURRENT GROSS PAY: YEAR-TO-DATE GROSS PAY: 12.280 • 61.2 751.54 751.54 2.836.39 FEDERAL STATE SOCIAL SECURITY MEDICARE STATE DISABILITY INS TOTAL: 55.02 46.60 10.90 112.52 218.24 175.86 41.13 Pre -Tax Retirement E.P.M.C. Summer Dd... al Y-T-D Carter, Pi ... 1 Y-T-D Currant C.landar Y-T-D Fncal Pre -Tax Deductions :Other Deductions Hcb ti.0 Amount Hcn Lon Amount CURRENT TOTAL: YEAR-TO-DATE TOTAL: C. S. E. A. STATE DUES TOTAL: 11.27 11.27 Gans Pay Deduction Pre -Tax Pre -Tex R.tir.m.nt Other Deductmns Tax Oeductions Advx... d Earned Inmma Credit Earned Salary Advance NET PAY CURRENT I 75i•54 1 11.27 1 112.52 627. 75 T DETACH PARENTAL / FAMILY SUPPORT Resident: C%/(A'MU2 Address: 35( BAY L"O A/SwPv;27 cg %ZGEo Community: UYL✓000 I / We will contribute $ 6000 per year to the above referenced resident. I / We declare under penalty of perjury that the foregoing is true and correct. This information is made with the knowledge that it will be relied upon by the owner to determine maximum income for eligibility to occupy the above mentioned apartment; and I / We declare that all information set forth herein is true, correct and complete. Executed this I day of AV I , M 200 pore o- UKA! IVI"p - Signature Signature PARENTAL / FAMILY SUPPORT Resident: Address: Community: I / We will contribute $ Uo per year to the above referenced resident. I / We declare under penalty of perjury that the foregoing is true and correct. This information is trade with the knowledge that it will be relied upon by the owner to determine maximum income for eligibility to occupy the above mentioned apartment; and 1 / We declare that all information set forth herein is true, correct and complete. Executed this 17b- day of PO V l ` , 44-i 00 I - V§161aiuw ig is urc MAY-28-2002 TUE 09:11 A, ICE DELIVERY FAX N0, 308�443855 ?, 02 Carlton and E, lien Chung 98-553 Hoohumi St. Pearl City, Hawaii 96782 May 28, 2001 To who; it may concern: Wo are writing this on behalf ofour son, Aaron S. Chung who resides at 351 Baywood i)r., Newport Beach, CA We will contribute $10,800 per year to Aaron. We declare under penalty Of perjury that the foregoing is true and correct. This information is made with the knowledge that it will be relied upon by the Owner to determine the InUhnum income for eligibility to occupy the above mentioned apartment; and we declare that all hltormation set forth herein is true, con -cot and complete. Laecutcd this 28th day of May, 200 L' Carlton Chung Ellen Chung. RAVW'OOD EXPANSION• INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment Mc_1'r mare. 'S5(o 3� q A_ u hlri-ft(L Urn roornck_ e_--' - ct olowkT Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this paragraph 6, of all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $___F` , C1e;T n Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments receivedfrom social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayedatart of a periodic payment; (c) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships orpayments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title li of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land)—_X—Yes No; or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes )—No (c) If the answer to (a) or (b) above is yes, does,combined total value of all such assets owned or disposed of by all such persons total more than $5,000? 2 Yes No total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be dsiived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $_ beo , and (e5 (2) the amount of such income, if any, that was included in item 6 above: $ B. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, orowns directly or indirectly any interest to the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information Uwe deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required'to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this 2 i sr day of o n e_., .1yo l in the City of `t en^� W ' t , California. cam' p u n ' Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered, �*n,7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance Zia= ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine wltat the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance( ; (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line l.b(3)): 2. The amount entered in l.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. ��yj 3. Number of apartment unit assigned: e7i0 r� Bedroom size: co fi a Rent: J $ �co-Y65 $ !0, $ 4(Za; 4. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. Copies offttax returns. }� Other ( T x n ie— 6kL`YtI'r tx+l I� 1 Ji Y�..�itYt"Jl' �1 V S INCOME RESTRICTED FINANCIAL, WORKSHEET Project Unit No. e0op, �/ pp I , Applicant's Name: �/���� p WI -, Annual Salary S 46 r P)s Others Residing in Unit: l Cal i V �LC� �� rn Annual Salary S Annual Salary S Salary Conuni5sionsl6onuscs $ Savings Accounts: Bank 60OYIL Balance5g55 x0, %= S (v5 Bank Balance x % = Bank Balance x % _ Interest Bearing Checking Account Bank ry �� Balance x %= Dank Balance x %= Stocks/Bonds: Type Amount x % = Trust Fund: Type N Z /T Amount x % = Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type /`� Annual S Type Annual S' Type Annual S Property Owned 1 f By Resident: Address A/ / Equity TOTAL ANNUAL ELIGIBLE INCOME S 1�r L-)6`'C Maximum Annual Househuld Income Limit S / , a 00 •' RESTAURANT SERVICES PAY PERIOD BEOIN PAY PERIOD END ADVICE NUMBER TricOn 42, QG..I., Road• ' PLEASE DETACH AND RETAIN IMGT IUNT18/07 (EMPLOYEE �� Rio Rancho, NM 87124 THIS STATEMENT OF YOUR NUMBER 505-891-7000 EARNINGS AND DEDUCTIONS COR ER DIR ENT 556393B220 SOCIAL SECURITY NO, I CHECK DATE EMPLOYEE NAME YTO GROSS I CURRENT GROSS NET PAY 556-39-3822 05/17/02 MCPHEE, PETER 27828741 2600,49 146016 �O$s Wfl RSC BONUS :00 50000 IMPUTED IN :49 474 401K BONUS :0a 152400 ' FEDERAL TA 35�66 496674 FICA/MED 19373 207683 CALIFORNIA 111:52 154564 CA VOL DIS 2279 24432 IMPUTED IN .49 474 LIFE INSUR ]08 1080 RESERVE HE 1923 19230 BENEFITS D 4883 48830 401K 39000 39900 BOYS&GIRLS 00 2000 BRAND ASSISTANT CONTR- 900745 - DEPOSITIST 146Q16 1788907 1900 COLONEL SANDERS LANE LOUISVILLE KY 40213 ,d Cust.)mers make " lis check possible T. RESTAURANT SERVICES 05/17/02 11C0114a421 Quantum Road DATE Rio Rancho, NM 87124 PAYROLL ADVICE 605-891.7000 BANK NO. ACCOUNT NO. DESCRIPTION AMOUNT PACIFIC MERCANTILE BANK *****9700 DEPOSITI 1,460.16 DEPOSIT TO ACCOUNT OF DIRECT PETER MCPHEE #1 NON-NEGOTIABLE 107 VIA FLORENCE NEWPORT BEACH CA 92663 .A.h L,:,pF"2 +/•.F 1.�s' L?•FT? i:F f•�•.• SEE REVERSE SIDE FOR OPENING INSTRUc FIONS FAVOR DE G11RAR AL DORSO (ATRAS) PARA IPISTRUCCIONRS PAM'Att•HW.c;;•� —r� S'; ••--.;p+•�y�_•��.;0 RESTAURANT SERVICES to I Trico 1«m421 Quantum Road �r Rio Rancho, NM 87124 �o DIRECT - 3938220 - 145352 ° PETER MCPHEE 107 VIA FLORENCE = NEWPORT BEACH CA 92663 o o o o �m O �o • .RESTAURANT SERVICES, 421 Quantum Road Tr Rancho, NM 87124 605-891-7000 SOCIAL SECURITY NO. I CHECK DATE a "P PAY PERIOD BEGIN PAY PERIOD END ADVICE NUMBER PLEASE DETACH AND RETAIN 14711 THIS STATEMENT OF YOUR EARNINGS AND DEDUCTIONS MGT CDR UNT EMPLOYEE NUME 1 1M YUltll 1N i49 5 LIFE INSUR 1!08 ll RESERVE HE 1923 211 BENEFITS D 4883 537 401K 39QOO 780 BOYS&GIRLS 100 20 DEPOSITIST 146UIS 19349 Satisfied Customers make this check possible YTD GROSS I CURRENT OF 3042923 260 UU 23 00 40 16 11 23 88 Fi i BRAND ASSISTANT CONTR- 900745 - 1900 COLONEL SANDERS LANE LOUISVILLE KY 40213 RESTAURANT SERVICES Tllcon 421QuantumRoad DATE 05/31/02 Rio Rancho. NM 87124 PAYROLL ADVICE 505-891.7000 BANK NO. ACCOUNT NO. DESCRIPTION AMOUNT PACIFIC MERCANTILE BANK *****9700 DEPOSITI 1,460.15 DEPOSIT TO ACCOUNT OF DIRECT PETER MCPHEE #1 107 VIA FLORENCE NEWPORT BEACH CA 92663 Cif -I_ RCVEI39F SIDE FOP OPENING IN — 1101C I I, IN:, F1 W)R or )A.TQA✓) a,.i,,, Iil'tli:;O .,; yl :. )'.4l n� •. er x�a I RESTAURANT SERVICES uTriconp421 Quantum Road �9 a :L Rio Rancho, NM 87124 DIRECT - 3938220 - #1TER MCPHEE 107 VIA FLORENCE NEWPORT BEACH NON-NEGOTIABLE �IdY'l,h'02to =o. 147044 CA 92663 o o o m o o Tri RESTAURe\tiT SER\'14CS Fti\\ FV.kkV! @CRIk tti\\ PtklM tk0 \P\IQC k\A1@kk 1421 QDaoturo ROatl PLEASE VETACH AND RETAIN 051041 � Rio,Rancho, NM 87124 505.891-7000 THIS STATEMENT OF YOUR EARNINGS AND DEDUCTIONS MGT CDR UNT' EMPLOYEE NUMDER DIR ECT 55639382: CURITY NO. CHECK DATE EMPLOYEE NAME YTD GROSS CURRENT CROSS NET PAY 9-3822 05/03/02 MCPHEE, PETER 2522825 412riri9 259851 RAT' DESCRIPTION CURRENT YEAR-TO-0AT LM*Q�y RSC BONUS —ZMEfi :00 —YfffiM 50000 —HOUR' IMPUTED IN 149 425 401K BONUS 152400 152400 FEDERAL TA 86944 461408 FICA/MED 31631 188310 CALIFORNIA 24906 143412 CA VOL DIS 3651 221:53 IMPUTED IN :49 425 LIFE INSUR 1°08 972 RESERVE HE 19.23 17307 BENEFITS D 4883 43947 BOYS&GIRLS 100 2000 DEPOSITIST 259954 1642891 RAND ASSISTANT CONTR- 900745 1 1900 COLONEL SANDERS LANE % tJ 1 LOUISVILLE KY 40213 Satisfied Customers make this check possible •' T•� RESTAURANT SERVICES DATE 05/03/02 421 QuantumTr1Con4PRIoRancho, NM 87124 PAYROLL ADVICE 505-691.7000 BANK NO. ACCOUNT NO. DESCRIPTION AMOUNT PACIFIC MERCANTILE BANK DEPOSIT TO ACCOUNT OF DIRECT PETER MCPHEE 107 VIA FLORENCE NEWPORT BEACH *****9700 DEPOSITI 2,598.54 CA 92663 NON-NEGOTIABLE SEE REVERSE SIDE FOR OPENING INSTRUCTIONS FAVOR DE MIRAR AL DORSO (ATRAS) PARA INSTRUCCIONES IACYl-7CCyRIR,i, r10 RESTAURANT SERVICES oo ( fin Oro Trico 70421 Quantum Road <. N.9 Rio Rancho, NM 87124 DIRECT - 3938220 - 143733 PETER MCPHEE 107 VIA FLORENCE NEWPORT BEACH CA 92663 II,I... .III.I —11.... II.,I„!,II... I! nin u 0 !PACIFIC ®.� MERCANTILE BAN K PETER J MCPHEE 107 VIA FLORENCE 4#1 NEWPORT BEACH CA 92663 NEWPORT CENTER 450 NEWPORT CENTER DR. STE 100 NEWPORT BEACH CA 92660 PHONE:949-644-8040 PER NET IMAGE INT CK ACCOUNT: 1119700 04/16/02 THRU 05/15/02 DOCUMENT COUNT: 11 PAGE 2 ------------------ ________________________________________________________ ---- PER NET IMAGE INT CK ACCOUNT 1119700 - - DESCRIPTION - OTHER DEBITS - - - - - - - - -- -- SPORTS CLUB-IRVI CLUB FEES 23890001 DATE AMOUNT 314421 PS - CK C24 SAV-ON 06 029508 EXPRESS 4301313533 COSTA MESA CA 05/01 71.00 201962 PS - CK C24 LONGS DRUG STOR4301313295 COSTAMESA CA-06 000201 O5/09 22.00 146100 PS - CK C24 BRISTOL 532851 FARMS N532851 NEWPORT BEACHCA 06 OS/13 50.96 - - - - - - - - - - I N T E R E S T - - - - _ - _ _ _ AVERAGE LEDGER BALANCE: AVERAGE AVAILABLE BALANCE: 5,935.01 INTEREST EARNED: 5.32 INTEREST PAID THIS PERIOD:30 5,884.31 DAYS IN PERIOD: INTEREST PAID 2002: 14.32 ANNUAL PERCENTAGE YIELD 32 EARNED: 1.11% l[N11[n 450 NEWPORT CENTER OR., STE. 900. N1=WPORT GF_ACH, f:;GJ ,Ii'('`Ptf ;ll, r,.'••, r; fvinmP: • � l��u�c1 i(LU•. i AN n, 111 r., ,,., • ,-� PACIFIC g MERCANTILE BANK PETER J MCPHEE 107 VIA FLORENCE ){1 NEWPORT BEACH CA 92663 NEWPORT CENTER 450 NEWPORT CENTER DR. STE 100 NEWPORT BEACH CA 92660 PHONE:949-644-8040 PER NET IMAGE INT CK ACCOUNT: 1119700 04/16/02 THRU 05/15/02 DOCUMENT COUNT: 11 PAGE 1 WE ARE PLEASED TO ANNOUNCE THE SPRING 2002 OPENING OF OUR NEWEST FINANCIAL CENTER LOCATED IN LA JOLLA'S GOLDEN TRIANGLE AREA. PENDING REGULATORY APPROVAL, WE WILL SOON BE OPENING A LOAN PRODUCTION OFFICE IN LA HABRA. PER NET IMAGE INT CK ACCOUNT 1119700 MINIMUM BALANCE 1,844.36 LAST STATEMENT 04/15/02 5,958.80 AVG AVAILABLE BALANCE ,.884. 5 CREDITS 7,112.09 AVERAGE BALANCE 5,935.14 1 THIS 19 DEBITS STATEMENT 05/15/02 9,764.45 3,306.44 - - - - - - - - - - DEPOSITS - - - - - - - - - - REF if ..... DATE ...... AMOUNT REF if ..... DATE ...... AMOUNT REF if ..... DATE......AMOUNT 05/06 1,279.83 05/13 1,521.17 - - - - - - - - OTHER CREDITS - - - - - - - - - DESCRIPTION DATE 04/17 AMOUNT 3.97 INTEREST 04/,8.54 58 TRSG PAYROLL 5563938220 05/03 2,598.54 TRSG PAYROLL 5563938220 - - - - - - - - - - CHECKS - - - - - - - - - - CHECK ik..DATE...... AMOUNT CHECK )k..DATE...... AMOUNT CHECK ))..DATE......AMOUNT 2667*04/18 10.00 2673 04/24 18.00 2677 0'5/08 6,849.94 2670 04/17 20.82 2674 05/03 240.00 2678 05/07 132.19 2671 05/13 8.13 2675 04/30 1,379.10 2679 05/10 224.77 2672 04/29 500.00 2676 05/01 24.58 (*) INDICATES A GAP IN CHECK NUMBER SEQUENCE _ - _ - _ - - - - OTHER DEBITS - - - - - - - - - DESCRIPTION 055383 PS - CK C24 RALPHS HARVARD KRRA000000 IRVINE CA 06 DATE 04/19 AMOUNT 46.52 KRRA00 233130 PS - CK C24 VONS Store 0029000022 NEWPORT BEACHCA 06 04/23 25.98 222700 035056 PS - CK C24 RALPHS HARVARD KRRA000900 IRVINE CA 06 04/25 24.97 KRRA00 201316 PS - CK C24 LONGS DRUG STOR4301313295 COSTAMESA CA 06 04/30 87.66 000201 L f NO CfI 4MO NEWPORT CENTER OR.., STI . 100 • NEWPORT BEACH. 'Al Imr;�� (Mnwhrr) F6.'hR'CJ RA�q= IRVINE APARTMENT MANAGEMENT COMPANY RECE^IVEO By PLANNING DEPARTMENT CITY OF NEW" ,T REACH AM NOV 19 2001 PM November 12, 2001 718E9ElOEllE12ElE2E3E4)6i8 Christy Teague City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting—Baywood Project Agreements to Provide and Maintain Affordable Housing "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of July 2001 through September 2001. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach Baywood 43 Discovery, Suite 150, P.O. Box 57060, Irvine, California 92619.7060 • (949) 450-4262 • Fax (949) 450-5802 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY October2001 BAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Prosser 2+2 3 5/18/01 52,612 $1.425 4/02 2. 346 Be 2+2 4 4/30/01 55,514 $1,425 4/02 3. 351 Won 2+2 3 4/30/01 29,874 $1,325 4/02 4. 355 Kinle 2+2 2 2/28/99 50,000 $1,380 4/02 5. 517 Davis 2+2 2 11/27/98 24,333 $1,295 4/02 6. 667 Vacant 2+2 6/30/01 $1,300 4/02 7. 676 Freeman 2+2 1 5/21/99 40,000 $1,390 4/02 8. 1 678 1 Naderi 2+2 1 10/15/00 1 59,000 1 $1,425 4/02 9. 762 Torabba i 1 2+2 1 3/27/00 48,000 $1,365 4/02 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/02 11. 766 Shahhosseini 2+2 1 10/14/95 39,500 $1,360 4/02 12. 773 Haske 2+2 3 2/12/01 53,790 $1,425 4/02 13. 913 Holden 2+2 1 12/20/99 52,450 $1,425 4/02 14. 917 Cole 2+2 1 8/23/01 35,000 $1,400 4/02 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Martinez 2+2 1 2 4/21/01 30,680 $891 4/02 16. 315 Heli $256 2+2 1 8/11/90 15,000 $951 4/02 17. 323 Stull/ TP $238 2+2 3 6/29/91 11,448 $951 4/02 18. 333 Vacant 2+2 8/31/01 $951 4/02 19. 337 Reese/TTP $353 2+2 2 6/23/96 18,000 $951 4/02 20. 341 Veera/Martinez/ Sensebe 2+2 3 2/27/97 28,803 $951 4/02 21. 1 345 1 Penberth 2+2 1 1 12/1/00 1 17,948 $868 1 4/02 22. 352 1 Philli snI? $300 2+2 1 3 10/13/00 14,280 $928 4/02 23. 356 Sisson 2+2 2 7/6/91 27,000 $951 4/02 24. 513 Cole/TTP $92 2+2 1 10/9/97 9,492 $951 4/02 25. 656 NortbfITP $708 2+2 2 3/15/97 9,000 $928 4/02 26. 743 Hicks 2+2 2 4/13/97 14,800 $928 4/02 27. 755 Davis 2+2 2 3/5/98 24,500 $928 4/02 28. 783 Mel oza 2+2 2 6/14/90 1 15,000 1 $928 4/02 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% M = Total Tenant Portion for HUD apartments IRAYWOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. - 2. 3. 4. 5. Name of Members Relationship , of the to Head of Household Social Security Place of Household Household Age Number Emolovment AlCIoKI CblL' ScIF 5bo-8 'S 3 Subleases,,(! Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this.paragra h 6, of allgyrsons over the age of 18 years listed above for the 12-month period beginning the date that 1/we plan to move into a unit is _ 'N % is cco, Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business of profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling: (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse, and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are. (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d)amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title li of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act, (k1 income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes, (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes " No; or (b) have they disposo of any assets (other -than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than S5,000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be d d from such assets in the 12-month period beginning on the date of initial occupancy in lire unit that you propose to rent: $ (\1 /X , and (2) the amount of such income, if any, that was included in item 6 above: $ N t A 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual, 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of V� U,�� in the City of WeLopoer3eac.6, California. App!Klfit Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered ip 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($4�'2' ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ),subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: f.: c. TOTAL ELIGIBLE INCOME (line I.a plus line Lb(3)): 2. The amount entered in I.c: j L� Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Inc�otme household. 3. Number of apartment unit assigned: `�Bedroomsize: Rent:L'() 4. This apartment unit (waslwas not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: y,, �1� \ —.4 Employer income verification. ((" F`r r �rkz.y- ] Copies of tax returns. Other( INCOME RESTRICTED FINANCIAL WORKSHEET Project B&vwoo I� Unit No. Q 1 -4 II Applicant's Name: a1don COIF Annual Salary $ JS 1 L Others Residing in Unit: Annual Salary $ Annual Salary $ Annual Salary $ Commissions/Bonuses $ Savings Accounts: Bank Balance x _% _ $ Bank Balance x %_$ Bank Balance x _% _ $ Interest Bearing Checking Account Bank Balance x _% _ $ Bank Balance x %_$ Stocks/Bonds: Type Amount x Type Amount x Other: (Alimony, Child support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type Type Type Property Owned By Resident: Address Annual $ Annual Annual S Equity x % _ $ TOTAL ANNUAL ELIGIBLE INCOMEi D 3 3100C) Maximum Annual Household Income Limit S 41, 2-00 QUEST SOFTWARE S 5. Z0 �. ....1 v .., v:. p��'�i Iv= V l�{�-cl—ti� C^l �i. •O.OQ ie:.: -:dcr, 4 Quest Scfnva.Te is o!eased :0 0^- FOu era!vloyTnent -- a IiI-tim' regular, e- —.vr, poa',to.- J' !icCO4.rC L'XZC�;: vZ "i ou .;• 11 be reoomnc :o JarC,le DI-,d-ey 3 an ..-cJUnC +c.YsOti'/e �' ' '7i:1: be ;^s' S1? o _Nor. !: for szbmg Quest', nrocucts ultc a gl'; er eG� 3n 07c teP iG^ �iLer tZS�VrS1JL1c�e5 and actlV:t7es at QS.St ,2k;' bZ ie ^'t•� 1 ".15 of et :5 coa:mg-= upon uUr ObCal.:.]-^"g: i, Documencstior- of U.S. cirzcnsLp or aucnonzed alien work status, 19-in; the Company's �?topneta,y;nicr nation ?.zd lor--D*;loa-ure agreement, 3. Rew=.of the signed ongsal Of this letter indicatyng yol'S acceptance 02 Our OfieT. 'four base Aiary will be S35,000 per yea laa: ,Cxt;�tonthly At 100% ach:eremen: of your q-,oT yuy sz:a y and uozria`tsslon dill egnal•:Sit 9©'. ,Our emulo'yees are paid cu re 10ch and 2;dl of eact month, ].: VOLbegm V_ 'L" ZIDplc"yn:en; nri0t CC the 15 th OF the 7n0'_'thi, You %vili be eligible to tar::::73te m OUT group .':C2C°.l, .dental and 1liZ :t1S:I: eliCe plans 0&'"eted tC all :'ill -Cure c7;]p!OY'ee5 On the rlrSt Of :1e ft (lowing tnor-Th.:.ayone sTa7*.ing cn or afrer the loch of the month NVM be el:, ble co pamcipate our ;coup reed; 1, dental and life insu-ahce;la;.s offered to all tit -time emplcye.s on tad fl1:5t Of the rlOrth follol'rmg the compl. Jn R days rIf eTAD`O�In lt. .1. j.'u c'1vUs. t0 part:cluam to roes,. nlari,<, /Our ina:e O? :h-. 2TeCilzm-(j) :: ]] be aedactsd iom your p3+Ci2CS. C OT.''SY:eriC:n� wt:h rile 57)itir *1l1 calencar mono':: of your e;?p.Cj:T.ent; you W'.ii al5% bejiri Z2T,':*,�e paid Ftexlble Time vff, ;You accept t:us 3,` fA; er of =z7lo}-,,ilenr, ;iou will be Jiver 0 cepy of tj$ V n- .Lp'.V yee E.andbook and�benei3: p111 4-Oc'uments 5 b.ch •Nill describe ,=Te l l�/ theS. ai.0 Ct.'.e' .rZ:::S OT y0 t '"i:1t ES '.1;• Q. . pe^" -+ ' � , u: enr.oy_ u th �u�.at pe •res and ptecedut.s •,;btca apply :o enD1:;?menc vnzL Quest SO"N'3Te, IiC, sC-0t.rnna ca„a a CA -MI ••]x. Z49 ; sa.55H Quest offers a 401K plan administered through Great West. An employee becomes c!igible during the nest enrollmen: period after their start date. The enrollment pe rods are quarterly. The discretionary match amount for 2001 is to be determined and will be announzed at a later date. Quest contributions for an employre are rvIly vested after lS; years of continuing service. Information and rules regarding the plan are available through our Human Resour-es Department. If you accept this offer, your employment shall be "at -will," which means that it is nor for any specified period of time and can be terminated by yourself or Quest Software. Inc. for any or no particular reason or cause, and at any time with or without advance notice: Similarly, the terms and conditions of you:• employment, including your, position, title and compensation, may be clianged by Quest Software, Inc. at any rime for any mason. Even mough yourjcb dunes. title, compensation and benefits, as well as personnel policies and procedures, may change from time -to - time during your tenure, the "at -wilt' nature of your employment is one aspect which may not be changed, except to an express writing signed by the PresidentiCEO. Any representations contrary to those contained to this letter, which may have been made to you, are superseded by this offer. if you accept this offer, the terms described in this letter constitute the complete agreement on terms of your employment. Vyle are looking forward to having you with us. If you accept the above -described offer, please fax to (949) 754-8940 and return all three pages of the signi-A original in the erclosad envelope of this letter. This offer wilt empire 48 hours after receipt. If you have any questions about the contents of this letter, or employment at Quest Software, Inc., please feel free to contact me. Sincerely, Al G/M/� Vincent C. Smith CEO cc: Jamie Dudley HIR Coordinator C0leA1d0n01%r doc 9150, ACKNOWLEDGMENT: I have read, understand and ace t the foregoing terms and conditions of employment ann will be available to :epos to wort: on ^/u-O . 1 further understand that while -my salary, benefits, job title, and job duties may change from time to time without a written modifreation to this agreement, my right and Quest Software's right to terminate our employment relationship at w:11 is a term of my employment which cannot be changed without a written moditicatlon signed by PresidentICEO. Signature:�� ,0-9� Date Al BtOOD EXPANSION 0 INCOME COMPUTATION AND CERTIFICATION IM'e, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. Name of Members 2. Relationship 3. 4. , 5. of the to Head of Household Social Security Place of Household Household Age Number Employment t aIly- Wiw 661 1� 5% 23 2118 /4M L� Wol pw5ev *VS-e gib, ENS Sa c061(0 rio�7'e p tV--A Ww" CI 6 � A 1 U11 I1�; VI D (1 �e Income Computation 6. The total anticipated income, calculated'in accordance with the provisions of this Vic graph 6 if all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is S Included in the total anticipated income listed above are: 6R 0 // • It (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation (or personalservices, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earning4, such as unemployment and disability compensation, workers' compensation and severance pay; If) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (I) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; - (b) amounts which are specifically for or in reimbursement of medical expenses, (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (() relocation payments under Title 11 of the uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first S2,000.00 of per capita shares received from judgment funds awarded'by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes No, or (b) have they dispo a of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes PS. No (c) If the answer to (a) or (bka>ove is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than S5,000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to e' rived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent:$ , and (2) the amount of such income, if any, that was included.in item 6 above: 5 8. Neither myself nor any other occupant of the unit Vwe propose to rent is the owne of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and Iiwe declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that llwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate mylour occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of r in the City of NGwDUI i/eGil/1 r , California. Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) El FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: $ r?�+a a. Enter amount entered for entire household in 6 above: a� (p l % • -( / b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance I$Z:g;� ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine w t h total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ) subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ 2 1v c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): $ '7�_""'i 2. The amount entered in Lc: 5ZR/ 3 Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned:_ `1(1Bedroom size: Z=t' *Z_ Rent. �5 4. This apartment unit (was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification, k Copies of tax returns. Other( �!� manager Date INCOME RESTRICTED FINANCIAL WORKSHEET Projecty / Unit No. 2,W Applicant's Name: Annual Salary $� Others Residing in Unit: Cqa! ftSelk- Annual Salary $ Annual Salary $ Annual Salary $ commissionsmonuses $ Savings Accounts: Bank AmQ*alancex_%=05-4 M!4 Bank Balance x % = $ Balance x % = $ Interest Bearing Checking Account Bank LA Balance x _% _ $ WN Balance x % = $ Stocks/Bonds: Type M 1A Amount x _% = $ Type Amount x _% = $ Other: (Alimony, Child support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type Annual Type Annual $ Type Annual $ Property Owned By Resident: Address Equity TOTAL ANNUAL ELIGIBLE INCOME $q Maximum Annual Household Income Limit S 1 l 04/06/2001 D015573 IRVINE APARTMENT MANAGEMENT COMPANI 43 DISCOVERY SUITE 150, P.O. BOX 57060, IRVINE, CA, 92619-706( ADVICE OF DEPOSIT -NON-NEGOTIABLE $1,267.63 ` I LI? HDQ 0100 10-051 15aA-1-19 JACKPROSSER I6441 NAPA AVE. ALTALOMA,CA 90701 NON-NEGOTIABLE i I • i Employee id Social Security Status Exemptions/Allowances Number JACK PROSSER 99523 554-23-2918 Married - US-1/0 CA-1/0 D015573 Straight Time - - - 289.91 Sick Plan 3.44 Overtime - 1.5x - - - 221.26 Vacation Pa 58.87 Sick Pay - - - 265.20 Holiday Pay - - - 561.78 Budget Actual Bonus - - - 336.60 Direc Deposit Accounts Amount Pell Bonus 224.13 checking - 25121860 1267.63 MIRIPMVP RMIR-MMITHIV _ _ _ FRR_5nI . Taxes Federal Income Tax 190.86 1501.26 Social Security (FICA) 101.18 761.04 Federal Medicare 23.67 177.99 p,-�Camornia Income Tex 33.97 291.66 13,16&00- 3, x I am° .sal G11 364.37 2842.42 Current Year To Date W2 Gross Wages 1632.00 12274.90 131r23 qI cs.16DII -�3 -Cas3s .a S "122 • lv� x y Irvine Apartment Management Compan - 43 Discovery, Suite 150 Irvine, CA 92619-7060 04/20/2001 D016025 IRVINE APARTMENT MANAGEMENT COMPANI 43 DISCOVERY SUITE 150, P.O. BOX 57060, IRVINE, CA, 92619-7061 ADVICE OF DEPOSIT - NON-NEGOTIABLE $1,492.08 S J a HD0010010-051 I6OA-1.19 „.tJACKPROSSER .� •gib'. 6441 NAPA AVE. ,fALTALOMA, CA 90701 NON-NEGOTIABLE Employee Id Social Security Status Exemptions/Allowancm Number JACK PROSSER 99523 554-23-2918 Married US-1/0 CA-1/0 � D016025 Code Paygroup Division Department IAMC 2 0100 10-051 Earnings Rate Units Cumenl YearTo Data Regular Pay 20.4000 80.00 1632.00 12197.62 Straight Time - - 289.91 Overtime - 1.5x - - - 221.26 Sick Pay - - 265.20 Holiday Pay - 56.1.78 Budget Actual Bonus - - 530.40 867.00 Pqi Bonus - - 79.56 303.69 Taxes Federal Income Tax 238.45 1739.71 Social Security (FICA) 120.86 881.90 Federal Medicare 28.26 206.25 California Income Tax 52.06 343.72 California State Disability 17.55 128.02 Total 457.18 3299.60 ProTax Deductions Pretax Medical Plan 246.02 984.08 Pretax Dental Plan 17.92 71.68 Pre -Tax Vision Care 28.76 115.04 Total 292.70 1170.80 Not Pay 1492.08 Paid Time Off Balance Floating Pay 8.00 Sick Plan 4.98 Vacation Pay 61.95 Direct Deposit Accounts Arnount Checking - 25121860 1492.08 Curn•nl Year'Ib Dme W2 Gross Wages 1949.26 14224.16 Irvine Apartment Management Compan - 43 Discovery, Suite 150 Irvine, CA 92619-7060 ,Proftslness BAYWOOD EXPANSION • �� INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. - 2. 3. 4. 5. Name of Members Relationship ' of the to Head of Household Social Security Place of Household Household Age Number • _ Emolovment 11° e IN y15 a2 (r27z Ch -�y - D(� � DI 1 l / 0 Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this paragraph 6, of all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $ 1 toED Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earning$, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and W any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; ' (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire, W relocation payments under Title lI of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m)payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes �No; or (b) have they dispose of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answ��.�. e�����tggqqq (a) or (•b)1�b��++ve is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ total assets) (d) If the a nswe__r,,rro•(c) above s yes, state: (1) the amount of income expected to rived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ and (2) the amount of such income, if any, t at was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the o ner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge th"at it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information T/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of 1 _ in the Cityf ✓t/` I [�( o,California. Applica t Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) ,. A • • FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: $ logo a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7 )(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determinewhat the total annual earnings on the amount in 7(c) would be if invested in passbook savings , ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line la plus line 11(3)): $ 2. The amount entered in l.c: ' XQualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. j�f 3. Number of apartment unit assigned: Z�Bedroomsize: 7 f 2— Rent: ..iFq 4. This apartment unit (was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. X Copies of tax returns. ✓ ` Other( irS INCOME RESTRICTED FINANCIAL WORKSHEET Project Unit No. Applicant's Name: Smb Annual Salary $�I� Others Residing in Unit: O 1 I 1 Annual Salary $ Annual Salary Annual Salary Commissions/Bonuses Savings Accounts: Bank Balance x %_ Bank Bank Interest Bearing Balance x % = Balance x % = Checking Account Bank Balance x %= $ Bank Balance x % = $ Stocks/Bonds: Type Amount x % = $ Trust Fund: Type Amount x % = $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support etc ) Show calculation, how Annual is arrived at! 2 Type + c . Annual s " J�" Type Annual $ Type Annual Property Owned By Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME $_��� (� Maximum Annual Household Income Limit $ s l 150 A. p�•r:F": rx:, .; .5'.. .�f.;.::•. I ..., i<pra,: ir'✓., .w�. ..rrfl..x ;•�I(, p<;1 %;GENEVA PRESBKTEJiIF1N'•CHURCH ' 8-055' .x•' . ; >,', ` 24301 EL TORO'ROAD „ LAGUNA HILLS,CA 92653. •' '• ' PAY TO THE SANDRA G MARTINEZ ORDER OF 147 DURANGO ISLE IRVINE CA 92606 ,NGES GRADUALLY AND ROM DARK -TO LIGNTWgqHN DARKER AREAS BOTH TOPANDDOTOM. '� IL r � : .fi' s3 C'•r 3i a t N .: vU,. �' 4'id a�T•i iiii� 16-0066 .03%15/2001 11841% 1220 **VOID** .•1` ^ n _ `. a;**VOI�*** THIS;15 OT;A CHEC ***} OIU***iI ;."' *' ' ,R; "•AF.,•'" > �. , * N r . ,y Nis is:�i0r A c Ecg*, "' : } " # ; I • w, ,, `: -L ,.:. ;, ,, , .,...,c' 1,I "a *>k No Negotiaile' BANK OF. '`i, ''Ir.-' • .p ' AMERICA : DPOSIP•AGCOONi y OEP0517 '7M85NT' ' <;: <i " k,. , < F• . (I' :x :.' • 23711 MOULTON PARKWAY j t,07.60499939 }''• %'**.'{**87 __ LAGUNA'HIL•L5, CA• 92,653••;< •;� .s'�>a .tl: s �i: �•• . _ � •y'. +, /.\I" '`` a AUTHORIZED SIDNATURE(3). ''� • G THE Og1Oi A4M6CtLMENT NASA REI[}.ECTIVL .YATERMARK ON THE BACK HOLD AT AN ANGLE TO VIEW WHEN CHECKING THE ENDORSEMENT. * FOLD AND REMOVE FOLD AND REMOVE * YOUR BANKING EARNINGS HOURS RATE AMOUNT YTO AMOUNT ITEM AMOUNT DEPOSIT TO ACCT d REGULAR 1133.34 NET 877.85 0760499939 ArTly TOTAL EARNINGS EMPLOYER INFORMATION FILING STATUS TAX TYPE GENEVA PRESBYTERIAN CHURCH SOC SEC 24301 EL TORO ROAD MEDICARE LAGUNA HILLS,CA 92653 S 04 FEDERAL S 04 CA DBL CHECKEDATE 03/15/01 TOC 3 15/O1 841 1133.34 5666.70 AMOUNT YTD NT 70.27 351.35 16.43 82.16 ' 69.69 245.32 13.90 47.95 10.20 51.00 TOTAL WITHHOLDINGS 180.49 777.78 PERSONAL INFORMATION ADJUSTMENTS AMOUNT YTD AMOUNT 7GENEVA 24301 EL LAGUNA H TERIAN "CHURCH, : 1D38=DDDo55 AD ••92653 03/29/200' 11868 PAY TO THE ORDER OF SANDRA G MARTINEZ 147 DURANGO ISLE IRVINE CA 92606 **VOID** `;•'I**VDID****THIS.i'LSS-NOT;A CHECK****VOID****THIS IS'NOT:'ArHECK** ? No Negotiable *� ;An 'PAgOAY k < 1.W604999l9�c';$. ��'x, ,- . > rjt„ �: > , ^AUiHOROEOSKlNATUftE(B). •; , r _ .< <, C w, ,° a•='. 'et' J .`sr i" .rP j€c '>:°:-#."•':.ri ^iyi `a, .') .. s %:' "I:S�:, F:i{c ,e^� rle '%'u:Y ^vi.t •i. 5i •. ri.M )Nd� i J lb.l �:.Y %.:+i v..�' .✓,'c ` •;4-MEWSWIM*'•DO MENTMAS--------�-----lRMNIX'ON-NM�CKJHOIO'AT*N`A-----_`►f------ •+CNIGKIMO TN[+iNDOMEMENT •.• FOLD AND REMOVE FOLD AND REMOVE YOUR RANKING 51EARNINGS ",HOURS •»RATE AMOUNT YTD AMOUNT ITEM • AMOUNT DEPOSIT TO ACCT # REGULAR 1133.34 NET 877.85 0760499939 EMPLOYERINFORMATION GENEVA PRESBYTERIAN CHURCH 24301 EL TORO ROAD LAGUNA HILLS,CA 92653 PAY CHECKEDATE 03OD %29%O1 CHE01 CKI#O] 1868 PERSONAL INFORMATION SANDRA G MARTINEZ 147 DURANGO ISLE IRVINE CA 92606 SSI 545-02-6272 EMPLN 000024 DEPTH 000055 TOTAL EARNINGS y*JLING STATUS S 04 S 04 TOTAL WITHHOLDINGS ADJUSTMENTS TOTAL ADJUSTMENTS TAX TYPE SOC SEC MEDICARE FEDERAL CA DBL 4038 1133.34 6800.04 AMOUNT YTDAMOUNT 70.27 16.43 69.69 13.90 10.20 421.62 98.59 315.01 61.85 61.20 180.49 958.27 AMOUNT YTDAMOUNT 75.00 - 450.00 - 75.00- PAYROLLS BY PAYCHEX nnon 1nQR nmc nnnncc . 1 ,. ___ _. _.-. _. San Paulo Apartments 100 Duranzo Aisle, Irvine, CA 92606 (949) 756-0123 (949) 756-1238 FAX Verification of Alimony/Child Support Address: Duranzo Aisle, Irvine, CA 92606. I, S464gzi4 ((/ta,d, f,�,t/ez— , hereby certify that I do receive monthly child support and or alimony (circle) payments in the amount of' from 4GiG GL%PHklez' , Social Security Number-(Py-sf3 py I hereby certify under penalty of perjury under the laws of the State of California that the information provided above is true and complete. Signature of Receiver: Signature of Provider: State of California County of pA,,,,/jl4 Signed before me this 31 day of MA9_ek1- 2001 , California. To certify which witness my hand and seal office, Notary Public in and for the said County and State My commission res on: ..r.�.tis � C. JANDh0 h trFpp WMM.A11-fi&M W 1107/�P/ P11B4C • cMJFORW .Z4 µ+ EWANOECOUNN a FO lP l'V BAWWOOD EXPANSION is 0 1� 3v� . INCOME COMPUTATION AND CERTIFICATION VWe, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2 3. 9. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household A e Number Emillovment i S .3. sm8 Za d&h u O 1G52 SNgB,� 10,35 f i'1�n'l�tew S (QZIn Ae y3VD r7ew_ CA14 I U12, /q 577b n()h� Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this pars raph 6, fall persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is S� Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the toll amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and M any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts, (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student.or the educational institution, and amounts paid by the government, to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; M relocation payments under Title 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (I) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m)payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first S2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (exclud' g the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes X,No; or (b) have they dispo of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answer to a) or (b) above is yes, cie ombined total value of all such assets owned or disposed of by all such persons total more than S5,000? Yes No (5 total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to b dFriy�d from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: S t. `/�� , and A} (2) the amount of such income, if any, that was included in item 6 above: S�.r 4 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or family member; and ownership, direct or indirect, by a partner of the individual. ,r 9. 'Phis certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information 1/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. l/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other. appropriate proceedings. 1/we declare under penalty of perjury that the foregoing is true and correct. Applicant in the City of California. J Applic t Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) • ir FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: $ a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered subtract from that figure the amount entered in 7(02) and enter the remaining balance ($ ); •(2) Multipl'the amount entered in 7(c) times the current passbook savings rate as determined by HUD to deterT . Vwhat the total annual earnings on the amount in 7(c) would be if invested in passbook savings , ' ($I ), subtract from that figure'the amount entered in 7(d)(2) and enter the remaining balance ( ); I I. . `, , (3) Enter at right the greater of the amount -calculated under (a) or (2) above: . , $ c. TOTAL ELIGIBLE INCOME (line IA plus line 1.b(3)): $ 2. The amount entered in I.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. % c 3. Number U-S,- Rent: of apartment unit assigned: _Bedroomsize: 4. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. Other( / Manager Date 0 • INCOME RESTRICTED ��jj FINANCIAL WORKSHEET Project V� Unit No. Applicant's Name: n Annual Salary $i S�`7 Others Residing in Unit: '✓ Annual Salary $ Annual Salary $ Annual Salary $ Commissions/Bonuses $ Savings Accounts: Bank Balance x _% _ $ Bank Balance x % _ $ Bank Balance x %=$ Interest Bearing Checking Account Bank Balance x Bank Balance x % _ $ Stocks/Bonds: Type Amount x Type Amount x Other: (Alimony, Child support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type Annual $ Type Annual $ Type Annual Property Owned By Resident: Address 'Equity TOTAL ANNUAL ELIGIBLE INCOME $ 555, _Q F4 Maximum Annual Household Income Limit $ TIQC_"_`_` MESSAGE: Detach check along this perforation. Marital Stains: h Allowances: 6 Addl. Pct.: THIS DOCUMENT CONTAINS MULTIPLE SECURITY FEATURES INCLUDING AN ARTIFICIAGWATERMARKf'... - . Seabury & Smith, Inc. \1nA A Nd,mm fempniu \larrn.l'ulmm•lirrar Deposit Amount: $1,808.46 To The Accounts) Of MICHAEL BBY 655 W Baket Stre Costa Mesa, CA Michael Bey 655 W Baker Street V201 Costa Mesa, CA 92626 SSN: 568.29.9531 ' • TorAtc oes Current: 2.341.67 YTD: 16191.65 ' HOW Description Regular E=ings Automobile Allowance Imputed Income. We Total• .BEBORE.TAX DEriCJCi1ONS Description Current HMO 9934 DMO/MDO 525 lot (0 Date 04/12/2001 e . - Advice No. 0230960 It.re tw5 -_. 1 tugnovc lu: UW1Uo ivb7' PAY..DY•rR11tUTION ' 655 W Baker Sheet Bt201 Dept u. 51X22,4-ORANGE ACQ Advice H01e 1,784.71 Costa Meat, CA 92626 + Y Pa Da : 03/31/2001 SSN: 56 Advice Dam: Total: 178471 ' TOTAL GROSB .FED TARABLE GROSS• "••TOTALTAXF.B'" TOTAL T)EFIUC7T0 S ,NBI' AY^ Current: 2,308.33 2,203.74 415.14 108A8 1,784.71 YTD: 13849.98 13 22A4 249082 650M 1070828 5 T .............. Cutrcnt ----------------------------YTD ---------- Description Rate Hours Exrnht s Hours Earnings Description Current YTD Regular Saratoga 2,08333 12,49998 Fed Withholdng 18150 1,08900 Automobile Allowance 225DO 1,350.0) Fed Medi Tax 31.96 191.73 Fed OASDI/EE 136.63 819.79 CA Withholding u 65.05 39030 Total: 2 0833 13 998 Toml: 415.14 2490.82 BEIRORFr'rAX I31EDUt"3'iONS b'TERTAX AIHWIUEP10PdS "rRRTA7C3)EDf7G775-4 Lbnl .' Description Current YTD Desert tlon Cement YTD Description Current YTD HMO 9934 59604 Dependent Children Life Ins 055 330 DMO/MDO 5.25 3150 Optional LTD 334 2004 Total: 10459 62754 Total: 3.89 2334 ' SPPnANyXARTODAT'SA1tS0FlNT5 TAXbA'i'A. i+cderal• CA5tata BALANCE- ODO REFUND: ODO Marital Status: Married Allowances: 6 Married 0 MESSAGE: Addl. Pct.: Addl. Amt.: IMmbA Md-... Covrvnrtr AIjr, h • Pwnam •5lereer Detach check along this perforation. THIS DOCUMENT CONTAINS MULTIPLE SECURITY FEATURES INCLUDING AN ARTIFICIALWATERMARKS,'• Seabu y & Smith, Inc. Deposit Amount: $1,784.71 To The Account(s) Of MICHAEL BEY 655 W Baker Street //t201 Costa Mesa, CA 92626 Date 03/30/2001 Adilce No. 0194551 Account Type Account Number Deposit Amount Checking 0747613321 $1,781.71 Tout. $1784.71 11 NON-NEGOTIABLE zi - BIWOOD EXPANSION aS� INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members of the Relationship to Head of Household Social Security Place of Household i�tmi -%Lri1v, Household Age V Number Employment Q75 It 1011 del - - c /^ - nYrY& YIx�(Y1 r� 1 L Z� 57 7'3 21t p b C� il> Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this r grap -6 f 1 pe . ons over the age of 18 years listed above for the 12-month period beginning the date that Uwe plan to move into a unit is $ ' � xr %y.i1 Included in the total anticipated income listed above are: 7 (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment, (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; M the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses, (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (1) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (in) payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (a) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital invest ent (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land)Yes No; or (b) have they dispokeJ of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes ^ No (c) If the answer to (a) or (bJ above is yes, e t e combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes Xn. ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to b derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ /fir and (2) the amount of such income, if any, that was included in item 6 above: $ tJ� 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. Itwe declare under penalty of perjury that the foregoing is true and correct. Applicant in the City of .� t�'i 1 , California. Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY r-• 1. Calculation of eligible income: $ a. Enter amount entered for entire household in 6 above: b, (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ -f), ' (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determ(n what the tot al annual earnings on the amount in 7(c) would be if invested in passbook savings ($_ $ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line l.a plus line Lb(3)): $ 2. The amount entered in l.c: O !%� O / `7 • y / Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household.f �rr� 3. Number of apartment unit assigned:. Bedroom size: Rent: I °w 4. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. Other (awJly —b i1C4111,1m\ 1tlftl ) (x11Q(/11y-I( Ulvwc Date anaaer 0 INCOME RESTRICTED FINANCIAL WORKSHEET Project Unit No. Applicant's Name: �%/� �'��1 ' I lt� �u Annual Salary Others Residing in Unit: Annual Salary �/ Annual Salary G nnual Salary Commissions/Donuses S Savings Accounts: Bank t o - 6 Blalance�x Bank Bank Interest Bearing Checking Account Bank Bank Stocks/Bonds: Type Trust Fund: Other: Property Owned By Resident: Type Balance x %= $ Balance _ Balance x %= Balance x %= Amount x % = Amount x % = $ (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! I ��yq� Type Par�nl s�PPex� Annual $ llrlilN Type Type Annual $ LOCCO Annual S Equity TOTAL ANNUAL ELIGIBLE INCOME Maximum Annual Household Income Limit $ �71 $ 200 JESSICA M WONG SUMIDA REGULAR OT 1.5X 575-11-9021 US-1/0 20874 -- - ' 11.E •I , um:nt rear'ro bate Dlrect Deposit Accounts 6.2500 155.00 18.75 117.19 1286.50 Sawnps 253450899641 Amount 8 6.2500 0.25 2.34 1839.07 91.41 274.53 " 3234.E W2 Gross Wages Current Year To Dale 274.53 3234 fin Taxes CA SDI FIT 2.47 29.11 MEDIC 9.16 3.98 262.14 FICA 46.90 CA totall 17.03 - 200.55 30.80 IL 32.64 569.50 UNIF DEP 36.73 DIRDEPRF ' • 45.00 TOte1 •143. 14 0.00 -61.41 C Net Pay n 86 89 1438 Ot The Cheesecake Tac Hills, CA 97301 ql�s SSICA WONG SUMI A 167346 575-11-9021 Single US 1/0 CA-t/8--� 19713 Earnings lute Units Current Ycar To Dale CIA TIPS - - 274.00 1133 % REGULAR 6.2500 30.50 190.63 1721.88 OT 1.SX - - 89.07 OT 2.Dx 15.SP 2960 Net Pay 106.10 1351 12 Direct Deoosit Accounts Amount Paycheck Amount 106 10 Current Ywr To Date W2 Gross Wages 464.63 2960.07 The Cheesecake Pactory-Ck Printing - 26950 Agoura Rd. Calabasas Hills, CA 91301 : ProBuslness _ F NAVE SCHCOLOISTRICTOFLOS P69ERS11EM SOCIAL SECURITY NU Mn FiEOlsinIDSEeEus�w�s pqY LOC sC�e�oSIEI¢ DISLNO, ' - -2 86 S L' S 0 G 7C5 C31 e3U EARNINGS TYPE END DATE SALARY RATE UNITVAMOUNTS E - -------------REDUCTIONS------------- EGULAR 03-31-01 6.25 94.25 39.C6 - ISSUE DATE 04-11.-G1 GROSS-i+AY 5d9.06 REDUCTIONS __________________ TAXES ------------------ TAXES 63.77 MEDCAR DED 8.54 DEDUCTIONS FWT 55.23 NET PAY S323. Tr — ---------LEAVE BALANCES ---------- VACATION SICK COMPTIME MEDCAR CON GR ARN T MEDCAR S CON 29.64 MEDCAR DED 29.64 I I v u n.n In Vnn I,. n.COVC n T1LnV 1� 61 - 1 I V) nv S % T �o' , / u IGV I OJ I P.O. Box 64799 Sainl Paul, Minnesota. 551 04634 TRN 20079RK6 TO I'I�III It'I� II III'1'illi �I)I� 7245 ]MWONGSU DA VINE T14-8574 News For You Uni-Statement Account Number: 1 534 5109 8849 —' Statement Period: -- Aug 21 2001 Throug�l``\ Sep. 21, 2001 �._ Page 1 of 3 Visa Buxx is a prepaid, reloadable card that parents put money on and teens can use anywhere Visa is accepted -it's perfect for bath to school! See the enclosed insert or visit www.usbank.com/buxxcard to learn more. Your Resources For Help Anytime, Anywhere Access Need to transfer funds, or looking for information about your U.S. Bank accounts? Wherever you are, you can count on us 24 hours a day to assist you. Contact us at: www.usbank.com 1-800-US BANKS (1-800-872-2657) For TDD assistance call 1-800-685-5065 or write to us at U.S. Bank, P.O. Box 64991, St. Paul, MN 55164-9505 Financial Summary This section reflects the total balances for all accounts on this statement. Checking YSa-Miffigsabitificate Reserve Line Installment Loans Credit Lines Credit Cards Home Equity Free Checking Summary for Account Number _1 534 5109 8849 Balance on Aug. 20 Checks paid Deposits Card purchases ATM withdrawals Other withdrawals Total Deposit Balances Total Credit Balances New Balance on Sep. 21 Interest earned during statement period ( 32 days) Annual percentage yield earned during statement period ( 32 days) Interest paid this year $ 1,983.70 •35.46 $j 9'1fi% 602.98 3,196.39 5,279.11 303.00 224.00 175.00 1,983.70 .03 0.0490 2.17 • E PARENTAL / FAMILY SUPPORT Resident: ,-JA501-1 CU1CPhMU2 Address: 35l �Jjywc7y� 1/R. /y�wPy�7 C3F�a�ia, %ZG�� Community: ,Dn VOOO I / We will contribute $ 66 d o per year to the above referenced resident. I / We declare tinder penalty of perjury that the foregoing is true and correct. This information is made with the knowledge that it will be relied upon by the owner to determine maximum income for eligibility to occupy the above mentioned apartment; and I / We declare that all information set forth herein is true, correct and complete. Executed this 41 day of �?n 1 , M 20o t . d.Jo'ln.o, O iW itJrr",— Signature Signature 0 0 PARENTAL / FAMILY SUPPORT Resident: Address: y Conmmunity: I / We will contributes \C2()- per year to the above referenced resident. I / We declare under penalty of perjury that the foregoing is true and correct. This information is made with the knowledge that it will be relied upon by the owner to determine maximum income for eligibility to occupy the above mentioned apartment; and I / We declare that all information set forth hcrcin is true, correct and complete. Executed this lr _ day of r\` Signature Signature �es� 19�I PARENTAL / FAMILY SUPPORT Resident: Address: Community: I / We will contribute $ I/t/ per year to the above referenced resident. I / We declare under penalty of perjury that the foregoing is true and correct. This information is made with the knowledge that it will be relied upon by the owner to determine maximum income for eligibility to occupy the above mentioned apartment; and 1 / We declare that all information set forth herein is true, correct and complete. Executed this � day of \ _,2DOL. S` ignatugig ia ure 0 0 IRVINE APARTMENT MANAGEMENT COMPANY RECEIVED BY PLANNING DEPARTMENT CITY of r ir-wpr)RT BEACH April 9, 2001 AM AIR 10 7001 PM Christy Teague 71819 110 111112111213141316 City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing ❖ "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of January 2001 through March 2001. This reporting also includes the annual recertifications due in April of each year. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach Haywood 43 Discovery, Suite 150, P.O. Box 57060, Irvine, California 92619-7060 • (949) 450-4262 • Fax (949) 450-5802 0 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY April 2001 BAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Walker 2+2 3 7/12/96 4/30/01 ,305 4/02 2. 346 Rahm 2+2 1 415199 4/13/01 ,300 4102 3. 351 Warfield 2+2 2 3/28/99 10/15/00 ,320 4/02 4. 355 Kinle 2+2 2 2/28/99 M24,333$1,295 ,380 4/02 5. 517 Davis 2+2 2 11/27/98 ,295 4/02 6. 667 Kandel 2+2 2 10/1/92 300 4/02 7. 676 Freeman 2+2 1 5/21/99 ,300 4/02 8. 678 1 Naderi 2+2 1 1 10/15/00 1 59,000 $1,425 4/02 9. 762 Torabba i 2+2 1 3/27/00 48,000 1 $1,365 4/02 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/02 11. 766 Shahhosseini 2+2 1 10/14/95 39,500 $1,275 4/02 12. 773 Haske 2+2 3 2/12/01 53,790 $1,425 4/02 13. 913 Holden 2+2 1 12/20/99 52,45Q $1,335 4/02 14. 917 Vittori/Hendricks 2+2 3 6113199 57,400 $1,290 4/02 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Banda 2+2 2 9/12/94 3/31/01 27,000 $891 4/02 16. 315 Heli $256 2+2 1 8111190 15,000 $891 4/02 17. 323 StuIUTTP $238 2+2 3 6/29/91 11,448 $891 4/02 18. 333 Gi liotti 2+2 2 1111195 29,000 $891 4/02 19. 337 Reese/TTP $353 2+2 2 6/23/96 18,000 $891 4/02 20. 341 Veera/Martinez/ Sensebe 2+2 3 2/27/97 28,8 33 $891 4/02 21. 345 Penberth 2+2 1 12/1/00 1 17,948 $868 4/02 22. 352 Philli's/TTP$300 2+2 3 10/13/00 14,280 1 $868 4/02 23. 356 Sisson 2+2 2 7/6/91 27,000 $891 4/02 24. 513 Cole/ITP $92 2+2 1 10/9/97 9,492 $891 4/02 25. 656 NorNilTTP $708 2+2 2 3/15/97 9,000 $868 4/02 26. 743 Hicks 2+2 2 4/13/97 14,800 $868 4102 27. 755 Davis 2+2 2 3/5/98 24,500 $868 4/02 28. 783 MelRoza 2+2 2 6114190 15,000 $868 4/02 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TTP = Total Tenant Portion for HUD apartments BAYWOOD Unit No. a O 1 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified. below, the total annual eligible income* of the undersigned does not exceed $6<n) dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 1 li/�. G) ' (' � ( Income earning household members: Resident Resident Resident Resident �J 0 BAYWOOD Unit No. _ 3 1 5 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ dollars (annual income). *Included in the total annu a igible income are: wages, tips, overtime, bonuses, and commissions; net inco a from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach'are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. I Income earning household members: Resi n Resident Resident Resident BAYWOOD Unit No. Ol CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ L Lq u g OD dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach.are relying on the accuracy of the representation herein in leasing the Leased Premises to the umdersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: �j Oa Income e g househol mbers: Reside Resident Resident Resident BAYWOOD Unit No. 333 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ MD , a' dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: P • J% - L'1 Income earning household members: • R=sn • , !E Asident Resident Resident BAYWOOD � S Unit No. / r7 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specifre below, the total annual eligible income* of the undersigned does not exceed $ , O V dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: a % /P Income earning household members: Resident Resident Resident Resident BAYWOOD Unit No. 3i-1 I CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupants) of the Leased Premises, and 2. As of the date specified below, the total annual' eligible income* of the undersigned does not exceed $ b° U3 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach -are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 33 Income e 7' g hold members: l nY Resident Resident Resident Resident • Unit No. 'J y 5 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $� dollars (annual income). *Included in the total annual eligible income are; wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Income earning h s ho d me bers: Re ent Resident Resident Resident Unit No. 3 5' A CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the -total annual eligible income* of the undersigned does not exceed $1%dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certificatiori of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 400"Mr4ax 4t ' .0r' Income earning household members: Resident Resident Resident Resident BAYWOOD Unit No. 355 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ Cr 6UXi dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certifi ation is made under penalty of perjury in Newport Beach, California. Date: (/ Income ea ho d members: Res' Resident Resident Resident ! 0 BAYWOOD Unit No. 3560 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ .? n cam_ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Inccoomj a earning household members: laden Resident Resident Resident 0 BAYWOOD Unit No. 5 1 3 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY VWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 9 Q ot. dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date:-- Income earning household members: Resident Resident Resident Resident BAYWOOD Unit No. 5 17 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ ,? `f/ 3 -D . 61V dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: �/, JZ�-J �Ll Income earning household members: �-/Gti1l7�v ar n/mot, Resident Resident Resident 0 BAYWOOD Unit No. (D ,-) (� CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specifie elow, t1�6total annual eligible income* of the undersigned does not exceed $ " dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a.member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. 1—N This certification is made under penalty of perjury in Newport Beach, California. Date: �✓ 624 6V Income earping hoy*ehold members: Residen Resident Resident Resident • 0 BAYWOOD Unit No. l0 (O 7 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 2 D, °✓ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certificatio is made under penalty of perjury in Newport Beach, California. Date: 3 D Income earning household members: Resident Resident N 17 BAYWOOD Unit No. 6 7 (o CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ � -I0 , (5M dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: �,Z p Income earn' g household members: sident Resident Resident Resident 0 0 BAYWOOD Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement ftmds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 422 44 In I Income earnin household me bers: Resident y V Resident Resident Resident • BAYWOOD UnitNo._ �1�13 ALcbGgwooj �DK CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income eaming occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ l of •,200 ` dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach'are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 3 — `/ In one earning househ ld members: Resident Resident Resident Resident BAYWOOD Unit No. 755 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed Ug. 1? - dollars (annual income). . *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport,Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 3 ` C: Income earning hou old members: esident Resknt Resident Resident BAYWOOD Unit No. 7L CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ gp dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made` under penalty of perjury in Newport Beach, California. Date: Income earning household members: Resident Resident Resident Resident E BAYWOOD Unit No. 7 & 5 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $—& U d d of dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: C� Income earning household members: Resident Resident Resident BAYWOOD Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below the total annual eligible income* of the undersigned does not exceed $ 62%S a� dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Inc rsie /hti g libuseholdmembers: 5 _ Resident Resident Resident Resident 1:7:\•♦i�+I�Z�fi7 Unit No. / 93 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed l ©UA"'-dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony;, child support; all regular and special pay and allowances of a member of the Aimed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. �1 o Date: G /L u Income earning household members: Resident Resident Resident Resident 0 11/A\C IRVINE APARTMENT MANAGEMENT COMPANY January 9, 2001 Christy Teague City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing ❖ "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of October 2000 through December 2000. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach Baywood 43 Discovery, Suite 150, P.O. Box 57060, Irvine, California 92619.7060 • (949) 450.4262 • Fax (949) 450.5802 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY December2000 BAYWOOD Villa Point -Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Walker 2+2 3 7/12/96 13,000 $1,305 4/01 2. 346 Rahm 2+2 1 4/5/99 60,000 $1,300 4/01 3. 351 Warfield 2+2 2 3/28/99 10/15/00 53.774 $1,320 4/01 4. 355 Kinle 2+2 2 2/28/99 50.000 $1,290 4/01 5. 517 Davis 2+2 2 11/27/98 25,588 $1,225 4/01 6. 667 Kandel 2+2 2 10/1/92 24,180 $1,300 4/01 7. 676 Freeman 2+2 1 5/21/99 38,000 $1,300 4/01 8. 678 Naderi 2+2 1 10/15/00 55,770 $1,425 4/01 9. 762 Tombba i 2+2 1 3/27100 50,099 $1,280 4/01 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/Ol 11. 766 Shahhosseini 2+2 1 10/14/95 41,500 $1,275 4/01 12. 773 Williamson 2+2 2 11/7194 10/15/00 24,000 $1490 4/01 13. 913 Holden 2+2 1 12/20/99 55,000 $1,335 4/01 14. 917 Vittori/Hendricks 2+2 3 6/13/99 40,023 $1,290 4/01 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Banda 2+2 2 9/12/94 24,000 $891 4/01 16. 315 Heli $256 2+2 1 8/11/90 12 400 $891 4/01 17. 323 Stull/TTP $238 2+2 3 6/29/91 17,244 $891 4/01 18. 333 Gi liotti 2+2 2 1111195 23,000 $891 4/01 19. 337 Reese/TIP $353 2+2 2 6/23/96 17,000 $891 4/01 20. 341 Veera/Martinez/ Sensebe 2+2 3 2/27/97 25,000 $891 4/01 21. 345 Penberth 2+2 1 1 12/1/00 1 17,948 $868 1 4/01 22. 352 Philli s/TTP $300 2+2 3 10/13/00 11,986 $868 4/01 23. 356 Sisson 2+2 2 7/6/91 20 000 $891 4/01 24. 513 ColeITTP $92 2+2 1 10/9/97 9,228 $891 4/01 25. 656 North/ITP $708 2+2 2 3/15/97 10,325 $868 4/01 26. 743 Hicks 2+2 2 4/13197 19,000 $868 4/01 27, 755 Davis 2+2 2 3/5/98 24,500 $868 4/01 287 783 1 Mel oza 2+2 2 6/14/90 15 000 $868 4/01 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TIP = Total Tenant Portion for HUD apartments BAV WOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household A e Number Employment Income Computation 6. The total anticipated income, calculated in accordancemith the provisions of this a ag ph 6, o 11 ersons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $=H� f� Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (a) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay, (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse, and (i) any earned income tax credit to the extent that it exceeds income tax liability. ' Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts, (b) amounts which are specifically for or in reimbursement of medical expenses; W lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (a) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) —Yes - No; or (b) have they dispos of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No W If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ 5t DOD total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expect to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ 4 L by , and (2) the amount of such income, if any, that was included in item 6 above: $ tl u 7..1 ' 9 Z- 8. Neither myself nor any other occupant of the unit d/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership byn family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. A 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of auy mjsrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this ` J/ day ofin the City of '"'�"'F'� ` u't/t , California. Applikant Applicant Applicant _ Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ A, ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine ti t the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line I.b(3)): 2. The am entered in l.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. b 3. Number of apartment unit assigned:-345 Bedroomsize: 2'-U� Rent: V �� ZLOSr $ Z�l ' 1 Z- 4. This apartment unit(was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. Other( I, INCOME RESTRICTED Project FINANCIAL WORKSHEET Unit No. �"17 Applicant's Name: 71(� Yti{ l�%f/1� Annual Salary $ Others Residing in Unit: Savings Accounts: Bank Bank Bank Interest Bearing Annual Salary $ Annual Salary $ Annual Salary $- Commissions/Bonuscs Balance x %_ Balance x %_ $ Balance Checking Account Bank. Balance x % $ Bank e�oc-�L Balance 3(, ✓ an t Stocks/BoLo�Qt1 ype t ° — y Trust Fund: Type Amount X % _ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type L00.1� Type Type Property Owned By Resident: Address Annual Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME $'`tea Maximum Annual Household Income Limit $�Z2 ��t/ NpV-19-2000 02:17 DE: A:019497062717 P:1/1 c........................................................ ......................................................................................................... P0.1 .............. PENHERTHY 6519919 . INCOME VERIFICATION (FOREMPLOYEO EltSONS) 'the undercigued employee has applied for a rental unit located in a project tlnanced under the Country of orange Multlfunlly flousing Program for perspra oPlaw end moderate income. l+vety income Wtement ofa prospeotiva tenant must be striagmily verified. 8iean tadicato batow the employee'. cutrent annual Income fmmwages, overtitne, bonuses, comntiselona or any other fbnn of compensation received an a regular basis. ANNUALWAOES '-+fOPO. r00 OYERTINX �^^� BONUSES O COMMISSIONS I hereby certify that the statements abo*Neyaau+ttld complete to the bat ofmylmowledge. �( Stgnatun'r�GG�:� Data 0Title�� I hereby grant you permission to disclose Wincome to Haywood, 9aypor; or bayview Apartments in order that that' maydetertnine my income eligibility for=tat of an apartment located intheirproject, which has been Place send to: 9aywood Apamncnts 1 Bkvwood Drive Newport Ilesch, CA 92WO Or Fax to (949) 6 4.7225 Attention r n 1�- 9 FIRST SECURITY VAN KASPER RICHARD SAMPLE 600 CALIFORNIA STREET SUITE 1700 INVESTMENT REP # 151 SAN FRANCISCO CA 94108-2704 610 NEWPORT CENTER DRIVE SUITE 550 NEWPORT BEACH CA 92660 (949) 719-1800 (800) 995-8562 Portfolio Overview Assets Value as of October 31, 2000 % of total assets Cash $0.00 0.0% Money funds 7,170.38 16.9 Common stocks 0.00 0.0 Preferred stocks 35,313.00 83.1 Mutual funds 0.00 0.0 Government debt Issues 0.00 0.0 Corporate debt issues 0.00 0.0 Municipal debt issues 0.00 0.0 Certificates of deposit 0.00 0.0 Options 0.00 0.0 Limited partnerships 0.00 0.0 Other 0.00 0.0 Total assets Liabilities $42,483.38 Value as of October 31, 2000 % 100.0% of total assets Cash debit $0.00 0.0% Margin debit 0.00 0.0 Snort options 0.00 0.0 Other short securities 0.00 0.0 Total liabilities $0.90 0.09/e Net Value of Your Account Net Value as of December 31, 1999 First 6ecurzrM Van Kasper 1 0 Your Account State: 1111111111111111411 YVONNE H P1 343 BAYW00 NEWPORT BE Account carried by DB Alex. Brown LLC Activity Net value of your account as of September 30 Net cash activity Net securities Into/out of account Net return on your portfolio Net value of your account as of October 31 Income Net income received Current estimated annual Income Current estimated annual yield Statement of Account October 1 to October 31, 2000 IIIIIII Account485.10205 IIII IIIIIIIII r Your New Benefit Amount NAME: YVONNE H PENBERTHY SOCIAL SECURITY NUMBER: 5 5-32-3333 Your Social Security benefits will increase by 2.4 percent for the year 2000, based on a rise in the cost of living. You can use this letter when you need proof of your benefit amount to receive food stamps, rent subsidies, energy assistance, bank loans or other business. How Much Will I Get And When? • Your new monthly amount (before deductions) is • The amount we're deducting for Medicare is (If you did not have Medicare as *of Nov. 19,1999, or if someone else pays your premium, we show $0.00.) • After taking any other deductions, we will deposit into your bank account on Jan. 3, 2000. r$ll84;5 :7 5.50 $1139.00 If you disagree with any of these amounts, you should write to us within 60 days from the date you receive this letter. What If I Work? If you are age 70 or older, you may earn as much as you want and still keep all of your benefits. If you were under age 70 all year, however, there is a limit to how much you can earn before it affects your benefits. • If you were age 65 through 69 in 1999, the earnings limit was $15,500. We must deduct $1 from your benefits for each $3 you earned over $15,500. • If you were under age 65 in 1999, the earnings limit was $9,600. We must deduct $1 from your benefits for each $2 you earned over $9,600. If the amount you earned in 1999 is shown correctly on your W-2 or self-employment tax return, we will adjust your benefits based on those earnings. If, however, the amount on your W-2(s) for 1999 includes money you earned in another year, such as deferred compensation, you need to contact us before April 15 to let us know. We'll also ask you to estimate your year 2000 earnings, so we can pay you correctly. What Are The Earnings Limits In 2000? The earnings limit for workers age 65 through 69 in the year 2000 is $17,000, and the limit for those under age 65 is $10,080. What If I Also Get Supplemental Security Income (SSI)? If you receive SSI, you must report all earnings. Medicare Information The Health Care Financing Administration recently sent the Medicare & You 2000 handbook to all beneficiaries. The handbook contains the latest information on coverage, deductibles and health care options that may be available in your area. If you have Medicare and limited income and assets, your state may help you pay for all or some of your Medicare expenses. You may qualify if your monthly income is no more than $947 for an individual or $1,265 for a couple (higher in Alaska and Hawaii), and you have assets of no more than $4,000 for an individual or $6,000 for a couple. Even if your income is slightly higher, you may get help in paying a small part of your medical insurance (Part B) premium. Please contact your state or local Medicaid, social services or welfare office for more information. A Rule About Stepchildren Mi4OOD EXPANSION • 0 9�36a INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment I 'm P s SzIF 5 5 3133-y9a AM ? i n ill a�1�,r (� 9a�- �9- c�5g� /y f 4 WI.Oft7n W a1je S6lu 0 (01s- q- ow_- 6111A Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this paragrph 1�D all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $ _ t �] - f Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment an&disability compensation, workers' compensation and severance pay, (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or theeducationalinstitution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (a) special pay to a household member who is away from home and exposed to hostile fire, (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; M payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal' property such as furniture and automobiles and interests in Indian trust land) Yes ✓ No, or (b) have they dispos�ed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (I) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ Iand (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year- 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed n� Qn�; Executed this �� day of OW +� -� v' �" " in the City of ' 4 r,�/fl �l/t'ir t [ o--) , California. Appi ant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b, (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance($ t; (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line I.a plus fine Lb(3)): 2. The amount entered in Lc: XQualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a LLojj��w or Moderate Income household. Q 3. Number of apartment unit assigned:— 4 35A Bedroom size: ef—� Rent: �+ t c 4. This apartment unit (was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. \, Copies of returns. E� Other ( Manager 9, Date INCOME RESTRICTED FINANCIAL WORKSHEET Project Unit No. 3612- Applicant's Name: J�G;`CY1l��r V ( {�UrYIS Others Residing in Unit: C� r ca- Qht'W-') 1,Ui-fl fm ffx 1 a lPri Annual Salary $k Q �A Annual Salary $ Annual Salary $ T19- Annual Salary $ Commissions/Bonuses $ Savings Accounts: Bank N/A Balance x _% = $ m M1 Balance x % = $ Balance x _% = $ Interest Bearing Checking Account Bank _ Balance x Bank Balance x _% = $ Stocks/Bonds: Type m Amount x _% = $ Type Amount x _% = $ Other: (Alimony, Child support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type s ,( Annual$ 2 47S.6y Type SUiA/Ct.(d�� Annual $ . ~ (43 Type Annual $ Property Owned I By Resident: Address �`� Equity a % _ $ TOTAL ANNUAL ELIGIBLE INCOME $ i i0 Maximum Annual Household Income Limit $ % , -169 *** *REC 2000255 11063-ep6813EO n5ef SOCIAL SECURITY ADMINISTRATION tMBERLY PHILL PS 5 CENTER ST E22 COSTA MESA CA 92627-6108 CIPQYA2 Pro (F-n5e ) *** Date: Septe Cer, 2000Claim Numbe33-49 I Name: KIMBERLY PHILLIPS You asked us for information from your record. The information that you requested is shown below. If you want anyone else to have this information, you may send them this letter. Information About Supplemental Security Income Payments Supplemental -Security Income payment is ...............$ 622.80 This is after we have withheld 69.20 to recover an overpayment. This payment amount may change from month to month if income or living situation changes. Supplemental Security Income Payments are paid the month they are due. (For example, Supplemental Security Income.Payments for March are paid in March.) **'* rREC 2000255 11095^ 6813EO n5ef CIPQYA2 Pc# (F-n5e ) *** `SOCIAL SECURITY ADMINISTRATION Date: Sept mber 11, 2000 Claim Numbe - OC1 Name: WINTON MCMILLEN PH IPS FORY CKIT:3E MILLENN 825 CENTER ST APT E224 COSTA MESA CA 92627-6108 You asked us for information from your record. The information that you requested is shown below. If you want anyone else to have this information, you may send them this letter. Information About Current Social Security Benefits Beginning December 1999, the full monthly Social Security benefit before any deductions is ...... $ 376.80 We deduct $0.00 for medical insurance premiums each month - The The regular monthly Social Security payment is.... $ 376.00 (We must round down to the whole dollar.) Social Security benefits for a given month are paid the following month. (For example, Social Security benefits for March are paid in April.) Your Social Security benefits are paid on or about the third Wednesday of each month. QUALITY ORIGINAL (S) 'Bil*OOD EXPANSION I is _f 61 INCOME MPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read ind answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above a art nent project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the o I earl of Household Social Security Place of Household Household Age Number Em torment Income Computation 6. The total anticipated income, calculated in ato ancewith the provisions ofthis;gr p�6,,�f� personsover the age of18years fisted above for the 12-month period beginning the date tha I/w plan to move into a unit is $ ''��rr'"'1I J Included in the total anticipated income listi d al ove are: (a) all wages and salaries, overtime pay, come issi ns,fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of bu ine s or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of ca ital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income fror i assets included below); (d) the full amount ofperiodic payments rec iveq from social security,annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of period c r eipts, includinganylump sum payment for the delayed start of a periodic payment, (e) payments in lieu of earnings, such as une npI yment and disability compensation, workers' compensation and severance pay, (f) the maximum amount of public assistaru e a ailable to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, so h a i alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowan s c F a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the exter L th t it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in r inat arsement of medical expenses; (c) lump sum additions to family assets, suc as nheritances, insurance payments (including payments under health and accident'insurance and workers' compensation), capital gains an set lement for personal or property losses; (d) amounts of educational scholarships pai I d' ectly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of to tion fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in i come); (e) special pay to a household member who av ay from home and exposed to hostile fire; (0 relocation payments under Title fI of the Jnif rm Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the pu -cha 3e of food pursuant to the Food Stamp Act of 1977; W payments to volunteers under the Dome is I olunteer Service Act of 1973, (j) payments received under the Alaska Nati re C [aims Settlement Act; (k) income derived from certain submarginal [anc of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the ep xtment of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training art iership Act, (n) income derived from the disposition of fu ids if the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares rece ved from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributioi ks in e included in item 6 above: (a) have savings, stocks, bonds, equity in rei I pr perty or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobil s in d interests in Indian trust land)__�4 Yes No; or (b) have they disp, of any assets (other ha at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes `� No (c) If the answer to (a) or (b) above is yes, doe thi combined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes >_No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be erh ed from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ and i (2) the amount of such income, if any, th w s included in item 6 above: $ u2 8. Neither myself nor any other occupant of it ut it I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family rel tioi ship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individt I sl all mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial i itemst in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partn of he individual. 9. This certificate is made with the knowledge t t will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set ort herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income conta ried in paragraph 6 is reasonable and based upon such investigation.as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any' thfo ation or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or c ipies of federal tax returns for the immediately preceding calends _ear. 11. I/we acknowledge that I/we have been advi ed' hat the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with thi Ov ner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. Ywe declare under penalty of perjury that the for goi ig is true and correct. /s Executed this I day of • in the City of �)elM 1 , California. Aoo'cant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) 00.10 FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible Income: g 5...%'J a Enter amount entered for entire household in 6above. b. (1) If the amount entered In 7(c) above to greater than 65 dppr enter the total amount enteredAXdX4 subtract from that figure the Amount entered In 7(d)(2) and enter the remaining balance(g ); (2) Multiply the amount entered In 7(c) times the current passbook savings rate as determined by HUD to fg sub Wet from thatfigure the amount entered in 7(d)(2) and enter the remaining balines ( �. `— (3) Enter at right the greater of the amount calculated under (a) or (2) above• $ .•7�-I+ e TOTAL ELIGIBLE INCOME (line I.a plus line LbN3 . g Z The ammoount entered In 1.e tee,. Qualifies the applicant(s) as a Low Income household. •Vf Qualifies the applicant(s) as a Modera(e income household. Does not qualify theapphc'a�n,rst(��s) me Law or Moderate Income household, 3. Number ofapartment tu�unntitAssigned: ..LY. IS Bedroo n 1, � l 1— ltemh /N S 4. ThisapanmentunitAwyrwas not)last occupiedfora period of3l consecudvedays by persons whoae aggregate anticipated annual Income as certified In the above mane pma their initial occupancy of the apartomet unit qualified them as Low or Moderate Income Tenants. 5 Method used to verify applicant(s) income �_ Paapbyer incomcvenficstion. _._ Copies of lax returns. ZlL= Other( J E INCOME RESTRICTED FINANCIAL WORKSHEET Project L ..A I'i ' 1 112 Unit No.. Wi Applicant's Name: IO✓ K1l hftt Annual Salary Others Residing in Unit: Annual Salary Annual Salary Salary p�� Pr Commissions/Bonuses $ 7 7 Savings Accounts: Bank f✓IJ�Balance C,� x�✓ %_ $ �(r + /✓� Bank Balance x %_ $ Bank Balance x %= $ Interest Bearing Checking Account Bank Balance x %_ $ Bank Balance x %_ $ Stocks/Bonds: Type Amount x % _ $ Trust Fund: Type Amount x % _ $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Annual $ Type Annual $ Type Annual $ Property Owned By Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME S S 5 1 Maximum Annual Household Income Limit :0 _o KATHLEEN CONN9ELL, STATE CONTROLLER CINECT CEPoa'T N04811C STATE OF CALIFORNIA 09-753211 DIRCCT DEPOSIT ADVICE DCTUFlS 'CENt� "UNT WCamEG Sa12770; 03 912-502 TO N NADC•RI AaENCY oNl* lV0"f(' KATHLEEYd COMPS ER 1�\r' G(07,1, 7f 1 • STATE CONT11OLLER V (` ;L ^�L + Lam, ....._.,l ..^-"�i,nneaurd£or llnorKift mv.-Ibrro, mwy YCC• om.ml ofl1C9 lmma�N2loli'• veun%M a^�( im. D'MIC DUCTON OFFICE CA wralt CONTRCLL£N MAT& OFCAUFOANIA STATEMENT OFEARNtNGSANDUEDUf;Tra10016 SEC NO 620-•f14'8547 µ µADERI DIRECT DEP 6 09-753211 AGY/UNIT 912 502I$SPAYDER 48/O1/DO SANK TRANSIT 121000358 rAX YEAR 44 A(dK AGCT 24437-02355 - TAX STATUS FED S-01 _ ST -' DC _, ,— _NET_PAY ,- GgOSS PAY -- .—TAXABLE GA7SS _ ._ — 97 2 77& • D3 41tS3.34 1921. neASUNTr - -- -- Yg i�uas cYnis�''n 7E'6 - LTN NET MEDICARE 09:64 �F H xF D TADNTL 5�87, VISI�N-VSP .00 44457 PLAN 200,00 DUFS P6CG 54.54 I>FPERSREDPST 'P4.50 _ -I •EMPLOY EROONTR1fir1TICNS (o„(emandadj<raunetitcf SI1L� -EC �L204 OX tTC1347 5 290.62 VIS8ION i e 0070A (W1019E) t Year^I04ate arose on flral samno alatem",'IV was with W-k• AmoUOta wNeh allied taxable 91010 ZO•d 611£61E1`t1 .. Wd tS:Se`S7 OOUZ-6��—dJS KATHLEEN CONNIELLs STATE CONTROLLER cwar.TbeaoEAttiwuEn STATE OF ps osT AD1(F O R N I A 09-976272 DIRECT WAOUNT aEoaPITEU S 177B i 03� 912-b02 YA N NAIIERI pdPNrry uxrt KATHLEkN CONNELL �`y/ �•�T,.I �+�1 �1 7� 9 a' STATE CONTROLLER .(V r dam; ;FQ.i/ rll 14.L 11 ��1LJ_- —••..�....'�-` :wl:u".."��i rv._:— •-_-_ of r nmel unw�.,...._..... tMlen aNf9m9 a�pOUMa or IInaI1Gal Mumilmta. MSIAY Yr Ilro payment InYoUr E rouTRDILEN naY appmW. Uo rot done Ya•Ir ow doamUN unlA You have raooxad YOU tl FFIGE OF CIA1 's 6272 6TAfF OF cAticnaHl�l STATEAAENT OF EARNINGS AND GEOUf.T10 SS SDo EDIRECTC No 6 DkP 7k 0 N NADERI PAY PER BANK TRANSI9 121000558 AGY/UNIT 912�502ISSUE DATE 08/31/OOBANK ACCT 24431-02355 _ TAX YEAR 00 _ -- -.,;FT PAY_ TAX STATUS FED 5-01 SpXABLE G'r10SS _ tlEDUC110N5-, _ -• - I921.47 2TT8.03 -. -GROSS FAY_ t dr10u.84 duwtENr - 470U - 00 _ _ _ YElut•TO•DATEt 41852.00^.-GROSS -'tt O6DtJCTIONS Y -7�Ni7-.-..._ -._.. EARN,NGS _ JDAY S 11GuR3 _ p-giSD.flpyl STATE TAX A 221.05 R£�ULAIt I.uc•riREMENT y90,iv 47. 6. 5. 25G, 94. i EtwcoyCON7RIBUTIt7NS lWriar`da EH,sime»lo7-� $aC , 5.E H4 7aX-F1�D���97 , 290.62 VISION I -500-231-40"". M K15flUNABMRTN6DPYh1r IME SIt WWW..CAaAADWKA.ORG FON OS GD 7BA (RV 1019E; I Yw-to•data 91026 an Nral aarnin9E atatOMant may not aprea "h W-2• Agaynla whleh allaat taXabla 91011 64.4 26 461, T4 CELEBRATION ERTAINMENT) IRE INFO- ;? P.M. BankofAmeri a 400,0bil- PA 9eR 7330 • •• $anon. Cerd4v4, CA eer4a252e 2443 EO-3 fL6,rddbaPPL,ld,rlL,dndlrrLPIrJ,IrJrr,dlir,ll! NADER NAMT 2534 H MACA7•HURE BLVD APT T SANTA ANA CA 92704-7128 Your Bank of America Combined Account Statement Statement Date: Auguat lV2000 At Your 5arvica Call: 7M.973.8495, 24 hours. 7 days a week Written Inquiries Dank of America South Coact Centel- Br PO Box 37179 San Francisco, CA 04137.0001 Cu$tomor $Into 1095 Bank of America approriatoo your bosineas and we enjoy serving you. C7 Summary of Your Deposit Accounts � 0 Batik of America News A,counl Aecount %mbar � Tour Gialarty Easlar Access. Better Planning, Smarter Management, it all �~ 24437.02355 .VERSA? EL Checking 0 3,34 9q.. 6 starts with the chocking account. Visit your local baniring center or call the phone number listed on your statement to Regular Savings 24433.GO090 find out more. n,f/3.34 Total GD/2'708 Orange County, CA - August 11 -- 13 — Through dedication • ee relnpa 1V0 sports to now levels. Ban< f A e Our, an Australian exhibit and tribUta to Olympians In honoring athletes who succeed Illia never before. It it; our hope that the Down Under Tour will bring inspiration to anmanamaa,e,s,eeaemo.rr�.e. our lives. _.. 0 Your VERSATEL Checking Account Beginning Balance an 07112/09 S2,188.54 I Total Deposits + 2,77803 Total chocks, Withdrawals, Transfers, Account Fees - 1,514.92 Ending Balance $3,340.06 O Important Information About Your Account Account Nurnbar: 24407-02365— Statement Period! July 12 through Auyuet 11, 2000 Number of ATM withdrawals and transfera 4 Number of purchase, transactions Number, of 24 Hour Customor Service Calls Salf•8orvice 0 I Assisted g You may qualify for a checking plan Without monthly service ch2rgol If you consistently maintain a 51,000 minimum balance In your checking account or an average of $8.000 In combined balances in your deposit accounta, call the tolophone number on this atatement or visit your local Bank of America banking center for mars information, (Q checks paid Data Dale Number Amevnt pale PaldN—umbar ��^^ pmoum 07/14 307 S 130.00 Total of 2 Checks Paid �t00.OQ 07113 308 G0.00 I Continued on next page 073484.041109 Cslliornla Page t of 3 r1l, �LZ£h: bbSL 41d 15:>a ra t�Fj rJ7—raZ—d 3S 11/A\C IRVINE APARTMENT MANAGEMENT COMPANY October 9, 2000 Christy Teague City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RECEIVED BY PLANNING DEPARTNIENT CITY pF 1l11=1POnt: T rcACH AM OCT I to 2000 PM 7181911011211211,216141616 I RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing ❖ "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of July 2000 through September 2000. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach Haywood 43 Discovery, Suite 150, P.O. Box 57060, Irvine, California 92619-7060 • (949) 450-4262 • Fax (949) 450.5802 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY September 2000 SAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Walker 2+2 3 7/12/96 13,000 $1,305 4/01 2. 346 Rahm 2+2 1 4/5/99 60,000 $1,300 4/01 3. 351 Warfield 2+2 2 3/28/99 10/15/00 53,774 $1,320 4/01 4. 355 Kinle 2+2 2 2/28/99 50,000 $1,290 4/01 5. 517 Davis 2+2 2 11/27/98 25,588 $1,225 4/01 6. 667 Kandel 2+2 2 10/1/92 24,180 $1,300 4/01 7. 676 Freeman 2+2 1 5/21/99 38,000 $1,300 4/01 8. 678 Vacant 2+2 8/31/00 $1,425 9. 762 Torabba i 2+2 1 3/27/00 50,099 $1,280 4/01 10. 765 Edwards 2+2 2 8/26/00 60,000 $1,425 4/01 11. 766 .Shahhosseini 2+2 1 10/14/95 41,500 $1,275 4/01 12, 773 Williamson 2+2 2 11/7/94 10/15/00 24,000 $1,490 4/01 13. 913 Holden 2+2 1 12/20/99 55,000 $1,335 4/01 14. 1 917 1 Vittori/Hendricks 2+2 3 6113199 40.023 $1,290 4/O1 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 227 Berke 2+2 2 I1/2/98 17,988 $891 4/01 16. 281 Banda 2+2 2 9/12/94 24,000 $891 4/01 17. 315 Heli TTP $256 2+2 1 8/11190 12,400 $891 4/01 18. 323 Stull/TTP $238 2+2 3 6/29/91 17,244 $891 4/01 19. 333 Gi liotti 2+2 2 11/1/95 23,000 $891 01 4/01 20. 337 Reese/1"I'P $353 2+2 2 6/23/96 17,000 $891 4/01 21. 341 Veera/Martinezt 2+2 3 2/27/97 25,000 $891 4/01 22. 352 Sensebe Conchis/Leon 2+2 2 6130/98 10/8/00 30,600 $868 4/01 23. 356 Sisson 2+2 2 7/6/91 20,000 $891 4/01 24. 513 Cole $92 2+2 1 10/9/97 9,228 $891 4/01 25. 656 North/TTP $708 2+2 2 3/15/97 10,325 $868 4/01 26, 743 Hicks 2+2 2 4/13/ 77 19,000 $868 4/01 27. 755 Davis 2+2 2 3/5/98 24,500 $868 4/01 28. 1783 1 Mel oza 1 2+2 12, 6/14/90 15,000 $868 4/01 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% TTP = Total Tenant Portion for HUD apartments BAYWO ►�D EXPANSION • INCOME COMPUTATION AND CERTIFICATION _# 76s I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment Fre o- E&OdwN Se if 57a- ro0 0? VnNI'ayo Poll Chtf,Ai 5'$a,� liUman 1Pe(d�rr1� i'D�antcB Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this paragra hb,ofall persons over the age of18years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $_ Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation forpersonal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital Indebtedness or any allowance for depreciation of capital,assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment, (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; W the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; W lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships orpayments to veterans not used for the above purposes are to be included in income); (e) special pay to a -household member who is away from home and exposed to hostile fire; (0 relocation payments under Title 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (I) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m)payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Gran&River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes W, No; or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes - No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than SUM? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ •' and (2) the amount of such income, if any, that was included in item 6 above: $ B. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project In which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust In proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or Indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit, and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that _the making -of -any- misrepresentation -or misstatement-in-this-declaratiorrwill'constitute a`-' materiatbreach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed thisy day of �00 in the City of — ' `r'�V �� r^- , California. r-. Z Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a, Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ t, subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line I.a plus line Lb(3)): { - /!O Or 2. The amount entered in I.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as aa^�Low or Moderate Income household. /..�/ 3. Number of apartment unit assigned: %l.65 'Bedroom size: '-"`t``'� Rent: ?'/,�V 4. This apartment unit (waslwasnot) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Met od used to verify applicant(s) income: Employer income verification. Copies t 14 Other( INCOME RESTRICTED FINANCIAL WORKSHEET Project ( t Unit No. Applicant's Name: �'�QGC za U(tiV�s Annual Salary $ Others Residing in Unit: U/ tY5 �G��1'G1 5� Annual Salary $ a� U Annual Salary $ Annual Salary $ Cammissions/Bonuses $ Savings Accounts: Bank M.1 i Balance x _% = $ M E�3 Balance x _% = $ Balance x _% = $ Interest Bearing Checking Account Bank Balance x _% = $ Bank Balance x Stocks/Bonds: Type Amount x _% _ $ Type Amount x _% _ $ Other: (Alimony, Child support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type Annual $ Type Annual $ Type Annual Property Owned By Resident: Address f Equity a % _ $ TOTAL ANNUAL ELIGIBLE INCOME $6aim- Maximum Annual Household Income Limit S t7/Ji 7 J t) 03/27i0e oo:os sax „• APARTMFNi HOMES EM 1,10YbUM VIERMCATION Date Aver Zr;,, 7.00 0 near SirNadam: 5r4d ewdr 5 A cutnent amployae of your firm, has applied for residency. Since It is our policy to verify employment dales, position, sad wherry in order to qualify a future resident, we would appetxiate your cooperation in cotnpletiAg the following and returning it to us as noon as possible. We must hays, aach item verified in order to proceed with the lease. flat •, +.f4p1 Pu• f7i+, •aa.a:r I Bm rvOD OIII,[ ■ Start Diu: .aw,asr e„�„.ca . Annual Salary: 000 ""pd " • Commisaicas: do-- Total Annual Salary: 'flied J�� LO% wormacon DPW Title: i;2�- Thank you in advance for your prompt atttmtioa to this matter. Sincerely, /-4M'rr b14 w4Teepi The Says Apettment Homes Leasing Stsff gw"s"P''FaU4�� MMuNtnES Fred Edwazds CONTRACT CURRENT AMT. DUE MONTf LAST NA DOL SALE PRICE SITE PRICE CUST.DOWN _BALANCE % PAID 7, COM COMM 1 COMM 2 ADM DUE LATER Jul-0D James Jul -OD Houk Jul•00 Medina Jul•00 Beecblar Jul•OO Aliano Jul -GO Arnold Jul•00 Arnold Jul•00 Farrow Jul•00 Ranson Ju1-00 Butlle TOTALS $450-00314 6250-029-21 6200-006-73 6250-03942 6200-007-16 6250-038-13 6250.03E-14 6450.009-16 6250-038-11 6250.040-D6 $ 5,218,00 S 3,602.00 S 14,943,00 $' 3,764.04 $ 13,218.00 $ 4,577,00- S 9,677.00 $ 5,468,00 $ . 4,677.00 $ 4,677.00 $ 64,741.00 $ 5,000.00 $ 3325.00 $ 14,725.0D $ 3A07.OD' $ 13,ODO.OD $ 4,400.00 $ 4.500.00 $ 5,250.00 $ 4,500.00 S 4,500.00 162,807.00 $ 5,000.0D $ 3325.00 $ 14,725.00 $ 3,607.60 $ 3,260.00 $ 1,540.00 $ 1,575.00 $ 5,250.0D $ 1,125.00 $ 4;500.00 $ 43,897.00 $• - I $ 1 - $ - $ , - $ 9,760.00 $ 2,860.00 $ 2,926.00 $ - $ 3,376.00, $ - $18,91 D.00 100% 100% 100% 10001 257, 33. a 351a 100% 25% 700% 13°% 13°% 89'° IS% 7% 71Y° 11% '• 139b II%j 73•% 660 43225 7178 468.91 910 484 495 692.6 495 S85 6380.66 0 $ - $ - $ - $ - $ $ - $ - $ - $r 650 432.25 1178 468.91 910 484 495 682.5 495 585 • f FOLD AND REMOVE YOUR BANKING EMPLOYER INFORMATION .ORANGE COUNTY HUMAN RELATIONS COUNCIL 1300 S GRAND AVE BLDG B SANTA ANA,CA 92705-4407 PAY PERIOD 07/28/00 TO 08/10/00 CHECK DATE 08/18/00 CHECK # 21067 • PERSONAL INFORMATION CHRIS F EDWARDS PO BOX 10235 COSTA MESA CA 92627 SS# 562-56-5828 EMPL# 000032 DEPT# 000001 PAYROLLS BYPAYCHER' 0080 1282 0002 000001 EARNINGS HOURS RATE REGULAR 40.00 25.000 TOTAL EARNINGS FILING STATUS M 01 TOTAL WITHHOLDINGS ADJUSTMENTS NET PAY TAX TYPE SOC SEC MEDICARE FEDERAL CA DBL FOLD AND REMOVE AMOUNT YTOAMOUNT 1000.00 1000.00 3637.50 AMOUNT YTD'AMOUNT 62.00 225.53 14.50 52.74 96.63 385.52 11.10 60.88 7.00 25.47 191.23 750.14 AMOUNT YTD AMOUNT c 60 808.77 2837.36 FOLD AND REMOVE YOUR BANKING EMPLOYER INFORMATION ORANGE COUNTY HUMAN RELATIONS COUNCIL 1300 S GRAND AVE BLDG B SANTA ANA,CA 92705-4407 PAY PERIOD 06/30/00 TO 07/13/00 CHECK DATE 07/21/00 CHECK 1 21030 PERSONAL INFORMATION CHRIS F EDWARDS PO BOX 10235 COSTA MESA CA 92627 SS1 562-56-5828 EMPL$ 000032 DEPT1 000400 9 • PAYROLLS By PAYCHOC 0080 1282 0016 000400 FOLDANDREMOVE -� EARNINGS HOURS RATE AMOUNT Y7DAMOUNT REGULAR 41.00 25.000 1025.00 REGULAR 27.50 25.000 687.50 TOTAL EARNINGS 1712.50 1712.50 FILING STATUS TAX TYPE AMOUNT YTD AMOUNT SOC SEC 106.18 106.18 MEDICARE 24.63 24.83 M 01 FEDERAL 203.51 203.51 M O1 40.18 40.18 OBL 11.99 11.99 TOTAL WITHHOLDINGS 366.69 386.69 ADJUSTMENTS AMOUNT YTD AMOUNT NET PAY 1325.81 1325.81 11AMA= IRVINE APARTMENT MANAGEMENT COMPANY July 10, 2000 Christy Teague City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of April 2000 through June 2000. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach RECEIVED BY PLANNING DEPARTMENT CITY OF NEWPORT PEACH AM JUL 13 2000 PM 7)819110111)1� 11i213i4)B)6 43 Dlscovery,.Suite 150, P.O. Box 57060, Irvine, California 92619-7060 • (949) 450-4262 • Fax (949) 450-5802 0 0 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY July 2000 BAYWOOD Villa Point -Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Walker 2+2 3 7/12/96 13,000 $1,305 4/01 2. 346 Rabin 2+2 1 4/5/99 60,000 $1,300 4/01 3. 351 Warfield 2+2 2 3/28/99 53,774 $1,320 4/01 4. 355 Kinley 2+2 2 2/28/99 50,000 $1,290 4/01 5. 517 Davis 2+2 2 11/27/98 25,588 $1,225 4/01 6. 667 Kandel 2+2 2 10/1/92 24,180 $1,180 4/01 7. 676 Freeman 2+2 1 5/21/99 38,000 $1,300 4/01 8. 678 1 Hudepohi 2+2 1 811199 50,000 $1,255 4/01 9. 762 Torabbagi 1 2+2 .1 3/27/00 50,099 $1,280 4/01 10. 765 Stubblefield 2+2 4 9/7/94 36,000 $1,160 4/01 11. 766 Shabhosseini 2+2 1 10/14/95 41,500 $1,225 4/01 12. 773 Williamson 2+2 2 11/7/94 24,000 $1,260 4/01 13. 913 Holden 2+2 1 12/20/99 55,000 $1,335 4/01 14. 917 Vittori/Hendricks 2+2 3 6/13/99 40,023 $1,290 4101 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Banda 2+2 2 9/12/94 24,000 $891 4/01 16. 315 Helig 2+2 1 8/11/90 127400 $891 4/01 17. 323 Stull 2+2 3 6/29/91 17,244 $891 4/01 18. 333 Gigliotti 2+2 2 1111195 23,000 $891 4/ 11 19. 337 Reese 2+2 2 6/23/96 17,000 $891 4/01 20. 341 Veera/Martinez/ Sensebe 2+2 3 2/27/97 25,000 $891 4/01 21. 1 352 1 Conchis/Leon 2+2 2 6/30/98 30,600 $868 1 4/01 22. 356 Sisson 2+2 2 1 7/6/91 20,000 $891 4/01 23. 513 Cole 2+2 1 10/9/97 9,228 $891 4/01 24. 656 North 2+2 2 3/15/97 10,325 $868 4/01 25. 227 Berke 2+2 2 11/2/98 17,988 $891 4/01 26. 743 Hicks 2+2 2 4/13/97 19,000 $868 4/01 27. 755 Davis 2+2 2 3,/5/98 24,500 $868 4/01 28. 783 Melgoza 2+2 2 6/14/90 15,000 $868 4/01 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% JO.&I1W_ UUli EXPANSION Y C, 776c� INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. Name of Members Relationship 3. 4' S• of the to Head of Household Social Security Place of Household_ Household _g_ Employment !1'lUhan�mad Icm, cc{ -S, a8 �P3? NS7�e0/o//.Z Income Computation 6. The total anticipated income, calculated in accordance with the provisions oft ' paragTa 6, of all persons over the age of i6 years ]fisted above for the 12-month period beginning the date that I/we plan to move into a unit is $—�.� Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (a) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (1) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is -away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (I) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act, (k) income derived from certain submarginal land of the United States that is,held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (in) payments received from the.Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000,00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excludt'gg the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes ✓ N (b) have they disposi5d of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes — I_No ($ total assets) (d) If the answer to (c) above is yes, state: (I J the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent:$ and (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit Uwe propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship ea the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership o an individual resll mean ownership by a family member, ownership by a corporation, partnership, estate or trust In proportion to the ownership t, beneficial apartner in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information Uwe deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 0. I/we will assist the Owner in obtaining any Information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 1. I/we acknowledge that Uwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. _ we declare under penalty of perjury that the foregoing is true and correct. tectttedthis —4day of fflC t/ 1. Applicant in the City of California. JA Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed In number 2 above required) • 0 FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible Income: a. Enter amount entered for entire household In 6 above: b, (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered Ln 7(d)(1), subtract from that figure the amount entered in NX2) and enter the remaining -balance ($), (2) Multiply the amount entered in 7(c) tithes the current passbook savings rate as determined by HM to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ subtract from that figure the amount entered in 7(dx2) and enter the remaining balance (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line I.a plus line Lb(3)): 2. The amount entered in l.c: Qualifies the applicant(s) as a Low Income household, Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: I Bedroom size:- ofa'.2 Rent;/P p 0'M 4. This apartment unit(was/was not) last occupied for a period of31consecutive days bypersons whoseAggregateanticipatedannualIncomeascertif[ed in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate.mcome Tenants. S. Method used to verity applicant(s) income: Employer income verification. Copies of tax returns. 'L� Other(I/ R it Srl�f�l ) M ga Date y � � i P. INCOME RESTRICTED FINANCIAL WORKSHEET Project Unit No. 76a. Applicant's Name: ili0hG1M1/YIa T ndbu e Annual Salary $ Others Residing in Unit: NIA Annual Salary $ Annual Salary $ Annual Salary $ r Co=issions/Bonuses $ _ 2�' / Savings Accounts: Bank _ Y Balanceo�51. q2x o73 %_ ,of v Bank — Balance — x _% = $ Bank Balance — x / ,Qp fl Interest Bearing l7fp` Checldng Account Bank Volt - r' rest "` Bal;ce - x % = $ _I Bank Balance — x Stocks/Bonds: Type — Amount — x Type — Amount x Other: (Alimony, Child support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type Annual $ Type Annual $ Type Annual $ Property Owned By Resident: Address Equity : x % = $ TOTAL ANNUAL ELIGIBLE INCOME $moo Maximum Annual Household Income Limit $ & 3 N , 0 w co m N C lr :V' EII.FIIUyw MAIN 140HAM4AD TORABBAGI turf iod 02/16/00 to 02/29/00 All Yk +P If y Y S tsr�fy_..:itl Amir Rug Gallery' a*Wi" a ft STIIF-82 DWA 03/06/00 8000.00B000'00 '' '�65 758.60758"60 124.00 496.00 29.00 116.00 36.42 145.68 10.00 40.00 33.98 135.92 00803 ONS THOUSAND PIVS HUNDRBD SEVENTY SIX DOLLARS and 95 CENTS '•}+ 03/06100 ***1576.95 140HAM7AD TORABBAGI qyow- I u $ 7147230139 IR RUG GALLERY 03/13/00 1♦� _ - _ P02 03/13/00 TO WHOM IT MAY CONCERN: THIS IS TO CERTIFY THAT AS OF THIS DATE THE RECORDS AT THIS OFFICE SHOW THE FOLLOWING: ACCOUNT TITLE: MOHAMMAD TORABBAGI ACCOUNT NUMBER: 141-0023053 OPENING DATE: 08/11/99 BRANCH NAME AND ADDRESS: CORONA DEL MAR 3021 EAST COAST HIGHWAY CORONA DEL MAR CA 92825- ACCOUNT TYPE: Savings PRESENT BALANCE: 2051.42 t RITA TIDD REP II BA.?rWOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. Name of Members 2. Relationship 3. 4. 5. of the to Head of Household Social Security Place of Household �Wh &Kt Household Age Number .5?p9-ly 683 *7 Em to ment !lead r� wn Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this par gr ffaB persons over the age of 18 years listed above for the 12-month period beginning the date that Itwe plan to move into a unit is $ Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (0 the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts, (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident�insurance and workers' compensation), capital gains and settlement for personal or property losses, (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire, (1) relocation payments under Title 1I of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act, (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (in)payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (exchl mg the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes a Nc; or (b) have they dispo;ed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes DC No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ _Q_ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ g , and (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10, I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the -Omer to lease the unit and will entitle the Owner to -prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this dayof �[A//A' �� Jlrr e' ' "' � in the City of �� ; �ufornia. A i V App icxnl Applicant Applicant Applicant" (Signature of all persons over the age of 18 years listed in number 2 above required) 0 FOR COMPLETION BY APARTMENT OWNER ONLY �y�y 1. Calculation of eligible income. $ D Zi a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ), (2) Multiply the amount entered In 7(c) times the current passbook savings rate as determined by HUD in determine what the total annual earnings on the amount in 7(c) would be if invested In passbook savings ($ — ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ), (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line I.a plus line I1(3)): S 2 e amount entered in 1.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned:-.00 I__Bedroom size: Rent—LL/l__ 4. This apartment unit(was/was not) last occupied for a period of31consecutive days bypersons whose aggregate anticipated annual income ascertifiied In the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) Income: Employer income verification. r Copies of tax returns. "", © t /p r/ - Other(�� ` C� '(JJ �l D/b0 MAmai Date . INCOME RESTRICTED FINANCIAL WORKSHEET Project Unit No, flG(�1" d Dim' - Applicant's Name: `/ Others Residing in Unit: ►�C Y I ��. Savings Accounts: Bank f Wn Interest Bearing Checking Account Bank �� Annual Salary $ y7—"— Annual Salary $ U 5 Annual Salary $ Annual Salary $ Co=issions/aonuses $ Balance x _% = $ Balance x % = $ Balance x % = $ Balance x ' % = $ Balance x % = $ Stocks/Bonds: Type Amount x _% = $. Type Amount x % = $ Other: (Alimony, Child'support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type Annual $ Type Annual $ Type Annual $ Property Owned By Resident: Address Equity a % = $ TOTAL ANNUAL ELIGIBLE INCOME $� $ Maximum Annual Household Income Litriit $ 40 V N FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT 1999 PART OF YOUR OFOR MOREII TY BENEFITS FORMATIONSHOWN IN BOX 5 MAY BE TAXABLE INCOME. • SEE THE REVERSE Box 1. Name Box 2. Beneficiarys Social Security Number RALPH M BERKE 569-14-5843 Box 3. Benefits Paid In 1999 Box 4. Benefits Repaid tb SSA In 1999 Box 5. Net Benefits for 1999 (Boxa minus Box 4) $110658.00 NONE $11,658.00 DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN BOX 4 Paid by check or MOTS direct deposit $11,112.00 Medicare premiums deducted from your benefit $546.00 Total Additions $11,658.00 Box 6. Voluntary Federal Income Tax Withheld NONE Box 7. Address RALPH M BERKE PO BOX 5366 NEWPORT BEACH CA 92662-5366 Box 8. Claim Number (Use this number Uyotr need to contact SSA.) 569-14-5843A DO NOT RETURN THIS FORM TO SSA OR IRS r r r Y FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT 1999 PART OF YOUR CFOR MOREIAL I FORMATION.TY BENEFITS SHOWN IN BOX 5_ MAY BE TAXABLE INCOME. • SEE THE REVERSE Box 1. Name Box 2. Beneficiary's Social Security Number LYNN BERKE 554-38-9786 Box S. Benefits Paid in 1999 Box 4. Benefits Repaid to SSA In 1999 Box S. Net Benefits for 1999 (Box B minw Sw4) $6,330.00 NONE $6,330.00 DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN BOX 4 Paid by cheek or NONE direct deposit $5,784.00 Medicare Premiums deducted from your benefit $546.00 Total Additions $6,330.00 Box e. Voluntary Federal Income Tax Withheld NONE Box 7. Address LYNN• BERKE PO BOX 5366 NEWPORT BEACH CA 92662-5366 I Box S. Claim Number (Use this number 1/ you need to contact SSA.) 569-14-5843B Form SSA-1099SM (1.2000) DO NOT RETURN THIS FnAM Tn scA nc 100 002Q (=� IRVINE APARTMENT MANAGEMENT COMPANY April 7, 2000 Christy Teague City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RECEIVED BY PLANNING DEPARTMENT CITY OF NF.WPnBT BEACH AM APR 1 2 2000 PM 71819 �1011111w i11213141616 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing ❖ "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Normally I would enclose the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." However, during the reporting period of January 1" 2000 through March 3 1 " 2000 we did not have any. Also enclosed are the required annual recertifications. Should you have any questions please do not hesitate to call. Sincerely, `n k� � Michelle Pierce Bond Compliance Administrator City of Newport Beach 8 Executive Circle, P.O. Box 19528, Irvine, California 92623-9528 • (949) 862.6400 • Fax (949) 862-6491 g,VINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY April 2000 BAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 Walker 2+2 3 7/12/96 17 $1,25 4/00 2. 346 R E 2+2 1 4/5/99 60,004 60,00 $1,235 4/00 3. 351 Warfield 2+2 2 3/28/99 57,722 71,320 4/00 T 355 Kinley 2+2 2 2/28/99 56,400 $1,220 4/00 5. 517 Davis 2+2 2 11/27/98 27,790 $1,195 4/00 67 667 Tandel 2+2 2 10/1/92 26,000 $1,130 4/00 7. 676 Freeman 2+2 1 5/21/99 33,397 $1,250 4/00 8. 678 Hudepohi 2+2 1 8/1/99 49,200 $1,255 4/00 9. 762 Vacant 2+2 2 03/07/00 4/00 10. 765 Stubblefield 2+2 4 9/7/94 36,000 $1,110 4/00 11. 766 Shahhosseini 2+2 1 10/14/95 39,500 $1,150 4/00 12. 773 Williamson 2+2 2 11/7/94 24,000 $1,155 4/00 13. 913 Holden 2+2 1 12/20/99 54,151 $1,270 4/01 14. 917 Vittori/flendricks 2+2 3 6/13/99 40,023 $1,215 4/00 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 Banda 2+2 2 9/12/94 27,000 $859 4/00 16. 315 Helig 2+2 1 9/11/90 12,000 $865 4/00 17. 323 Stull 2+2 3 6/29/91 16,8 00 $865 4/00 18. 333 Gigliotti 2+2 2 1111 5 25 22,000 $862 4/00 19, 337 Reese 2+2 2 6/23/96 16,000 $862 4/00 20. 341 Veera/Ma tmez/ 2+2 3 2/27/97 40,100 $871 4/00 21. 352 Sensebe Conchis/Leon 2+2 2 6/30/98 30,948 $847 4/00 22. 356 Sisson 2+2 2 7/6/91 12,000 $865 4/00 23. 513 Cole 2+2 1 10/9/97 9,024 $811 4/00 24. 656 North 2+2 2 3/15/97 12,084 $811 4/00 25. 677 Hunt 2+2 3 2/1/96 14,400 $862 4/00 26. 743 Hicks 2+2 2 4/13/97 32,000 $826 4/00 27. 755 Davis 2+2 2 3/5/98 24,900 $782 4100 28. 783 Melgoza 2+2 2 6/14/90 14,000 $843 4/00 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% Unit No. 261 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 3� t <� dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certificationis made under penalty of perjury in Newport Beach, California. Date: 3( Income earning household �members: Resident Naricy Walker Resident Resident Resident Unit No. 281 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ A Odd � dollars (annual income). Q morl *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: v Income( earning household members: Resident bra Banda Resident Resident Resident Unit No. 315 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $1a;qaD dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the Cit}{ of NewportBeach. This certification is made under penalty of I crjury in Newport Beach, California. Date: `� ,D 51 Income earning household members: Resident y e... g Resident Resident Resident e l] BAYWOOD Unit No. 323 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Income earning household members: (-71zz,- :5�/� Re ' ent Julie Stull Resident Resident Resident BAYWOOD Unit No. 333 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $_ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 2 Income earning household members: Re ' ent Aar a igl' tti Resident Paol gliotti Resident Resident Unit No. 337 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date:2l e 100 Income earning household members: l ' 1 a ee5e Resident Resident Resident Resident S BAYWOOD Unit No. 341 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ �5, DO0 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is Tade �under penalty of perjury in Newport Beach, California. Date: I I D Resident Unit No. 346 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $_ o o o dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 1 200C Income earning household members: Residen herry ahm Resident Resident Resident 0 • BAYWOOD Unit No. 351 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 5-3 �-47 Y dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: �� Income earning household members: . .- Resident Resident BAYWOOD Unit No. 352 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, tLe total annual eligible income* of the undersigned does not exceed $ -50) & og0 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a'business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under.penalty of perjury in Newport Beach, California. Date: al a s I 00 Income eaming h� sehold members: ^ 1 Resident Leon Socorro Resident Resident BAYWOOD2 CC jl��y Unit No. J �1 J ✓"'`tRL CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income eaming occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ S_ �T dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 2 — I Income earning household Resident Resident Resident Resident r BAYWOOD Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY UWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed S "I wa dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledges) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 3 /2 'oy Income eaming household 4-t9�/1 tf 5 /SS6N / Resident Resident Resident Resident BAYWOOD Unit No. 513 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ qg � R� dollars (annual income). Grass *Included in the total annuallligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: � q z�8• a o ass ;���ql/acts -' 6a,,o edrl cnlne� �a�•oa e /kNMt�6f N Income earning household members: 7r'fl' X44-L2 (� Resident Vivian Cole Resident Resident Resident BAYWOOD Unit No. 517 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY UWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ �a'- `Ivl dollars (annual income). /no *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Income earning household members: .r• ident Jack Davis�) Resident Geraldine Davis Resident Resident BAYWOOD Unit No. 656 No�rH CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and Z. As of the date specified below, the Jotal annual eligible income* of the undersigned does not exceed $,%D,� , 3� llars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beac . This certification is made under penalty of perjury in New ort Beach�ali ornia. Date: 9 jo Income ea VIM members: i� i7,v4�/J Resident Resident Resident T � Unit No. 117 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specie}ed below, the total annual nnudollars a eligible lig Income), income* of the undersigned does not exceed $ a` l *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of pequry in Newport Beach, California. Date: Income earning household members: Resident Michaeandel Resident Sandra Kandel BAYWOOD Unit No. 676 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ /� U71U dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: _ Inco a earning, household members: pti i Freeman Resident Resident Resident BAYWOOD Unit No. 678 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 00UU _ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: ?'M loo Income eamin ho ehold members: ��7 Resident Nate Hudepohi Resident Resident Resident Unit No. 743 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $� l2U dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Income earning household members: Resident P ul Hicks .iP�Mrh �j Resident Victoria Hicks Resident Resident BAYWOOD Unit No. 755 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY IfWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed = dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date Income earning household members: '1�� Resident Eiissa Resident Resident 0 BAYWOOD Unit No. 765 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 36,)000 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: rin Income eaming household members: /1n Residen� t Char es Stu lefield Resident y Stubblefiel Resident Resident BAYWOOD Unit No. CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ ij, !�o dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification its made under penalty of pedury in Newport Beach, California. Date: aLOOV Incori%/ minghofzse old members: Resident Resident Resident Resident Unit No. 773 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ AM 6ryo • c0 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: �/ (r Y bo Income eaming household members: Resident Marjorie Williamson Resident Resident Resident BAYWOOD Unit No. 783 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $T 00 4`� dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: MPCN 13- 2attc7 Income earning household members: Resi ent Rosie Mclgo3br— Resident Resident Resident BAYWOOD Unit No. 913 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed S 5,000 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Income earning household members: l ` ay en o en v Reside Resident Resident Resident BAYWOOD Unit No. 917 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 3. As of the date specified below, the total annual eligible income* of the undersigned does not exceed S �5 dollars (annual income). *Included in the total annual eli-iib e income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of pejury in Newport Beach, California. Date: 2 ' 2 Z 'GO Income earning household members: w1 - r E den an ra e Reside t John Hendricks Resident Resident 11/A\C IRVINE APARTMENT MANAGEMENT COMPANY January 5, 2000 Christy Teague City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RECEIVED BY PLANNING DEPARTMENT CITY OF NEWPORT BEACH AM JAN 18 2000 PM 71819110111112111213141Si6 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing ❖ "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of October 1999 through December 1999. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach 8 Executive Circle, P.O. Box 19528, Irvine, California 92623-9528 • (949) 862.6400 • Fax (949) 862-6491 0 0 IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY DECEMBER 1999 BAYWOOD Villa Point — Moderate Income Name Villa Point — Low Income Size Occ. Date Name Size Occ. Date Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% Date Date Income Income Rent Rent Due Due nnzo� IRVINE APARTMENT MANAGEMENT COMPANY April 21, 1999 City Manager City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing *e "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period February 1999 through March 1999. Also enclosed are the required annual recertification. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach 8 Executive Circle, P.O. Box 19528, Irvine, California 92623-9528 • (714) 862-6400 • Fax (714) 862-6491 BAYWOOD Unit No. 338 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ Ail, "6 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: V.1l6 9� Income e g ho h ld members: si nt Les Levitan Resident Resident Resident BAYWOOD Unit No. 761 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ dollars (annual income). X7000- *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Income earning household members: Re ident Diana Armend Resident Resident Resident Unit No. 343 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY UWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ , 51,4)19y --dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledges) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: c/ Income earning household members: 4Resent Yvonne Penberthy Resident Resident Resident 0 L WA • • Unit No. 651 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ If, i c z 9 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: '7 t-_ 2 S` - 9 7 Income earning household members: LAAn �e,C�.iL�!/YL� Resident Alice Christensen Resident Resident Resident BAYWOOD Unit No. 665 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income eaming occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed S 541 50 ,1P dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Income earning household members: c� Cath; hambers Resi ent'Ted tinn Resident Resident L Unit No. 673 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased — r# �jC, Premises, and 'ir S'l. f47idrt A6 ('Ross : 3a, Aql, 3G `eA. AV g' Yoc.SLGU� �'4R.OSS S 6i`j•OG 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ $Z QG4.6D dollars (annual income) / 1!� l 9yq: drop �. eshr►mZ7 � . S' �nd�Qivs: *Include in o a annua a igi a income are! wages; tips, overti e, bonuse , 9tQ, Ss and commissions; net income from a business or rental of real property; interest a % dividends; social security, retirement funds or pensions, and disability benefits; -TO C workers' compensation and disability pay; severance pay; alimony; child support, all regular and special pay and allowances of a member of the Armed Forces (to �c-� /pa exclude hostile fire allowance). ec+-�-' The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Q>�1.2� /F9 j Income earning household members: L/�r�cr-tea OGhe,/�a� ` sident Gloria Trefts Resident Resident Resident Unit No. 737 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ $D�dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income froth a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledges) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 07 ^ cia %9 Income earning household members: Resident y BeluiiajTerani Resident Jamshid F-arid Resident Resident i UTWENOTOW Unit No. 782 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupants) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $.385'r= dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 16ke Income e . Y,househ members: G' Resident Lisa Resident Resident Resident j3AYWOOD EXPANSION • !t INCOME COMPUTATION AND CERTIFICATION 1/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. S. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment _ Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this ragraph 6, of all persons over the age of 18 years listed above for the 12-month period beginning the date that Itwe plan to move into a unit is $ B- Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions, (b) the net income from the operation of a business or profession or from the rental of real or personal property, (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay, (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated far shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (p relocation payments under Title 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (I) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act, (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluu g the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes No, or (b) have they dispose of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? -Yes y No (c) If the answer to (a) or (b) a�qve is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ 1and (2) the amount of such income, if any, that was included in item 6 above: $ 8, Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; crowns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and Ilwe declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigatiomas the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration -will constitute a material breach of thy/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of - t in the City of _ d n49u�LrrA1 California. U Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR CbMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ — I, (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ — ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line 1.b(3)k 2. The amount entered in I.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s)�,�y�aas a Low or Moderate Income household. /J7� 3. Number of apartment unit assigned:�Bedroomsize: '--2 Rent: , ✓✓ 4. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. Copies of t c retur s. Other(. •:. • INCOME RESTRICTED FINANCIAL WORKSHEET Project W Unit Nc Applicant's Name: , I11 GLVi� 1 Others Residing in Unit: M Annual Salary $ 5J1 1170 Annual Salary $ Annual Salary $ Annual Salary $ Commissions/Bonuses $ Savings Accounts: Bank it _ Balance da. box % = $ 9, b Bank Balance x Bank —/ Balance x % = $ Interest Bearing _ Checking Account Bank Balance — x _% = $ Bank ( I Balance — x Stocks/Bonds: Type Amount x Type l t Amount x =% _ $ Other: (Alimony, Child support, retirement pensions, social security, Disability payments, parental support, etc.) Show calculation, How annual is arrived at! Type _ Annual S _ Type I ` Annual $ Type 11 Annual S Property Owned gp By Resident: Address _ qJ If I Equity TOTAL ANNUAL ELIGIBLE INCOME $:i� Maximum Annual Household Income Limit S14W ' •' Iz.ua�aa 1a;su r:�Ls •.' w�UU1 KASONNEL SERVICES rk TECHNOLOGY US PINELAWN ROAD MELVILLE,N.Y. 11747-9009 FOR: CITICORP NORTH AMERICA CREDIT TH: ACCOUNT OF: HOLDEN,HAYDEN A THIS IS NOT A CHECK 0018392 DATE 11/15/99 AMOUNT $****11317.65 DEPOSITED ACCOUNT NO. 47086155 NON—NEGOTIABLE DESCRIPTIONS THIS PERI00 YEAR-TO-DATE WHAT YOU EARNED: SALARIED PAY TOTAL MEDICAL CREDITS 2,OOB.E3 110; 53 39,424.93 2 223;23: TOTAL DENTAL CREDITS QO 000 WELLNESS CREDITS 10138g8g:46 OTHER TOTAL EARNINGS 2,120.00 52,168;46 PRE—TAX DEDUCTIONS: DSA —60.25 —113;51 :1,182,75 —2,450:91 MEDICAL DENTAL HCSA TOTAL PRE—TAX DEDUCTIONS gg —215;58 1,904:5 —4,443;00 47,725.46 EARNINGS REPORTED ON W-2 TAXES WITHHELD: MEDICARE 28.49 121.81 72577 3,103:21 SOC SEC FEDERAL 336.74 9115 9 6.21 2,4 5.22 NY STATE TOTAL TAXES 578..19 15,560.41 DEDUCTIONS REQUESTED: UNITED FUND 8.66 181.86 NET DEPOSIT $1,317.65 ExPP11se cossANr CO61PA" NA.NE KET TO BYMBDL9. A - AMOUNT OWED 06732 00315 CITICORP NORTH. AMERICA e _ ACCOUNT BALANCE P - PA!O TC DATE 3 HOLDENSHAYDEN A6732 0031S Ex:xrzlo:+s 0015 0015 REGU�L,AR PAYROLL EMPLOYEE NC•045740099 GEID NO. 0000075273 ' PERSONNEL SERVICES & TECHNOLOGY e0018360 146 PINELAWN ROAD DATE I,j, MELIJILLE.N.Y. 11747-9008 /30/99 FOR: CITICORP NORTH AMERICA _ CREDIT THE ACCOUNT OF: HOLDEN,HAYDEN A THIS IS NOT A CHECK AMOUNT ,S***x1,317.65 DEPOSITED ACCOUNT No. 47086155 NON-NEGOTIABLE DESCRIPTIONS THIS PERIOD YEAR-TO-DATE WHAT YOU EARNED: SALARIED PAY TOTAL MEDICAL CREDITS 2,008,33 101.04 41,433.26 2,222.88' TOTAL NCREDITS- 10.00 63 210.00. OTHER PAY 54,288:46 TOTAL EARNINGS 2,120.00 PRE-TAX DEDUCTIONS: DSA• -60.25 :11243.00 MEDICAL -116,71 -21567.62 DENTAL -13.84 -29pp7,ED HCSA TOTAL PRE-TAX DEDUCTIONS EARNINGS REPORTED ON W-2 -215.50 1,904:50 -4,658.55 49,629:96 C TAXES WITHHELD: MEDICARE 28.49 75426 SOC SEC 121.81 3,225:02 FEDERAL 336,74 9,572.95 NY STATE 91,159 2,58637 TOTAL TAXES $78.19 161138:60 DEDUCTIONS REQUESTED: UNITED FUND 8.66 190.52 'ATEMENT OP EARNINGS RETAIN POR YOUR RECORDS: NET DEPOSIT $1,317.65 gwE.SSE I COMFA}T CON.PANY NAME EXPLANATIONS AND REMAPKS: KEY TO SYMSULE: A AMOUNT OWED 06732 00315 CITTC0 P NORTH AMERICA B - ACCOUNT BALANCE - PAID TO DATE LOC CD RUM ENO, wn-raOl n0. REGUUNO.0LyAR PAYROLL 02315 1/30/99 5104328 I EMPLOYEE 45740099 GEiD No.0000075273 HOLDEN,HAYDEN A6732 00315 }Y}yPTIDKs DO15 INY OO1S 12/Ua/UU 15:17 F.0 U.S, Service Center 002 PC e=789013 San Antonio, TX 78246.9013 Lei uu2 Ay 32433111AROF 011 CITISAN F.S.S Accoun 47086155 Statement Period HAYDEN A. HOLDEN WWI.6 •Nov.3,1999 140 HOYT STREET APT. 2 J STAMFORD CT 06905-5736 IIh,,.II„Idr,IL„JJ,dd,l„d„ILdh,,ddlL„L„II Page 1 of 8 TYa 4T 5r...1/Y.f0.' nri.�.���.;•f':T �u•Y•Q �•A1•r��Jw-•AY A 1 LI'[!l3AN;.AGGO.ktfy,'fkS,'XJF:J:(9..!�F,Ml3 „���,:i: ��k.:d 6"�`�-..'.�+3<,•r��... : -4• v CITIBANK ACCOUNT SUMMARY: Great News! We've extended hours at many of $1,456.38 our Financial Centers. This way we can provide Checking $402.75 service when It's most convenientfor you! Stop Savings !n and the new hours at a Citibank _ Investment. (not FDIC,Insured) -. . -checkout Financial Center near you. Loans Credit Cards ..... Checkln 'Balance Regular Checking $1,455.38 Sav!n s Balance Preferred Mcney Market 402.75 Total Checking and Savings $1,859.13 CitiPhone 8ank!ngR .lust Got Easier! Now access your account using your social security # or Citicard #. It's as easy as 1-2-31 1. Call CitiPhone Banking* 2. Press 1 to use your Citicard, press 2 to use your social security # 3. Enter your telephone access cede, Then you're ready to transfer funds, get account activity, or pay a bill. Don't have an access code? Press 0 and a Financial Associate can help you get started. "For menu in Spanish, press the # key at the greeting. t Baywood Apartments City of Newport Beach Development Agreement March 1999 Big Canyon 16 — Low and Moderate Income Unit Address Type Resident Name Move In Move Out Rent 1. 338 Baywood Low Levnan 06/28/97 51,085 2. 761 Alderwood Low Armendariz 09/15/94 51.075 3. 343 Baywood Mod Penberthy 04/O5198 51.180 4. 651 Baywood Mod Chnstensen 08i18/93 S1,045 5 665 Aldenvood Mod Chambers/Linn 05/31/95 51.025 6. 673 Aldenvood Mod Treftslbhtchell 07/16/95 $1.120 7. 737 Alderwood Mod BehmwFardnia 10/01/98 51,320 8. 782 Aldenvood Mod Sysms O1/26199 51,270 PDM — Low and Aloderate Income Unit Address Type Resident Name Move In Move Out Rent I. 332 Baywood Low Wehnnan 06/19/98 SI,147 2. 348 Baywood Low Mulvihill 07/11/98 511165 3. 672 Alderwood Low Vacant 03/02t99 4. 353 Baywood Mod Hileennam 03/16/99 51,185 S. 652 Aldenvood Mod Mouvet 01/21/95 $1.100 6. 671 Alderwood Mod McCauley 10/08/90 51,085 7 731 Alderwood Mod Moore 11/07/96 51,145 S. 758 Aldenvood Mod Thomas 05/07/94 51.095 9. 767 Alderwood Mod Durocher 02/01/96 51.050 Villa Point — ¢loderate Income Unit Address Resident Name Move In Move Out Rent I. 153 Baywood Skawm 08/16/97 Sl _25 2. 261 Baywood Walker 07/12/96 SI255 3 346 Baywood Vacant 12/17/98 d. 351 Baywood IVarfield 0328199 51,310 S. 355 Baywood Kinley 02P8199 51,220 6. 517 Baywood Davis 11,27198 51.195 7 667 Aldenvood Kandel 10/01.92 51.130 S. 676 Alderwood Vacant 03t08.99 9. 678 Alderwood Behreim/Aagtdts 12/13/98 SI270 10. 762 Alderwood Vacant 03/23/99 11. 765 Alderwood Stubblefield 09/07/94 51,110 12. 766 Alderwood Shahhossemt 10114i95 51,100 13. 773 Aldenvood Williamson II/07/9a $1.105 14. 913 Baywood Burback 07, 1Si95 51,175 r • Ba, wood Apartments City of Newport Beach Development Agreement March 1999 Villa Point —Lou, Income Unit Address T/P Resident Name Move In Move Out Rent 1. 281 Baywood Banda 09/12/94 $859 2. 315 Baywood Helig 08/11/90 S865 3. 323 Baywood Stull 06/29/9I S365 4. 333 Baywood Gigliottt 11.01195 $862 5. 337 Baywood Reese 06;23/96 5862 6. 341 Baywood Veera MarimeziSensebe 0227197 5862 7. 352 Baywood Conchis 06103/98 5832 8. 356 Baywood Sisson 07/06/91 5865 9. 513 Baywood Cole 10/09/97 $811 10 656 Baywood North 03/15/97 $811 II. 677 Aldenvood Hunt 02/01/96 $862 12. 743 Aldenvood Hicks 04/13/97 5826 13. 755 Aldenvood 'Davis 03105193 5732 14. 733 Aldenvood NIelgoza 06,14/90 $343 1 RYNWZ••. Unit No. 153 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ D bfd dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income froth a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acktiowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Income earnin,g household Resident Resident Resident Resident Unit No. 261 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $� C RYO • cm dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: earning household members: esident Nancy Walker Resident Resident Resident Ah " l3A TWOOD L?XPANSIONOO • - I ��� INCOME COMPUTATION AND C1;IMFICATION 1/Wq the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons whoare to occupy the unit being applied for in uhe above apartment project. Listed below are the names of all persons who intend to reside to the unit: I. Nance of Potonbers of the I luusehold + +' A71ia�fllG�Fc_G- 2. 3 Relationship to Ilead of IJousehold I luusehuldSon �� 4. Social Security Number Place of Employment Zuu.• �1'lah 0A Income Computation 6. I'he total anticipated income, calculated in accordance with the provisions of tltsj arI ph 6, o((all persons over the age of 18 years listed above fur the 12•munlh period beginning the date that I/we plan to move into a unit is Included in the total anticipated Income listed above ae. fit) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal servires, before payroll deductions; (b) llte net incunne horn the opealion of n business of pwlessiun or from the rental ofte:d or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance fur depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic recetjts, including any lump sum payment for the delayed start of a periodic payment; (o) payments in lieu of earnings, such its uneugrloymlenl and disability compensation, workers' compensation and Severance pay; (q the maximum amount of public assistance available to the above persons other than (he amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowacey, such IS alinumy and child support payments and regular contributions and gifts received from persons not residing to the dwelling.- (W all regular pay, special pay and allowances of a membvr of [lie Armed POtces (whether or not living in the dwelling) who is (he head of tine household or spouse; and (i) any earned income lax credit to the extent that it exceeds inttnnc lax liabrhly. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursonet of medical expenses; M lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; W) annuunis of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any anoints of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Properly Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Slaunp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United Stales that is held in trust for certain Indian tribes; (I) payments or allowances made under the Department of Health and Human Services' Low-income I tome Energy Assistance program; (m)payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Dank of Ottawa ludiruns; and (o) the first $2,000.01.) of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Cool of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity to real property or other form of capital nnve ment (exclud' rig the values of necessary (lens of personal properly such as furniture and automobiles and interests in Indian trust land) Yes JW No; or (b) have they dispose of any assets (other than at a futedosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answer to (a) or (b) above is yes, d n � he copp�nbi ed total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes —Z No ($ Y � • '7�� total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to a d�ee�twe2-nrunth d from such assets in the 1period beginning on the dale of initial occupancy in the unit that you propose to rent: $ •5"'1 , and 8,! (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or bust In proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; ,and ownership, direct or indirect, by it partner of the individual. 9. '1 his certificate is made with line knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information Ilwe deenn reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal lax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle llte Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. 1/we declare under penally of perjury that the foregoing is true and correct. Executed this day of IW I CA 61 in the City of / (.CAN , California. Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed to number 2 above required) FOR COMPLETION BY APAR'I'MENI' OWNER ONLY L Calculation of eligible income: a. linter amount entered for enure household in fi above: b. (1) If the amount entered in 7(c) above is greater than $500, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ — ); (2) Multiply the amount entered in 7(Q limes the current passbook savings rate as determined by I IUD to delenmin_whal the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (3) Enter at right the greater of the amount calcubled under (a) or (2) above: $ c. 'TOTAL ELIGIBLE INCOME (line La plus line l.b(3)): $ 5 7�, 2. '1 he amount entered in La Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Dues not qualify the applicant(s) as a Low or Moderate Income household. b �t-�� F 9 �1 3. Nuntberofapartmentunitassigned:�gedroumsize:_t� Rent: o&o 4. This apartment unit(was/was not) last occupied fur a period of3l Consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified then ns Low or Moderate )ncome'fenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies of tax '/ Other ( J Manager /. `f' . Date • ..'i.V;4hn__..•»�V•:.<d:Si:--:."�.Yi'_'4S:•15e Y�`.43i1�CFtyji:'. iih"•. .. Y -Applicant's Name: M AlP p r' Annual Salary Others Residing in Unite, Annual Salary Salary Salary / Commissions/Bonuses Savings Accounts: Bank) `LLG'r r"•W� Balance 1w ` 3� x o� °'a= Bank Bank Balance Balance Interest Bearine Checking Account Bank N Balance x °o = Bank Balance x 010 = Stocks/Bonds: Type ^ ! 1 Amount x 910 = Trust Fund: Type '•"tin I� Amount x 1'0 = t S S Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Annual S Type Annual S Type Annual S Property Owned By Resident: Address el 5- Equity x_ °0 = S ! TOTAL ANNUAL ELIGIBLE INCOME S Maximum Annual Household Income Limit S W 9 / "Z •yy� F LTl '7 ;�CALIF•�NIA����4`` f•; "COMMERCIAL DRI ICENSE CLASS: B �• t-; �' ":":,N6324940 EHDORS:P !t ..•-:?`:�5*s.�.>F��M itw•Kwr�rrwr�wv �wi. ..-.. . SEX: M HAIR: 6Lt1 EYES: BLU HT: 6-01 HT: 175 -DOB: OS-20-S9 • 1 RSTR: 4S 61 -75 -SEE OVER .... � I F0100 121_ cCUDE SHOWN ON YOUR H IMMEDIATELY ADVISE YOURMANAGERIFA CORRECTION IS NEEDED. lcfrnafc+u�rl J�a�`f:lu�`•�• ' �ica�i+rafa NE`NPOP.T BEACH. CALIFORNIA - - __. l l �IG�G❑ t•iNR._g ._ wN�:F s _L_ � 1w 57.00 327 75 2110 25 FIT 109.77 68.61 742.S1 AL57.77 • RESULAR PAY P 140.46 OVERTIME!DDL PA 56S 21 3648 SIT17.9b ?0•q2 TIPS/BANG TIPS 115 00 SDI a.57 VACATION PAY 4 00 �a 00 401K FLAN `-S.00 UNIFORM i6 s, 75 33 UNION DUES 1--• 0 O ;^_, CC MEALS V MEDICAL DNS McALS j 5/ 7c.,_` PAY —►I 4,❑ K PAY —► I f+� (1 1 7 &pg,2.So _ a•s x is = aq, i9--.yy TATEME� f~ACC'O. S ION BMIK OF.CAt1TORNIA ^1501 WESTCLIFF_DRIVE ,r�';•h >. `�.2 -4HrEWPORT BEACH : y . CY30 0 B 1000 MARGE G WARFIELD 2127 MARINERS DR NEWPORT BEACH CA P I of 1 at Number. 0613660851 12 /98.12/31/98 TeleservicesO CA 92660 For 24•hour Automated Direct Service 800.238.4486 800-826.7345(TDD) Representatives are cvedcble from 6 am to I I pm To open cddirienal ,xccunrs, or apply for Icons, coil your banking office at 949.642-31 1 1 Visit us at www uE aa.:orn 9 2 6 6 0- 4 6 1 1 or on Americo Onl,ne-9' ai keyword• Ur,,,cn Thank you for bcnkinc wuh as since 190"4 ■ Now paying your bills is easyi Use your touchrone phone with Teleservicez@ Bill Paying Oprion or yaur PC with Bcnk@Fome0 ro pay your bills anyr,me, anywhere. It's easy to: set up pavmenrs ,n aa'v^n Ce, traniier ' rids, cad che;;.l bciaN.e_ Ccil SCO - 796 - 5656, cr, v,s-: www ubcc.nrn cr c bankinc oirrce ro sign up in sletemem period: 31 Balance an 12/1 Additions Subtractions Payments ATM withdrewas Other withdrewcis Balance on 12/31 1,148.09 104.01 -822.75 -100.CG .121.5C Cl)i 2E 429.35 H. Ucte of naxt sletamenl: Jcm,cry .. t �:•': Interest Paid this period $ e.01 Paid yeer-te-dote 18.46 Interest Rates 12/1/98.12/13/'%E 2.1-'C3 12J14/98.12J31J9E 1.50';. Annual Percentace Y;eid c, ne•d 1.6c ° Additions So:e C�:e:e••tn a%ererce �+_<�" n'UCST oECG750 �CC.00 12/1 I CFP:CE �cr�._it 12/31 INTE.,EST PAYME\T Total $ 104.01 Aeccenr Payments cw. Ce.cncnue race Reiernnce An•cmu chime and 1=,' 7 TRANSFEs TO ?•.CGL'NT NUf :EE2 0c i i 6008"53 65044151 $ IBC CC eteuron,c bank,ng ATM withdrawals Cr.,e Ce.c:•e+n+: W�er,en __ Re%erenx .movrr 12/2 UBCC AESTCIiF� `N/U P,EWPCRT BEACH. CA 44223.873 733516AO ? 40.CO 1 r10 _.4:lPCS`:L'• 11]CT'r ._: :'SP._.•. '. C-Cti _.. _,a,.. 7342.,,.,. $ 121.50 Total Other wAcIrawals Cure CefenCLCn Relercnce Ai1eon, including fees and 12/3 WITnCRAWAL 26630361 cC0 CO 1 2: cdj,.srmena 12/10 ATM NETWCR< WITk:CRAWAL FEE 6=C549C0 601.25 Total S BAYW60D EXPANSION % % INCOME COMPUTATION AND CERTIFICATION 1/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment �O(1n 1%i r11F 1 \ Ne d$ �S-f- iU-C/4rL P(() �'6i1Su14ttniS rn �i oh (Unl — C,�l;(CI txk NIA Income Computation 6. 7'Ire total anticipated income, calculated in accordance with the provisions of this ppragraph 6, of all persons over lire age of 18 years listed above for the 12-month period beginning the date that 1/we plan to move into a unit is $ tL.r'r, DL) Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, lips and bonuses and othercompensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability ordeath benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire, (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, Q) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act, (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,(100.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (exc uding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes A No; or (b) have they dispo,Vd of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) if the answer to (a) or (b) above is yes, does the a mbined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes _K No ($ total assets) (d) If the answer to (c) above is yes, state,- (1) the amount of income expected to bed Ned from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ ,1O , and (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial Interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information f/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that 1/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. 1/we declare under penalty of perjury that the foregoing is true and correct. Executed this v " day of �t mot"' "ter t `q q in the City of nl0h" t """' `t , California. pliant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings I$ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line la plus line Lb(3)k 2. The amount entered in l.c: Qualifies the applicant(s),as a Low income household. _)0— Qualifies the applicant(s) as a Moderate Income household. $� ' Does not qualify the applicant(s) as a Low or Moderate Income +� household. 3. Number of apartment unit assigned: Bedroom size: Rent:ia2� .o0 4. This apartment unit (was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified In the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. Other ( Manager Dale 0 Project Unit No. �jSs Applicant's Name: Others Residing in Unit: INCOME RESTRICTED FINANCIAL WORKSHEET `�(�ClY1 U n N IQ. N Annual Salary Savings Accounts: Bank Balance x %= $ ( Bank Balance x % = $ 0 Bank Balance x % = $ 0/ Interest Bearing rai Checking Account Bank Balance x %= $ XJ Bank Balance x %= S Stocks/Bonds: Type Amount x % = $ Y' Trust Fund: Type Amount x % = $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, hoty Annual is arrived at! Type Annual $ W- 0 Type Annual $ Type Annual $ J" Property Owned By Resident: Address Equity x_ °.'o = S TOTAL ANNUAL ELIGIBLE INCOME S��OO� Maximum Annual Household Income Limit S lJ 11 g i'D— 0 CO. FILE DEPT. CLOCK NUMBER 048 158265 X00700 00999 0000018455 1 P&D CONSULTANTS, INC. 999 TOWN & COUNTRY ROAD, 4TH FLOOR ORANGE, CA 92868 Social Security Number. 351-74-5144 Taxable Marital Status: Single Exemptions/Allowances: Federal: 4 CA: 2 Earnings rate hours this period year to date Regular 80.00 1,620.00 4,116.00 Holiday 438.00 Paid Time Off 146.00 Gross Pay, 51;620..00%. 4,700.00 Deductions Statutory __ ' Federal Income Tax -181.17 403.12 Social Security Tax -94.94 281.63 Medicare Tax -22.21 65.87 CA State Income Tax -71 .65 153.80 CA SUI/SDI Tax -7.66 22.71 Other Dental -13.97* 41.91 1 P Pre -Tax -8.00* 235.00 Medical .75. 19* 116.88 401K Pen Plan -24.30* 70.50 Expreimb-Ntx -85.80 S I P Pre -Tax 94.00 Adjustment S I P Pre -Tax +113.60* Net Pay S1,234:Si. * Excluded from federal taxable wages Your federal taxable wages this period are $1,612.14 Earnings Statement Period Ending: 01/29/1999 Pay Date: 02105/1999 JOHN C. KINLEY 3024 E. MAPLE APT. B ORANGE, CA 92869 Other Benefits and Information this period total to date Group Term Life 0.48 1.22 P T O Balance q a XIS 61,gov, rs 82.26 Unit No. 517 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY UWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 2 7 %%d , dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Z Income earning household members: Adident Jack Davis �tesident Geraldine Davis Resident Resident L Unit No. 667 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income frorn a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: as Income earning household members: L esi ent Michael Kandel Resident Sandra Kandel Resident Resident Unit No. 678 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ IJ9 dollars (annual income). *Included in the total ann l eligible income are: wages, tips, overtime, bonuses, and commissions; rlet income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledges) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: "ge�,- %• 9 Income amin ousehold members: Reside tL2 ar Behreini Resident Athenasilis Addidis Resident Resident e._ � Unit No. 765 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 3(p 3000 a/c' dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 9 - a3 - 9 Q( Income earning household members: 01, ; V, i .. Resident Resident • 1 • r: WT� Unit No. 766 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I1We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 3 J , 5 00.0 o dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: �-�o[ y L Income earning household members: Resident Mohammed Shahhosseini Resident Resident Resident • BAYWOOD Unit No. 1-�?J hLd."O&t I✓v CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income earning occupant(s) of the Leased Premises. and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ M, U DO. 00 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses. and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach. California. Date: Income earning household members: -tu U ULAAyy� Resident Resident Resident Resident • Unit No. 913 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ Z4- dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 07 a --:2 9 9 Income earning household members: ResidenV Virginia Burback Resident Resident Resident y � _ IRVINE APARTMENT MANAGEMENT COMPANY October 4, 1999 City Manager City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing. •3 "Villa Pointe" dated 1/31/90 Tract 11937 Exp. 4/1/10 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period of July 1999 through September 1999. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach 8 Executive Circle, P.O. Box 19528, Irvine, California 92623-9528 • (949) 862.6400 • Fax (949) 862-6491 14 i IRVINE APARTMENT MANAGEMENT COMPANY BOND SUMMARY September 1999 BAYWOOD Villa Point - Moderate Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 1. 261 1 Walker 2+2 3 7/12/96 17,000 $1,255 4/00 2. 346 Rahm 2+2 1 415/99 60,004 $1,235 4/00 3. 351 Warfleld 2+2 2 3/28/99 57,722 $1,320 4/00 4. 355 Kinley 2+2 2 2/28/99 56,400 $1,220 4/00 5. 517 Davis 2+2 2 -1 -1/27/98 27,790 $1,195 4/00 6. 667 Kandel 2+2 2 10/l/92 26,000 $1,130 4/00 7. a x 676 -yj ;a�? ... F;eeman A _ .. 'dr?�,'� .K�;i 2 2r. .�;� _.s... 1 ,, , �1.n �.s, .5/ 21/99 33 397 _U1 250 4OL ; @LI.Y9�: • . s. _ vn'��ss 9'2 r.4 : Q0.s ,., i+$. t _<4 PQ•" 9. 762 Seegmiller/Hazelh 2+2 2 5/27/99 50,400 $1,190 4100 10. 765 Stubblefield 2+2 4 9/7/94 36,000 $1,110 4/00 11. 766 Shahhosseini 2+2 1 10/14/95 39,500 $1,150 4/00 12. 773 Williamson 2+2 2 11/7/94 24,000 $1,155 4/00 13. 913 Burback 2+2 1 7/15/95 16,320 $1,175 4/00 14. 917 Bittori/Hendricks 1 2+2 3 6/13/99 40,023 $1,190 1 4/00 Villa Point - Low Income Apartment Resident Floorplan # Of Move -In Move -Out Household Recert. Address Name Size Occ. Date Date Income Rent Due 15. 281 1 Banda 2+2 1 2 9/12/94 27,000 $859 4/00 16. 315 Helig 2+2 1 1 8/11/90 12,000 $865 4/00 17. 323 Stull 2+2 3 6129191 16,800 1865 4/00 18. 333 Gigliotti 2+2 2 1111195 22,000 $862 4/00 19. 337 Reese 2+2 2 6/23/96 16,000 $862 4/00 20. 341 Beera/Martinezt Sensebe 2+2 3 2/27/97 40,100 $871 4/00 21. 352 Conchis/Leon 2+2 2 6/30/98 1 30,948 $847 4/00 22. 356 Sisson 2+2 2 7/6/91 12,000 $865 4/00 23. 513 Cole 2+2 1 10/9/97 9,024 $811 4/00 24. 656 North 2+2 2 3/15/97 12,084 $811 4/00 25. 677 Hunt 2+2 3 2/1/96 14,400 $862 4/00 26. 743 Hicks 2+2 2 4/13/97 32,000 $826 4/00 27. 755 Davis 2+2 2 3/5/98 24,900 $782 4/00 28. 783 Melgoza 2+2 2 1 6/14/90 1 14,000 1 $843 1 4/00 Total number of apartments on this property: 388 % of property deemed income restricted: 7.2% 0 BAYWOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION 1MV, the undersigned Stale that ]Ave have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: I. 2. 3. 9. S. Name of Members Relationship of the to Head of Household Social Seco it _Hutuchuld Household Y Place of _ Age NumberI -nl��1(t%—'Of _ �s�ylrS. Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this p, nRraph 6, of a`ll,persons over the age of I0 years listed above for the 12-month period beginning the dale that 1/we plan to move into a unit is $ryi(L Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (11) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); Ic) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum aount of public assistance available to the above persons other than the amount of any assistance specifically designated for slie]ler and utihlmies; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (li) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household to Spolise, and (I) any earned income tax credit on the extent that it exceeds income tax liability. Included from such anticipated Income are: 60 t,nual, Sporadic or irregular gifts; Ibl amounts whith are apet•ilic.dly for or in reimbursement of medical expenses; let lump sum additions to family assels, such as inheritances, insurance payments (including payments under health and accident insurance and turrkera' auupensalion), capital gams and settlement for personal or property losses; (d)aniuunls of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use ui meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used lur the above purposes are to be Included it, income); (v) special pay it, a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) lusler child care payments, (li) the value of coupon allotments for the purchase of fund pursuant to the Food Stamp Act of 1977, (I) payments to vulunleers under the Domestic Volunteer Service Act of 1973; 0) payments received under the Alaska Native Claims Settlement Act; (k) intume derived from certain submarginal land of the United States that is held in bust for certain Indian tribes; (I) payments or allowances made under the Department of I lealth and Human Services' Low -Income Home Energy Assistance Program; Im)paymelus received from the Job Training Partnership Act; (11) income derved from the disposition of funds of the Grand River flank of Ottawa Indians, and (o) the first $2,000.00 of per capila shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7 Du the persons whose "'come or contributions are included in item 6 above: la) h.nr savings, stitcks, bonds, eyuily in real property ar other farm of capital investinenl (exclu<(jng the values of necessary items of personal Properly such as furnil ore and automobiles and interests in Indian trust land) Yes ✓ No; or (bl have they disptj�pd of any assets (other than at a foreclosure or bankruptcy sale) during the Yes Nu last two years at less than fair market value? _ It) If the answer lit (a) ur (b) above is yes, does file combined total value of all such assels owned or disposed of by all such persons total more than $i,(Illll? 1'es No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit Thal you propose lit rent• $ and (2) the anwunt of such income, if any, that was included in item 6 above: $ H Neither myself nor any other occupant of the unit I/We propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion tii the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or family member; and owner-Aup, direct or indirect, by a partner of the individual 9 This certificate is made will+ the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unto and I/we declare Thal all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation_as_the-undersigned-decme0 necessary. 10. Pwe will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either in income verihcetion Inun mywur presenl.employer(s) or copies of federal tax returns for the immediately preceding calendar year. H. I we atknuwledge that Vwe have been advised Thal the making ofany mi,representalion or misstatement in this declaration will consl]lute a material breach of my/ouragreenlenl with the Owner la Icaw the u unit by institution ()fall action for ejection or other appropriale nit and will entitle [lie Owner to prevent or terminate ylour occupancy of the proceedings. I wv declare under penally of petpiry that the foregoing is true and correct. Executed Ihts C�__..day of Applicant .. in the City of%I�"/l .�/�i_, California Applicant Applicant (Signature of all persons over the age of IN years listed in number 2 above required) I • FOR COMPLETION BY APARTMENT OWNER ONLY _ 1. Calculation of eligible income: $� a. Enter amount entered for entire household in 6 above: b. (I) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine t the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance IS ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line la plus line Lb(3)): $ o 2. The amount entered in l.c: T Qualities the applicant(s) as a Low Income household, Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Incomes household. 3. Number of apartment unit assigned:��Bedroom size: �Rent: _L� a. This apartment unit (was/was not) last occupied fora period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. I. Nit thod used to verify applicant(s) income: __ Employer income verification. Copies t Other( I • INCOME RESTRICTED FINANCIAL WORKSHEET Project/,, (� UnitNo._ &2f Applicant's Name: _! 4U/l i. / (�QoA Annual Salary Others Residing in Unit: Annual Salary Salary Annual Salary S S6 , U v �— Commissions/Bonuses 3 l�.lGf 1n11�i� f Gl- vvYr� ��51�U, rr0 �r��i-ices Savings Accounts: Bank I tty ,V9 Balance 5V3• �O x e1, = S ZIA Bank Balance x ^% = Bank Balance x %= Interest Bearing Checking Account Bank Bank Balance x %= Balance x 0,10 = Stocks,Bonds: Type YIQ16 Amount-x % = Trust Fund: Type / f Amount- x . "/a = Other: (Alimony, Child support, retirement pensions, social security, disability payments. parental support, etc.) Show calculation, how Annual is arrived at! Type 1Q Annual S Type Annual S Type Annual Property Owned By Resident: Address Equity x ob = TOTAL ANNUAL ELIGIBLE INCOME S_ Maximum Annual Household Income Limit S •07/29/99 09:59 UCP CIVIL 6. ENV EHGR y 919496447225 • • 1.10.50'3 P02 < ccirOLLO June 10, 1999 Mr, Nate J. Hudepohl 300 Atrium Way, #315 Davis, CA 95616 Dear Nate: 11i1G47FA:mPi.ift r(. rt••rpu'.w', I, +,/.I If*: !..'I ssl:;rla;, f:r rivSr'rr rt rin We are pleased to offer you a position as an Environmental Engineer with Carollo Engineers. You would be employed in our Santa Ana office, your staring salary would be $4,100 per month, and employment would commence on or about July 19, 1999. Our offer remains in effect until 5:00 p,m. on June 21, 1999. A moving allowance of $2,000 should be adequate to cover your expenses. Please save receipts to submit for reimbursement. Nate, we were pleased with your interview and the potential that is open to both you and Carollo, We look forward to working with you and hope to hear from you soon. In the interim, should you have any questions or comments, please do not hesitate to contact me. Very truly yours, CAROLLO ENGINEERS, P.C. 17 Mary C. Lee. P.E. Principal MCL:hmt C:1MN00WS'1TEMP'•Huaepooi 6B9rmpa 3100 SOUTH HARBOR BOULEVARD. SUITE 200 . SANTA ANA CALIFORNIA 927pd . (714) 540.4300 °P:f (714) 540.4349 ' Q • WELLS �"1A7%iF1S1C9� _ FARGO BANX ----- ----- --- + WELLS FARGO BANK, N.A. #0179 I P.D. BOX 6995 PORTLAND, OR 97ZZB-6995 NATE HUDEPOHL CN CALL(I-800-869-3557) $00 ATRIUM WAY 4315 DAVIS CA 95616-5141 24 HOURS/DAY, 7 DAYS/k FOR ASSISTANCE WITH YOUR ACCOUNT. PAGE 1 OF 1 THIS STATEMENT COVERS: 5/19/99 THROUGH 6/16/99 HARKET RATE SUMMARY ACCOUNT 64.55-515234 PREVIOUS BALANCE 548.80 MINIMUM BALANCE 543.! ➢EPOSITS .00+ AVERAGE BALANCE 548.t - INTEREST EARNED_. -.-00+ WITHDRAWALS Ao- YIELD EARNED TELEPHONE BANKING CALLS .00- OTHER SERVICE CHARGES 5.00- INTEREST EARNED 1999 [ NEW BALANCE 543.80 DETAILS DATE TRANSACTION AMOUNT BALANC 6/16 MONTHLY SERVICE FEE 5.00- 543.E 24-HOUR EACH ACCOUNT COMES WITH 3 COMPLIMENTARY CALLS PER STATEMENT PERIOD. IF YOU TELEPHONE BANKING MAINTAIN A MINIMUM DAILY BALANCE OF $2,500, THERE WILL BE NO CHARGE FOR TELEPHONE BANKING CALLS, CALLS TO 24-HOUR TELEPHONE BANKING THIS STATEMENT PERIOD: 0 INTEREST INFORMATION FROM THROUGH INTEREST RATE ANNUAL PERCENTAGE YIELD CAPY 5/19 6/16 0.00% 0.00/. INTEREST RATE/APY AS OF 6/16/99 IF YOUR BALANCE IS 0 0 - 21499 . . . . . . . . 0,00% S 9,999 2,500 . . . . . 1.50% 1.51% '`� ^v 10, 000 - 24,999 . , . 2. 00% 2.02% ^ •' S 25,000 - 49,999 . I. '. 2.00% 2.•029 S 50,000 - 990999 . .'. 2.30% 2.32% 9 100,000 AND OVER. I. 2.50% 2.53% THANK YOU FOR 8{INKING WITH WELLS FARGO YOUR FARGO PRINTED ON RECYOLED PAPER MEMBER M0 ' r^ ^a as 'na•^q FM Pno BAYWOOD Unit No. 281 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date spegfied below, the total annual eligible income* of the undersigned does not exceed $ �`� U U V dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 1y✓ ( I Income earning household members: Resident Debra Banda Resident Resident Resident Unit No. —� 1`5 CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ / 6,7,%0 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rentalrof real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: ?� t Income earning household members: -,v �u Resid' nt d Resident Resident Resident E Unit No. 323 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits ofthe Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: 3L/ /q-c�-_ Inco ing household members: Re ' ent Julie Stu Resident Resident Resident BAYWOOD Unit No. 333 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ D� ollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: L 1 i Income earning household members: Resident Resident Unit No. 337 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ ,90D dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: l5��1 Income earning household members: �� Resident Rita Reese Resident Resident Resident ro-KyWA1919)►7 Unit No. 341 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ Q dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certifica 'on is ade under penalty of perjury in Newport Beach, California. Date: Income a ehold members: Resident Resident Resident Unit No. 352 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ ;� O �C- dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Income earning hous hold members: si t J Conchis Resident Socorro Leon Resident Resident • Unit No. 356 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 4 db cl dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: ' �'9`L Income earning household nyfnberV - Resident Resident Resident Unit No. 513 Baywood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY IlWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ D dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits: L workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: Income earning household members: Resident Vivian Cole Resident Resident Resident BAYWOOD Unit No. 656 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified belMt�eoal annual eligible income* of the undersigned does not exceed $ Vdollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of s Certification of Continued Household Eligibility to the City of Newport lyed,ch. This certificayion is made under penalty of perjury in members: North Resident Resident Resident El BAYWOOD Unit No. 677 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY VWe hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ /y yoo dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Income earning household members: Resid Bryan Hunt Resident Judith Hunt Resident Resident Unit No. 743 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 32.0bO ' dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Date: o�-- 2,2 1 Lq 9 I e earning household _Ii A I Resident Resident Hicks a BAYWOOD Unit No. 755 Alderwood Drive CERTIFICATION OF CONTINUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Irvine Apartment Management Company, as Agent for The Irvine Company, that: 1. The undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. As of the date specified below, the total annual eligible income* of the undersigned does not exceed O 0 dollars (annual income). *Included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Irvine Apartment Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This cerrttificationppis ade under penalty of perjury in Newport Beach, California. Date: OZ G�, G � Income earning household members: Jan Davis Resident Resident �� 6 MANNA= IRVINE APARTMENT MANAGEMENT COMPANY February 8, 1999 City Manager City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting — Baywood Project Agreements to Provide and Maintain Affordable Housing "PDM" "JPL" "CDM" "BC 10" "BC16" ❖ "Allred" ❖ "Villa Pointe" Dear Sirs and Madam: dated 7/26/86 Tract 12209 dated 6/12/86 Tract 12245 dated 6/13/86 Tract 11949 dated 11/8/86 Tract 10814 dated 8/27/86 Tract 12105 datedl/19/84 Tract 11935 dated 1/31/90 Tract 11937 Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period October 1998 through January 1999. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach 8 Executive Circle, P.O. Box 19528, Irvine, California 92623.9528 • (949) 862-6400 • Fax (949) 862-6491 E �J Baywood Apartments City of Newport Beach Development Agreement January 1999 Big Canyon 16 —Low and Aloderare Income unit Address Type Resident Name Move In Move Out Rent 1. 338 Baywood Low Levitan 06/28/97 51,085 2. 761 Alderwood Low Armendariz 09/15/94 S1,075 3. 343 Baywood Mod Penberthy 04/05/98 S1.180 4. 651 Baywood Mod Christensen 08/18/93 $1.045 5. 665 Alderwood Mod ChambervLinn 05/31/95 S1,025 6. 673 Alderwood Mod TreRs/Mitehell 07/16/95 51,120 ✓ 7. 737 Alderwood blod Behnialrardnia 10101198 $1.320 S. 782 Alderwood Mod Xystris 01/26/99 51,270 PDM —Low and bloderaie Income Unit Address Type Resident Name Move In Move Out Rent 1. 332 Baywood Low Wehrman 06/19/98 51,147 2. 348 Baywood Low Jlulvihill 07111198 51,165 3. 672 Alderwood Low Schroeder 07/11/97 51,100 4. 353 Baywood Mod Vacant 08,31/98 5. 652 Alderwood Mod Mouvet O1121/95 $1,100 6. 671 Alderwood Mod McCauley 10/08/90 S1.085 7. 731 .4ldenvood Mod Moore 11/07/96 51,145 8. 758 .Jderwood \fed Thomas 05/07/94 51,095 9. 767 Alderwood Mod Duroeher 02/01/96 51,050 Villa Point —Moderate Income unit Address Resident Name Move In Move Out Rent I. 153 Baywood Skawin 08/16/97 51,225 2. 261 Baywood Walker 07/12/96 S1.255 3. 346 Baywood l-scant 12/17/98 4. 351 Baywood Lucant 08/03/98 5. 355 Baywood Pasant 09113,198 6. 517 Baywood Davis 11127198 51.195 7. 667 Alderwood Sandel 10;01/92 51.130 8. 676 Aldenwod Howard 10;23/96 S1.215 9. 678 Aldenvood Beltreuribiggidis IV18198 51,270 10. 762 Alderwood Bacchetta 12.01:97 51.200 It. 765 :Vdenvood Stubblelield 09,07,94 51.110 12. 766 Alderwood Shahhosseini 10114/95 51.100 13. 773 Alderwood Williamson 11,0794 $1.105 14. 913 Baywood Burback 07,1595 51.175 • 9 Baywood Apartments City of Newport Beach Development Agreement January 1999 Villa point_ Low Income Resident Name Move In Move Out ncM unit Address T/P Hands 09/12/94 $859 1. 281 Baywood 08/11/90 $865 2. 315 Baywood Heull g 06129/91 $865 3. 323 Baywood Stull 11/01/95 5862 4. 333 Baywood 06/23/96 S862 5. 337 Baywood Reese Reese Re Vecra/PConcSchroeder 02/27/97 S862 6. 341 Baywood Yw' Conchis 06/03/98 $832 7. 352 Haywood 07/06/91 5865 S. 356 Haywood Sisson 10/09/97 $811 9. 513 Baywood Cole 03/15/97 5811 10. 656 Haywood North 02/01/96 $862 11. 677 Alderwood Hunt 04/13/97 $826 12. 743 Alderwood Hicks 03/05/98 $782 13. 755 Alderwood Davis 06/14/90 $843 Melgoza 14. 783 Aldcrwood 2 BAYWOOD EXPANSION So INCOME COMPUTATION AND CERTIFICATION 1/We, the undersigned slate that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in file unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to I lead of Household Social Security Place of I lousehold Household Age Number Employment (al y77Z 0v i 1-7 j k-n fz-eo [Way ZE1jN14-1%lirAtil W1F�; SZ �i�-di ji?� f�^cTir_6n 6752. 0(0 3,)13 Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this pi a 116, of all persons over the age of 18 years listed above for the 12•month period beginning the date that I/we plan to move into a unit is $— Included in the total anticipated income listed above are: 3113 L. 1 (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses slid other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; W the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of tine household or spouse; and (I) any earned income tax credit to the extent that it exceeds income lax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (e) special pay to a household member who is away from home and exposed to hostile fire; W relocation payments under Title 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,0 0.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital inve tment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land)Yes No; or (b) have they dispq of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes ^ No (c) If the answer to (a) or (b) above is yes, dp s the combined total value of all such assets owned or disposed of by all such persons total mure than $5,000? Yes No ($ fly 64M• 73 total assets) (d) If the answer to (c) above is yes, state: (I) the amount of income expected �p derive from such assets in the 12•month period beginning on the date of initial occupancy in the unit that you propose to rent: $ 3� Z., and 3� 3� •3,$ (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy lire unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned -deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from mylour present employer(s) or copies of federal fax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/ouragreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate mylour occupancy of the unit by institution of an action for ejection or other appropriate proceedings. ' I/we declare under penalty of perjury that the foregoing istrue ^and correct. Executed this day of v' rn the City of " W"' r ''�' California. Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): 2. The amount entered in l.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as Low or Moderate Income household. 3. Number of apartment unit assigned: 1Y 7` Bedroomsize: 2+Z Rent: 132'D- $ $ 3g32.�ou 4. This apartment unit (was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. X_ Other( Ur41A STP; c SrtT. S1, U0Sj `sClFCat�+TpT INCOME RESTRICTED Project 7FINANCIAL WORKSHEET —Y�iidtl Unit No. 13� - Applicant's Name: 3AVlti` qiQ FAY2.10014 Annual Salary Others Residing in Unit: Annual Salary Annual Salary Annual Salary Commissions/Oonuses 51 ZV1.G 02S• �b Savings Accounts: Bank W W5 P4t'4_0 Balance�-�'e"%= S Bank Bank Balance x %= Balance x %= Interest Bearing Checking Account Bank �.l) :L�.-) FAr�i;o Balance 21S30 x Z•L %= S �( JO Bank Balance x %_ Stocks/Bonds: Type Amount x % _ Trust Fund: Type Amount x °/u = S Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Annual S Type Annual S Type Annual S Property Owned I O Al I1/14�0N� By Resident: Address IPWING CA 41Z(O/* Equityl`is.(�0.36x2_0 S 2903.20 TOTAL ANNUAL ELIGIBLE INCOME S 39 3-2- —?a Maximum Annual Household Income Limit 10123723 0692.453285 { WELLS FARGO BANK P.O. BOX 7035 SAN FRANCISCO, CA 94120-9635 WELLS FARGO BANK iluItId11luui1111Is H III lullloolluu8lllluililu JAMSHID FARIDNIA OZRA BEHNIA-TEHRANI REZA FARIDNIA 110 ALMADOR IRVINE, CA 92614-8406 16 ----- ----- ----- Call (800) 742.4932 24 hours1dgy, 7 days/week for assistance with youraccourils. PersonalliankingAlanager Uuraa Sarakby (714) 721-42:?2 Are you aware of all the benefits available to you as a Wells Portfolio customer? To receive a Wells Portfolio Benefits Guide, detailing the exclusive products, special privileges, and services you are entitled to take advantage of as a Wells Portfolio customer, simply call the Wells Portfolio Service Team at 1-800-742-4WFV (4932) or stop by your local branch! This statement covers 07/01/96 through 07/31/98 Summary ofdccounts Wells Portfolio®*10123723 Liquid Portfolio Checking Accounts: stagecoach Interest Checking #0692.453285(FDIC insured) Noi FDIC Insured Accounts: Money Market Access a6024-690547 � l /-z' I � lleginning Ending Valance llalance 1,180.35 215.30 12,21.4.15 51,269.13 MUTUAL FUNDS, ANNUITIES, AND OTHER SECURITIES: •are NOT insured by the FDIC or U.S. Government Money market mutual funds seek to • are NOT obligations or deposits of Wells Fargo maintain a stable net asset value of $1.OU Bank nor guaranteed by the Bank per share; however, there can be no • involve investment risk, including possible assurance that the Funds will meet this loss of principal. objective. 08/04/88, ' 15:20 FAX 71.1 45018 TEORGEON ELLIOT 002 110 Almador Setiees Estimated Net Sheet _ Sales Price $262,000 Two Charges.. Title Policy 1,091.00 Sub Tide 0 57.5Z550 Kee Recording Deed Reconveyance Fee 10.00 Preliminary Change of Ownership 20.00 Tracking 10.00 1,200.50 Escrow Charges 641.00 Escrow Fee Document Fee 160.00 791.00 Loan Payoff Fees 65.00 Demand Fee 15.00 Recording Fee 60.00 ' Reconveyance Fee M Fax Fee 25.00 165.00 fd (These fees are charged by your current lender and may vary) (� HOATransfer'Fee: Merit Property Mgmt 125.00 125.00 Transfer pee: Action Property Mgmt 175.00 175.00 on what you currently have copies ofl Selisr's Charges Termite inspection & Report 65 Op 65.00 Homeowners Warranty County Document Transfer Tax 277.20 277.20 Mandatory Natural Disaster Disclosure 59.00 5900 Commissions Sellels Broker 5,040.00 C� Buyer's Broker 7,560.00 12,600.00 Total Selling Costs 15,477.70 Sales Price 25 Net of Sailing Costs 236,522.30 Estimated Loan Payoff Nat Proceods' 91,362.00 �5160.30� � J Cenrtdwnrisl 9/4/98 Page 1 BAYWOOD EXPANSION • • L } INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1• 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Sbcial Security Place of Household Household Ace Number Employment &�bAA;0 010 -&3 , - 894) glmo, ,Dnuufca�lica Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this p�g�a h 6, o auyersons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is ,R!' OO ' Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital Indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who•is the head of the household or spouse; and 0) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships orpayments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (p relocation payments under Title it of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (1) payments to volunteers under the Domestic Volunteer Service Act of 1973, (1) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; Im) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (a) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excl ing the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes A No; or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? e (c) If the answer to ()oar (b) above is yes, does the cbined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes No ($ —total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be d�ey'ved from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ 90 and (2) the amount of such income, if any, that was included in item 6 above: $ 8, Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine -maximum income -for eligibility to occupy the - - - unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregging is true and correct. Executed this day of 3 " / reL in the City of� alifurnia. Applic t Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY /7 1. Calculation of eligible income: $ a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered In 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ ;Cl c. TOTAL ELIGIBLE INCOME (fine I.a plus line 1.6(3p: $ 09�?a0 2. The amount entered in I.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned:- Bedroom size: ZtZ Rent:4;"70 D 4. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants, S. Met used to verify applicant(s) income: Employer income verification. Copies of tax returns. Other( �J Y w � INCOME RESTRICTED FINANCIAL WORKSHEET Project G Unit No. % Applicant's Name: Annual Salary $ 3�ZLGCI Others Residing in Unit: Annual Salary $ Annual Salary $ Annual Salary $ CommissionsBonuses S Savings Accounts: Bank Ato-f Balance x % _ $ Bank Balance x %_ $ Bank Balance x %_ $ Interest Bearing Checking Account Bank Balance x %_ $ Bank Balance x %_ $ Stocks/Bonds: Type L/ Amount x % = S Trust Fund: Type Amount x % _ $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type 14 1 & Annual S Type Annual $ Type Annual $ Property Owned By Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME S :/M10 ' 0� Maximum Annual Household Income Limit S BAYWOOD EXPANSION0 INCOME COMPUTATION AND CERTIFICATION 1/We, the undersigned stale that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members of the Relationship to Head of Household Social Security Place of Household Household Age 81 Number Employment il ��►Y..�Z� Ss •-o I ��1a1 -}}.1-�� �cu-t�- TJ�w �s - Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this pamgr 16 of all persons over the age of 18 years listed above for the 12-month period beginning the dale that I/we plan to move into a unit is $ .q �2 ,7� •,� L Included in the total anticipated income listed above are: !i '✓'Yf `�'� (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) line full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay, (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and delenntnable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and alto vances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' coutpensalion), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used fur the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under "ride II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; M payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United Stales that is held in trust for certain Indian tribes, (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance program; (m) payments received from the job Training Partnership Act, (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital invest nt (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land)Yes No; or (b) have they dispose of any assets (other that at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answe (a) or (b) above is yes, ¢ nes t� co ibine total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ total asset.) (d) If the answer to (c) above is yes, state: 1 it (1) the amount of income expecte t of ived rom su '�s in the 1 .month dod beginning on the date of initial occupancy in the unit that you propose h rent: $ - - and bove. -' (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, crowns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporatioo„partnerslniprestate or trust In proportion -to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy tine unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. 1/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. 1/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of �� Y u' LV in the City of �/ f t/`—/ , California. �G�2.257GTi+i Applicant Applicant Applicant Applicant (Signatureof all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY r vn 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ t; (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): 2. The amount entered in I.c: Qualifies the applicant(s) as a Low Income household. Qualities the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income 1h'ousehold. 3. Number of apartment unit assigned: Bedroom size: -�'T Rent: ` 4. This apartment unit (wastwas not) last occupied for n period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies of tax return.. Other( Skj-"r 0 I. Project �1 Unit No. 1 INCOME RESTRICTED FINANCIAL WORKSHEET Applicant's Name: ( t ) J AGL I 4yi S Annual Salary $ l 5 Others Residing in Unit: C�Ieg.4-wl xl_e 0AM 5 Annual Salary $ Salary S Annual Salary S Commissions/Bonuses S Savings Accounts: Bank Balan . = $ �/451-f'In[6Tvnf 5051z 3 S,�I Bank VyttSCu/kL Balance' x't"OI%_ $ I�z Bank Interest Bearing Checking Account Bank Stocks/Bonds: Trust Fund: Other: Bank Balance W Type _ Amount Wnli x 515 % = Type Amount x % = (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Type Annual Annual Type Annual Property Owned By Resident: Address Equity z_%= S TOTAL ANNUAL ELIGIBLE INCOME S S Maximum Annual Household Income Limit 1111 NU ,.P. ` .. ,.,..- -- J 20 jZ7-, ncfWjual Income Tax'Return' -.' For the 9W dan:•t-0ec.,31:1997. cr other tax yew Dmnnm Label IDS SSQ-01-8909 545-16 3480 S 89 40 �� a JACK &' iSERALDINE E • DAVIS at page page 10 10.) F.use L. 919 SAYSIEE DR APT H2 the IRS label. - H' NEMPORT BEACH CA 92bb0-71fS3 Otherwise, e ' please print or type. e --•--- Presidential -——-—�._-- Election campaign ,:Do you.. to go to th s Lund?. i :' ;: (See a e 10.) .. , •'•<zft•. jo— retum•'does your spouse want $3 to go to this fun( ' 'Singi_e.r;;x.�;;:.-�Y'•••e„���•�r•7�;ys:,;<:.;:a,=: ,tip - hail Irt Ar I IRS Use dnN—Do not writs a staple in the tee. ' 1997, ending •.19 ;nj OMB RRAT j474 `t .;Your social security number' Y i i • -i "SpousdasoclalsecWrynumber . R i 9 YFor'halp In71rx0ng prie,.S' 0 ?InatNCtlOrtar e00 plQOr ':+r 2 and 3 tri the tioaWat' r ..,ems--.• �*�.::..aw>s+,wwa.,- ; ----- Yes '.No. NoikGiecag"': FilingStatus RI 2 .—� , �tU' - Mart ed fil ng joint return (even H anly:one Y cory`r >h-: __`...•- -:.. • N 'ssdciai and full name here: •► ' -- ' ' • • 3 ;% to rettim,Enter stxudty no• above rg .n-:..........: ...: .. ....,.,.+:rr:.. . •„ ,.rrie,�d but not) Check only •� ;Headofhouseholdjwthquaiifyngparson):(SeapagelQ,)Iflhag4i.fyingpersant5achlld 'entt:rthts ifIsnamahere.- one box. G1ua1' • In"g ividow(er) with dependent child (year spouse died ► 19 ). See 6 -as • Youreelt.•It your parent (or someone else) (zrl claim you as'a dependent.an his u liet•_tax. Xo.of It �ebedad 'return do not chickbox8a." ': ': - '' :,; .r. .Exemptions b••Spouse . • . . • • 1310ePendem's • 111 �• d motes eblldnn t: ependentx : (2) 0ependem's . "pro wed hyour ...ypn; 7.11) social seeumy numtte-r first none Last name vcu home ni 1997 . • e Ilwad • I I I •' did t4 If ore than six l I I ;v an dependents, see page 10. 'd• Total number of exemptions claimed 7 tWages, tips,.ete. Attach Form Income .salaries; ga Taxable interest. Attach Schedule B N Attach :• b Tax-exempt interest DO NOT include Copy B of your 9 .,of vidends,Attach Schedule B if're,juin Forms W-2, 4 iehinds. c-edft or offsets of W-Mand 1099-R here. 11 giimpry71. rec°'µed :.. :r::ic•:, -:...e :. ... - .. . �. �r ,•, ,r.. �)• Attach 3c—hi N did not 12 6winess•twane 13,P 9 a Qossj. Attach �edule g eia w-2, . see Page 12. ,rn,_:.zs� - i� tt7lfter gahls ar(rlouess - cit ' a�.�r0tu'tfcrps�p 16s ' 15a •+•••a Ip�rc .fuss ••••�-f Enclose but do Y�• M:7'•iI+„J{ri•AN+(,'rTr.n. J�-: A:•• t7 �� �j fie, royaides, pwble not attach any 18 u�w•f�ixne a p p `caul payment Also, .pleasause Form 1040-V. e i Rt tango e•-..:* < . , :"n 19�t:o•crtPeyatl?(L,."++:'Lx` on. s-a t Derlefits.`4 2a Adjusted Gross Income N line 32 Is under $29.290 (under $9,770 if a child (did not live with you): see EIC Fut on page 21. i luired rr a ii Bb 6;2 . a _ eand 12) local Income taxes (see page 12 leCorC-EZ.,`''•: * r:Yf= :j..i :Mjifw J w..�.�.•ntir •�rr'-•�refie� - • htta`ch Sdie(51 -+• � dons, sb eta •.:;.� ;(.;• < :' �."•_.. � �t?tom •ie .. I r:V xW •YliPn iYf •20h �_ 'D,raxahle t (ses:�ag: 4 .......... ..................•.•... \� - •.. . •2t.ThfsB curtotatbteome'►:.•%22• I — Step 6 25 Amount from Side 1, line 24 ......... ....................'... ........ 25 Cn ilita 28 Enter credit name code no and amount... ► 28 29 . Enter credit name code no- and amount... ► 29• 30 Enter credit nama 'nde'no_ and amount... ► 30 31 To claim more than three credits, see page 8................. 0 31 33 Add line 28 through line 31. These ate your total credits .... - . 33 34 Subtract line 33 from line 25. If less than zero, enter -0 . .....i.................... 34 Step 7 35 Alternative minimum tax. Attach Schedule P (540) ............................... • 35 l Other Taxes 36 Other taxes and credit recapture. See page 10................................ • 36 37 Add line 34 through line 36. This is your total:tlix .............................. • 37 Ste 8 38 California Income tax withheld. Enter total from your 1997 Form(s) W-2, p W-2G, 1099-MISC and 1099•R. Also attach the Form(s) to Side 1 ...... ■ 38 Payments 39 1997 CA estimated tax and amount applied from your 1996 return. I Include the amount from form FTB 3519 or Schedule K-1 (541) ....... ■ 39 L 41 Did either you or your spouse receive more. than $31,767 in wages In 1997? Yes. See page 10. No. Go to line 42 .............. ■ 41 42 Add line 38 through line 41. These are your total payments ....................... 42 Step 9 Overpaid Tax or Tax Due 43 44 45 46 Overpaid tax. If line 42 is more than line 37, subtract line 37 from line 42................ Amount of line 43 you want applied to -your 1998 estimated tax ...................... Overpaid tax available this year. Subtract line 44 from line 43........................ Tax due. If line 42 is less than line 37, subtract line 42 from line 37................... 43 I ■ 44 I ■ 45 I - 46 I 10 47 Contribution to California Seniors Special Fund. See page 11........ • 47 I .Step You may make a contribution of Si or more to: Contributions 48 Alzheimer's Disease/Related Disorders Fund ................. • 48 00 49 California Fund far Senior Citizens ....................... • 49 100 50 Rare and Endangered Species Preservation Program ............ • 60 100 51 State Children's Trust Fund for the Prevention of Child Abuse ....... • 51 00 52 California Breast Cancer Research Fund ..................... • 52 00 53 California Firefighters' Memorial Fund ..................... • 53 r 54 California Public School Library Protection Fund ............... e 54 I00 55 OA.R.E. California (Drug Abuse Resistance Education) Fund ........ • 55 100 56 California Military Museum Fund ........................ • 56 100 57 Add line 47 through line 66. These are your total contributions ....................... 0 57 Ste 11 58 REFUND OR NO AMOUNT DUE. Subtract line 57 from line 45. Mail to: p FRANCHISE TAX BOARD, PO BOX 942840,�' Refund or SACRAMENTO CA 94240-0000 ....... 1111168 T •. a . a. .. : w -_-: _._ -• Amount y �y You Owe 59 AMOUNT YOU OWE. Add fine 46 and line 57. Make a checklmone order able to "Franchise Tax Board" for the full amount Write your social security number and "1997 Form 540" on R. Complete Form 540-V. Attach both to the front of your Form 640 and mail to: FRANCHISE TAX BOARD, PO BOX 942867, �j SACRAMENTO CA 94267-MOI ........ ■ 59 ...z . Wl,r,: tea•. Step 12 60 Interest, late return penalties and late payment penalties .......................... 60 Interest and 61 Underpayment of estimated tax. If form FTB 5805 or FTB 5805F is attached, check here ...... ❑ ■ 61 1 'Penalties 62 l you do not deed California income tax forts mailed to you next year, check here........... • '62 O IMPORTANT: See 'Sign Your Rebun" in the Form 540 instructions to fuxl out d you should attach a copy of your complete federal return. Under penalties of periury, I declare that I have examined M return, inch dirg accompanying schedules and statements, and to the best C of nW aawledge and belef, it is true, correct and complete. 1 Sign "�� Rkturtawala a+oa 4 atpama's Date J*rn a'*ih g*" no ap kVWOdM now (or yours a "1114mplo"d) r Fem'a addmo mrmber 1 1 I M I I 1 I jcj�ames SSN/FEIN/IIFEIN'' •• .. .': .iSids'21r�FOrtn .� 19971, 'vow?&r'c ;'vr ® Washington Mal Bank,FA THE FEE FOR EACH OVERDRAWN :ITEM IS $18.00 IF PAID OR •17.00 IF RETURNED. 08-X-62 THE DAVIS FTRUSTETRUST UTD 08/16/1990' JACK GERALDINE DAVIS TRUSTEE NEWPORTSIDE BEACHRCAP92660 STATEMENT OF ACCOUNT TO•REACH CUSTOMER SERVICE, PLEASE CALL TELEPHONE BANKING AT 1-800-788-7000. 74,660 STATEMENT PERIOD: FROM 11-09-98 THRU 11-13-98 GREAT NEWS[ FOR YOUR CONVENIENCE ' WASHINGTON MUTUAL FINANCIAL CENTERS. NOW HAVE EXTENDED HOURS ON WEEKDAYS: GUARANTEED GREAT RATE WASHINGTON MUTUAL BANK, FA; FDIC INSURED THE DAVIS FAMILY TRUST UTD 08/16/1990 JACK DAVIS TRUSTEE' GERALDINE DAVIS TRUSTEE BEGINNING BALANCE .00 TOTAL WITHDRAWALS 2,590..00 ' ACCOUNT NUMBER: TOTAL 97•, 642.43 917-830444-3 BALANCE 95,052.43 • 51.60 INTEREST PAID: 51.60 ANNUAL PERCENTAGE YIELD EARNED 5.01 L YYTO INTEREST PAIDNTEREST WITHHELD: .00 DATE WITHDRAWALS 11/09 11/12 2,590.00 21/23 -DEPOSITS TRANSACTION DESCRIPTION 97,590.83 DEPOSIT CUSTOMER WITHDRAWAL 51.60 INTEREST PAYMENT t .1..:.y''a .fw+}.iN .t•:F, u.•'ki:ar"'�i .yj/<... .� •:ii`v"�'gy .u^.'v y ,2`'�!`?':: •.�2•i•y :•:t5 v: ,1�'[-iuiC<iuy..•• • .. -,'''i.'�:..:'PA6E•�01••'.AF� Ol`:. ... - - ;ri;.>.e�t',:`rs�--.. 0 IMPORTANT in Washington Mutual Bank,FA 4� ACCOUNT RENEWAL NOTICE INFORMATION CERTIFICATE OF DEPOSIT ACCOUNT YOUR CERTIFICATE OF DEPOSIT WILL BE AUTOMATICALLY RENEWED ON THE MATURITY DATE SHOWN FOR THE RENEWAL TERM SHOWN. YOU HAVE 10 DAYS FOLLOWING MATURITY TO CHANGE YOUR INVESTMENT WITHOUT BANK PENALTY. YOUR NEW RATE AND ANNUAL PER- CENTAGE YIELD WILL BE AVAILABLE ON THE MATURITY DATE, OR IF THE BANK IS CLOSED THAT DAY, THE NEXT BUSINESS DAY. FOR RATES OR ASSISTANCE CALL 1-800-788-7000. THE DAVIS FAMILY TRUST JACK DAVIS OR GERALDINE DAVIS AS CO TRUSTEES 919 BAYSIDE DR APT SH-2 NEWPORT BEACH CA 92660-7453 ACCOUNT NUMBER: 917-0001300159- MATURITY DATE: 10-28-98 RENEWAL TERM: 12 MONTHS PRESENTLY EARNING: 5.57000%' BALANCE MATURITYO'677.11 DATE: 10-28-99 ASK ABOUT OUR FREE CHECKING BCCOUNT. IT HAS NO ALANCE REQUIREMENT SNOIMUM MONTHLY FEE AND.COMES WITH OUR CHECK CARD -- A HANDY ALTERNATIVE TO CHECK WRITING. IIA1rQVOOD EXPANSION r INCOME COMPUTATION AND CER'I'IFICA'I'ION Illve, the undersigned Nate that Vwe have read anti answered fully, frankly and petm,nall)• vach of tilt following que4flutu; for all persons wilt, ate lit uccupv the unit being applied fur art the above apartment project. I isted below are the names of all persons who intend ill reside in lilt- unit: 1. 2. ? 4. $. Name tit hlembwq of the Relationship ill I IQod Of I h1USt•Iltlld Social Security Place elf Ilougvlodd Ilouse hold Aye_ Number Employment _P.ZAC1- F. N—kA,1)-tU A C`tiASIUS_,\Q cv _ (�.3 90 US'G 7 Income Computation 6. The total anticipated income, calculated fit accordance with the provisions of Ihiq Cara mph 6, of all persons over the age of 18 years listed above fur the 12-nronth period beginning the dale that Uive plan to move into a unit is $ s-I& Included ill the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonusesand outerconlpensatimt for personal services, before payroll deductions, (b) the net intume frail the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); W) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability ordeath benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments fit Ifeu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of ally assistance specifically designated far shelter and utilities; (g) periodic and determinable allowances, such asalilmllly and child support pnYinentg ante regular contributions and gifts received hone personq not residing fit the dwelling: (it)all regular pay, special pat• and allowances of a member of the Ariued I'urlvq (whether of nut living, in the dwelling) n•ho in the head of the household or spouse; alit] (1) any earned income lax credit to the extent that it exceeds income lac liability. Excluded from such anticipated income are: (,a) casual, sporadic or Irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; W) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use fn meeting the costs of tuition, fees, books and equipment (art), amounts of such scholarships or paynien h to veteranq not used for the above purposes are to be included fit income), (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title 11 of the Uniform Relocation Assistance and Real Properly Acquisition Policies Act of 19711; (g) foster child care payments; (it) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (I) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United Stales that is held in trust for certain Indian tribes; lU payments or allowances made under the Department of Health and Human Services' Low -Income I Ionic Energy Assistance Program; (m)payments received from the Job Training partnership Act; (it) income derived front the disposition of funds of the Cnmd River (tank of 011mva Indians; and (o) the first $2,000.OU of per capita shares received from judgment funds awarded by the Indian Claims Commission or [lie Court of Claims. 7. Do the persons whose inconte or contributions are included fn item 6 above: (a) have savings, stocks, bonds, equity in real properly or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and Interests in Indian trust land) Yes _,A No, or (b) have they disRused of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes 32 No (c) If the answer to (a) or (b live is yes, does lire combined total value of all such assets owned or disposed of by all such persons total more than $%000? Yes No ($ O __ total assets) (if) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets fn the 12-nronth period beginning on the dale of initial Occupancy in the unit that you propose to rent: $ I>— , and (2) the amount of such income, if any, that was included in item 6 above: $ ci g. Neither myself nor any other occupant of the unit Ihve propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, parmerghip, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is -made withrthe knowledge lhabit will be relied uponrbylhe Owner to determine nuodmunl income for elfgfbillity tie accupy the unit; and Ihve declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deviled necessary. 10. 1/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11, I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement fit the; declaration will vonNitule a nalerial breach of my/ouragreement with the Owner to lease the unit and will entitle the Owner to prevent or lerminale mylour occupancy of the unit by institution of an action for ejection or other appropriate proceedings. Ifwe declare under penalty of perjury that the foregoing is true and corretl. Executed this TF4• clay of in the City of �C�%t�( �t�c_K.�California. , --�t Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) 0 FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (I) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line I.a plus line Lb(3)): 2. The amount entered in Lc: Qualifies the applicant(s) as a Low Income household. x Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: b� o Bedroom size: Z+Z Rent: �0 $ +; oc $ $ SC0Y- 4. This apartment unit (was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: X Employer income verification. Copies of tax returns. Other( 90 40 09 Project �11 W111t/ Unit No. Applicant's Name: Others Residing in Unit: Savings Accounts: Bank Bank Bank Interest Bearing Checking Account Bank Bank Stocks/Bonds: Type INCOME RESTRICTED FINANCIAL WORKSHEET AZP.P� �JENP�EIt�� Annual Salary Annual Salary Salary Annual Salary commissions/Bonuses Balance x % = Balance x %= Balance x %= Balance x /o = Balance X %_ Amount x %o = 45 ©UO Trust Fund: Type Amount x % = $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Annual S Type Annual S Type Annual S Property Owned By Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME S `(�, S d00 hluximum Annual Household Income Limit w INCOME VERIFICATION (FOR EMPLOYED PERSONS) The undersigned employee has applied for a rental unit located in a project financed under the Country of Orange Multifamily Housing Program for persons of low and moderate income. Every income statement of a prospective tenant must be stringently verified. $lease indicate below the employee's current annual income from wages, overtime, bonuses, commissions or any other form of compensation received on a regular basis. ANNUAL WAGES OVERTIME BONUSES COMMISSIONS IM TOTAL INCOME G.Sh_r___ 6Q__— I hereby certi atements above are true and complete to the best of my knowledge. ��� Signature Date _�� Title —[» I hereby grant you permission to disclose my income to Baywood, Bayport, or Bayview Apartments in order that they may determine my income eligibility for rental of an apartment located in their project, which has been financed under the County of Orange. Signature Date l,CL- -9 - 1� Please send to: Baywood Apartments 1 Baywood Drive Newport Beach, CA 92660 Or Fax to (949) 644-7225 Attention: Unit jq0 261 Baywood Drive wr�u•:• e Y •. • N.iY��l 1�• .�a _ �.:•)iDjN/IKH I/We hereby certify to Western National Property Management Canpany, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning 0=3pant(s) of the Leased Premises, and 2. as of the date -specified below, the total annual eligible intone* of the undersigned does not exceed $ 11 ^ 4 dollars. ($ .00). .. ' * included in the total annual eligible income are: wages, tips, overtime, bonuses, and colmnissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alinony; child support, all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acimowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: ! 3 By: l��G Date Resident Nancy Walker Resident Resident E Unit No. 667 Alderwood Drive I/We hereby certify to Western National Property Management Coapany, as Accent for The Irvine Company, that: 1. the undersigned is to be the only income earning oocupant(s) of the Leased Premises, and as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ ($ 35 �' .00). included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net inc:cme from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises - Tine undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of per7urY in Newport Beach, California. Date Inge earning household members: Atid /ha /� MicKandel �� �J Resident Sandra Kandel ;gident-� Resident BAYWOOD EXPANSION *a • INCOME COMPUTATION AND CERTIFICATION IIN'e, the undersigned stale that Vwc have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for In the above apartment project. Listed below are the names of all persons who Intend to reside in the unit. 1, 2. 3. 4. S. Name of Members Relationship of the to Head of Household Social Security place of Household Household Ace Number Employment U-)A &ulL 6"1T4 Se L F `�2 4S7- is oot { SEA I�FATIF�2 �J�tr Nfiffq 1)4uW-Cer'L _ -LL � O3 Q6,51 C4110 Income Computation 6. The total anticipated Income, calculated in accordance with the provisions of this w2ranh6.0ofalee over theagepf 18 years listed above for the t2•month period beginning the dale that Ilwe plan to move into a unit Is $ f72 Included In the total anticipated Income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, lips and bonuses and other compensation for personal services, before payroll deductions; Ib) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amorliration of capital Indebtedness or any allowance for depreciation of capital assets); Icl interest and dividends (including income from assets included below); pensions, disability or death (d) the full amount of periodic payments received from social security, annufties, Insurance policies, retirement funds,p y benefits and other similar types of periodic receipts, Including any lump sum payment for the delayed start of a periodic payment, (el payments In lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay, III the maximum amount of public assistance available to the above persons other then the amount of any assistance specifically designatedfor shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing In the dwelling; Ili) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the (1) any earned Income lax credit to the extent that it exceeds income tax liability. Excluded from such anticipated Income are: la) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (dI amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tulllon, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes arc to be included In income); fel special pay to a household member who is away from home and exposed to hostile fire; (I) relucalion payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition policies Act of 1970, (gl foster child care payments; (Ill the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (0 payments to volunteers under the Domestic Volunteer Service Act of 1973; (I) payments received under the Alaska Native Claims Settlement Act; (k) Income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services'Low•income Home Energy Assistance Program; (mlpayments received from the job Training Partnership Act; In) Income derived firm the disposition of Ponds of the Grand River Bank of Ottawa Indians; and (u) the first $2,000.00 of per capita shares received from judgment Ponds awarded by the Indian Claims Commission or the Courtbf Claims. 7. Du the persons whose Income or contributions are Included In item 6 above. (a) phave savings, stocks, bonds, equity in real property or other form of capital Inv s ent (excluding the values of necessary items of personal Ibllroperty such asfumilare and automobiles and interests In Indian trust land) Ycs_�Ncn or lave the yy dis ed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market valuer Y !=No (c) Iftheanswerlola)or(kI boveisyes,dos e<o�pb(ned total value of all such assets owned or disposed of by all such persons total more than $S,Ig07 _Yes. No I$ f �- total assets) (d) If the answer to (e above Is yes, state. 41) the amount of income expected to bq= from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent:$ and -� -- (2) the amount of such Income, if any, that was included In item 6 above.$ 6. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner'), has any family relationship to the Owner, or owns directly or indirectly any Interest in the Owner. For purposes of this paragraph, Indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust In proportion to the ownership or beneficial interest In such corporation, partnership, estate orTrustee held by the individual ore family member, and ownership, direct or Indirect, by a partner of the individual. 9. This certificate Is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and ilwe declare that all Information set forth herein Is true, correct and complete and based upon Information liwe deem reliable and that the statement of total anticipated Income contained In paragraph 6Is reasonable and based upon such Investigation as the undersigned deemed necessary. 10. Ilwe will assist the Owner in obtaining any information or documents required to verify the statements made herein, Including either an income verification from mylour present employer(s) or coples of federal tax returns for the immediately preceding calendar year. 11. llwe acknowledge that Ilwe have been advised that the making of any misrepresentation or misstatement In this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate mytour occupancy of the unit by Institution of an action for ejection or other appropriate proceedings. Ilwe declare under penalty of perjury that the foregoing is true and correct. Executed this sday of 1!"V11Y lame Cityllf California. po Applicant Applicant Applicant Applicant (Signature of all pecans over the age of 18 years listed In number above requin d) Ll TOR COMPLETION BY APARTMENT OWNER ONLY f 4Z aZO. w 1. Calculation of eligible income. a. Enter amount entered for entire household in 6 above. b. (1) If the amount entered in 7(c) above is grater than $S,ODD, enter the totabamount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (f bs rate a determined HUD to (2) Multdeterminehe amount entered In 7(c) times the cuff what the total annual earnings on the amount ns7�would bbee if Invested in passbook savings (f 1, subtract from that figure the amount entered In 7(d)(2) and enter the remaining balance (f / (3) Enter at right the grater of the amount calculated under (a) or (2) aboves $ c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): $ 4-1 C1Zo 2. T_ hp amount entered in La Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate income household. CD 3. Number of apartment unit assigned: —rr6�''__ �Bedroom size•. Zi-Z Rent: 12Z i. This apartment unit(was(was not) last occupiedfora period of31 consecutive days by persons whoseaggregateanticipaled annual income as certified In the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) Income. Employer income verification. Copies r"^-• ^• X Other( BAYWOOD EXPANSION 11 INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. Name of Members 2. Relationship 3. 4. 5. of the to Head of Household Social Security Place of Household Household Age Number _ Employment U51A 04cci+c--Tr4 Se.p%z 4SZ is 0674 SGlr- 14eyn4e2 3rtu-HSTra DAUbl-k'Lerz� I I C-�% 03 G4IIo Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this r2r1 1 �, of ��rersons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $ (,' Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets includedbelow), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments, (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes, (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital invgqtnent (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land). ZC—Yes No; or (b) have they disRgsed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes &No (c) If the answer to (a) or (b) above is yes, dons a colt tbined total value of all such assets owned or disposed of by all such persons total more than $51000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to by�lgriye_d from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ LUU-- WW and (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, Indirect ownership by an Individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit, and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. 1/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this ' ST day o in the City of—'y��21 �':A'� , California. Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ), (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line I.a plus line Lb(3)): 22. T�ount entered in 1.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. '7 G� 3. Number of apartment unit assigned: Bedroom size: Z'+— Rent: 4Z owe" $ / $ 42 c\Z a (D 4. This apartment unit (was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. X Other( INCOME RESTRICTED Project f2A / _/��/ FINANCIAL WORKSHEET (_.1)M)D Unit No. `7 nC L _ Applicant's Name:y�Annual Salary Others Residing in Unit: Savings Accounts: Bank Bank Interest Bearing Checking Account Bank Bank Annual Salary Annual Salary Salary Commissions/Bonuses Balance x %= Balance x % = Balance x %= Balance x %= Balance x %= Stocks/Bonds: Type Amount x % = $ Trust Fund: Type Amount x % = $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! i Type �� 11 t/t 0 * Gl= t E ^ SUPper,%; I Annual Type Annual $ Type Annual $ Property Owned 's t 03YA011 G By Resident: Address �YWI t.i.b CA Equity Com x.2 %= $ ZD. TOTAL ANNUAL ELIGIBLE INCOME Maximum Annual Household income Limit From: WOLF H STERN 714 760 2530 14:17 P. 001 LAW GFrlee" OF WOLF H. STERN 17f NEWPORT CCN1 eR DRIVL. • UITC YUU NeWFORT BCACN, CAL111ORNIA 92660 _ (7141 760•d6a3 FAK MA-1 'y'O-a M9O November 101 1997 BENT BY PAX JEFF DAVIS gpYW00D APARTMENTS Re; Lisa Patton Bachetta Pear Mr. Davis: Enclosed please find a copy of the current support order, payable by Douglas Patton to Lisa Patton Bachetta. sincerely, as enclosure LAW OFFICE OF WOLF H. STER $velyn 5t. Lawrencer Paralegal 11f From: WOLF H STERN 3 4 5 8 71 91 10 11 12 13 14 15 is 17 18 19 20 21 22 23 24 25 28 27 29 714 760 2530 0 I.ww Orwie�� a� WOLF H.'5TERN 170 NCWPORT CENTCR DRIVC/ SUMM 230 NEWPOfiT OCACHs CA 92000 0141 7W-91133 FAX (7141700.2930 Attorney Bar No: 22109 Attorney for Petitioner 11-1G-97 14:17 P. 002 (SPAGEAEL00 Y "R Mtmto BTAxr ONLY) FILED OR0.N� EQURFY":1f!E8I0R Ct?wMt (' JUL 2 Q 1997 Wtl SLATER, bzeeulWe off1 w IC14 BY K. ISOMERVILLE/k�, IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF ORANGE In re the marriage or: ) Case No: 95DO09177 ) Petitioner: LISA ANN PATTON ) ORDER and ) [June 10, 1997] Respondent• DOUGLAS PATTON _ 1 This matter came on for hearing on June 10, 1997, in Department 607 before Judge James Poole. Petitioner, LISA ANN PATTON, was present with her attorney of record, WOLF H. STERN. Respondent, DOUGLAS PATTON, was present with his attorney of record, LISA•STAIGHT. Both parties testified and after the evidence was heard the Court ordered as follows: 1. Respondent shall pa,e directly to Petitioner the sum of $3;500 00': r month," payable one -halt -on the 1st and one -halt on "the' 15th` `ot each month commencing June 151'..1997 • and oontinuinq'..ori.•,tiia tat and 15th of each and every month 1 From: WOLF H STERN " 760 2530 • 11-10-97 W 18 P. 003 '2 3 d 5 6 7 B 9 to 11 12 13 14 15 16 171 18 19 20 21 22 23 24 2s 26 27 211 ►AW OTlu. OF w %.r H. 0tt11H » Mww�wr �w.r. rti wnn w Y HIM thereafter until further order of the court. Sixty percent (Got) of;,said amount ($2,100.00) shall be considered spousal support and forty percent (40%) of said amount ($1,400.00) shall be considered child support. The Court shall retain jurisdiction.to adjust said amounts retroactive to commencement of trial when it makes a final decision. in this matter. 2. Respondent sb�kll pay directly to Petitioner on �r before June 301 1997 the sum of $31000.00. Said sum is an advance on distribution of community property. 3. RESTRAINING ORDERS: »oth parties are restrained from harassing, molesting, annoying or assaulting the other and any person under the care, custody or control of the party and from contacting the other at the residence or place of employment except regarding an emergency. Petitioner and Respondent shall not contact OX' telephone the other party except that peaceful contacts and telephone calls relating to the parties, minor child shall be permitted. APPROVED AS TO FORM AND CONTENT: Di tc�rtC _ LISA STAIGHT Attorney !or Respondent 1W. 18 so ORDERED: Rated: J U L 2 W 1997 .A-4131 JUAGE F THE SUPFRIOR JAME$ H. POOLE 2 i 0 16p ylve o ff less e2ellf /JL oS a 9ss� BAYWOOD EXPANSION • 11 INCOMECOMPUTATION AND CERTIFICATION I/We, the undersigned stale that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security place of Household Household Age Number Employment .vrt�0{T SFEF E S� 5 �, J - Ll a . 'Z J i_ Yr,t tc , f s.-� Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this p agra h 6 obl persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $a �Z�- `�L Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; W the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title It of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; lq payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital inve t ent (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land)Yes No; or (b) have they dispgxed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes No (c) If the answer to (a) or (bjay ove is yes, does tp� ybined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes —? . No( e`5(o •Of total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be om such assets in the 12-month period beginning on the date of Initial occupancy in (lie unit that you propose to rent: $ dgryved�fr,jj // UU , and (2) the amount of such income, if any, that was included in item 6 above: $ 3 % q 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will Constitute a material breach of my/ouragreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of m 1 in the City of ^� P`^J P6 �P�C / 1 , California. Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed In number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in )(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ), (2) Multiply the a ount entered in 7(c) times the current passbook savings rate as determined by HUD to determine w e total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line Lit plus line Lb(V: 2. The amount entered in Lc: y Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: 1, Bedroom size: -Z'+"'2- Rent: 1 u 5 W $ 010 4. This apartment unit (was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: x Employer income verification. Copies of tax returns. k Other( Date E Project Unit No. INCOME RESTRICTED FINANCIAL WORKSHEET TW C4YZrFV— Annual Salary $ Applicant's Name: GZ Others Residing in Unit: Annual Salary $ Annual Salary $ Annual Salary $ Commissions/Bonuses $ Savings Accounts: Bank ^� TAJW ULSTVil. Balance W-01 x4-S %= $ 797 O� Bank Balance x %= $ Bank Balance x %= $ Interest Bearing Checking Account Bank Balance x % = $ Bank Balance x %= $ Stocks/Bonds: Type Amount x % = S. Trust Fund: Type Amount x % = $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Annual $ Type Annual $ Type Annual $ Property Owned By Resident: Equity x_ % = $ TOTAL ANNUAL ELIGIBLE INCOME $ JS ��J�• 6 Maximum Annual Household Income Limit $ Unit NO. TO: INCOME VERIFICATION You; employee has applied for a rental urit located in an apartment project financed under the City of Irvine ! fultifamiiv Rental Hram Housing Prog. lele are obliged to stingen!!v vercf ncome state• ments an ail prospective tenants for such units. Pease irticate be:aw your empicyee's cur - tent annual incarne Eon wages. overtir. ne, bonuses. commissions or any other form of compensation received an a regular basis: Annual wages Overtire Bc n::s es Cp�.riss�cns Total cur.•nt income W ✓ V I co !k:�6 f hereby certit, that the state:aents above are t: se and ccr..rie:e tc the best c. m} A.-•ovriedge. r t31�1 ruc E:.ptoyer Si;naiu:e 011C 1 hereby grant You permissicr. to disclose my income to Rancho T I c r r a n crder that they maY eeternine my income cligfbui:y for rental of an apartment located in their prciec; which has been financed under the City of ir+irte Muitifarniiy Rental Housing Program 0` O,d .�pQtiea�e Sia;utsn 1 -Buy a -ballot- Or $1 from any branch Jelp Child- ren's Miracle Network raise funds for sick children. ' Ibb SeCOIld StlPel Saul FRanclscu CA 441115 - (41b)442.621.10 INEZ LULA CARTER 23BOXELDER RNCHO SNTA MARGA CA 92688-1120 IIIIun11111InIuIllulnullnlllnllllllunlllullllnlll SUMMARY February 1996 5 ACCOUNT NUMBER ( 240389 ' STATEMENT R 02-09-98 TO 02-28-98 PAGE 1 OF I PAGES 44 I3 4413 Suffix: 00 REGULAR SAVINGS ACCT Post Eff. Transaction Description Trace No. Amount Balance -850.00 02-09 Beginning Balance: Deposit Member Fee:10.00 10.00 10.00 02-26 Dividend 2.01 12.01 02-26 Withdrawal .00 Reporting SSN: 531-42-7125 Y-T-D Dividends: •01 TRUTH IN SAVINGS For Earnned98�h3832% 02Dividends Paid: $2.01 ADISCLOSURE: nnual PercentagePeriod Yield 1998 YEAR TO DATE TAX SUMMARY +, Reporting IRA YTD Other YTD Total YTD Total YTD Total YTD SSN Dividends Dividends 01 DividendsWithholdin01 0g0 Forfeitur00 es .00 531-42-7125 RC'U 119A IRev W711PTD31971 Unit No. 676 Alderwood Drive CEF==ON OF C0NT7NUED HOUSEHOLD ELIGIBILITY I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only ins earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total anmial eligible income* of the undersigned does not exceed $�.R'lTi)(� dollars. ($ 00 .00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknawledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. 11-� household members: ,\s Date Res il, gent Pe elope How rd Resident Resident Resident �, Unit No. 765 Alderwood Drive I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 3 ��bb o o dollars. (S .00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and camnissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned ackncwledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased -Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: By: O `4Charles ,— Date Resident u eie— Resident 4athy Stubblefield Resident Resident BAXWOOD Unit No. 153 Baywood Drive CM=cMON OF CoNrnMM HOUSEHOLD ELIGIBILM ,/We hereby certify to Western National Property Management Cmgany, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total ,annual eligibleoincome* of the undersigned does not exceed $S--f ($ .00). * included in the total annual eligible income are: wages, tips, overtime, bom:ses, and ccmui=sions; net izc from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. the undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. 2 � BY: Date Resident Resident BAXWOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION pale, the undersigned stale that i/we have read and answered fully, frankly and personally, each of the following questions for all persons who are to Listed below are the names of all persons who intend to reside in the unit: occupy the unit being applied for in the above apartment project. S. 1. 2. 3. 4. Nameaf Members the Relationship hold to Hcad of Household 5ocia15ecuril place of y of Household Household Age Number Employment NoVA' h�lllsc Loom nAxcf: SG 57+6 L 7 701 I n4yr oA lG'r_.H (LMMSEV_ QL)1M.IMacL 611303I07.7- —MAVLoA �tta.wl,y income Computation 6. The total anticipated Income, calculated in accordance with the provisions of lhis agEa %6,. allpersons over the age of igyenra listed abovefor the 12•monlh period beginning the dale that Ilweplan to move into n unit Is $ Included In the total anticipated inome listed above am p) all wagesand salaries, overtime pay, ommisslons, fees, lips and bonuses and olhercompensalion forpersonal services, velure payroll JtWunions, (b) the net Income from the opemlion ofa businessor profession or ham the rental of real or personal property (without deducting expenditures for en the ass expansion or xmortiralton of capital Indebtedness or any allowance furdepreciation of capital assets), (c) interest and dividends Gndudmg incumefromassels tnetOil below); rcliremenl funds, pensions, Jisab:btyorJeath (d) the foil amount of periodrc payments received from social security, annuities, insurance policies, benefits and other similar types of periodic receipts, including any lump sum payment far the delayed start of a periodic p ayi. (e) payments in Ileu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (0 the maximum amount of pubbc assistance avaiIsbla to the above persons other than the amount of any assistance spedGcally devgwledfur shelter and utilities; IS) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing In the dwelling (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse, and (I) any earned Income tax credit to the extent that it exceeds Income tax liability. Excluded from such anticipated Income are: (a) casual, sporadic or irregular gifts; (b) amounts which am specifically for or in reimbursement of medical expenses; (e) lumpp sum additions to family assets, such as Inheritances, Insurance payments (including payments under health and accident insurance and workers'compensallon), capital gains and settlement for personal or property losses; fill o a r amounts. for use in educational eetine the ostso tution, fetes, books and equipment (ato the student or the ny amounts of such scholarships or Pational institution, and amounts aymenaid tstite to veterans notluwd 'poses arc to be included in Income), household member who Is away from home and exposed to hostile fire; emits under Title 11 of the Uniform Relocation Assistance and Real Properly Acquisition Policies Act of 19AF, IS, roam' cnnu aau- p.r.•,...... (h) the value o(<oupon ellotmenls fur ilia purchase o(food pursuant to the Food Stamp Act of 19TJ; (p payments to volunteers under ilia Domoslic Volunteer Service Act o(1973; (j) payments received under the Alaska Nelfve Claims Settlement Act; (k) Income derived from certain submarginal land of ilia Untied States that is held in trust (or certain Indian tribes; (U payments or allowances made under the Department of Health and Human Services Low•Income Home Energy Assistance Program; had payments received from the job Training partnership Act; (n) Income derived from the disposition of funds of the Grand River Bank o(011awa Indians; and (of ilia fIra $Z 00 of per capita shares received from judgment funds awarded by the Indian Claims Comm(ssion or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, sfumlurcand city in real l property interests or other faIndian of capst ital investment e(sex ding the ovalues of necessary items of personal (6) h Avety suchave they dfspQSed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes—/Yrvo (e) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by-oll such persons total more titan s5,oDo?—yes _No($ total assets) (it) If the answer to (c) above is yes, slate. (1) the amount of Income expected to be derived from such assets in the 12•monlh period beginning on the daleofinillaloccupancy in the unit that you propose to rent: f and (2) the amount of such income, if any, that was included in hem 6 above: 9 Nnuher mvself nor anv other occuoanl of the unit llwe propose to rent is the owner of the rental housing project in which the unit is located and ownership, direct or indirect, by a partner of the mdivmuat. 9. This certificate is made with the knowledge that It will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and Ilwe declare that all information set forth herein Is true, correct and complete and based upon information Ilwe deem reliable and that the statement of total anticipated Income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. 1/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal in returns for the immediately preceding calendar year. 11. 1/we acknowledge that Ilwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. Ilwe declare under penally of perjury that the foregoing is true and correct. Executed this XND dayof � ll i�gCig intne Cityof tJRA)A10X 0_EnG4 ,California. ft CpPWt Applicant Applicant (Signature of all persons over the age of 13 )can third In number 2 alx,sr minirNl FOR COMPLETION BY APARTMENT OWNER ONLY 1. calculation of eligible Income a. Enter amount entered for entire household in 6 above. b. (1) If the amount entered in 7(c) above Is greater than $5,000, enter the total amount entered In 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($), rate as determined HUD to (2) Muldetelrminehe amount entered In what thel total nnualeaninmes the gson the amount in 7l� would be If invested in passbooks savings (g t, subtract from that figure the amount entered In 7(d)(2) and enter the remaining balance(S 1: (3) Enter at right the greater of the amount calculated under (a) or (2) above. S Y e. TOTAL ELIGIBLE INCOME (line la plus line Lb(3p. 2. The amount entered in La Qualifies the applicant(s) as a Low Income household. Quabftes the appllcanl(s) as a Moderate income household. Does not qualify the applicant(s) as a Low or Moderate income household. 3. Numbero(apartment unit assigned: (� Bedroom size 2+2 Rent: 4. This apartment unit atocfor a cupied t eaAggregate anticipated incomeascerti(iad In the above upon their Initial occupancy of the apartment unit qualified I can as Low orMoateIncomTennts 5 Method used to verify applicant(s) income. Employer income verification. Copfoflu Other( �/'"�f' G✓'Gi%�I:hs1J ) r1 L. .... „r • :.: BAYWOOD EXPANSI04 INCOME COMPUTATION AND CERTIFICATION IIWe, the undersigned state that 1/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. S. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment Novo Wilhitt, S*b Al "7U31 j eAycoA we.Nm,lsn_ a wns):v aooywon,+-m io 6j03 102z >A Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this i e It06_o e(I persuns over the age of 18 years listed above for the 12-munth period beginning the date that I/we plan to move into a unit is $ Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and othercompenselion for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal properly (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (p the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in lire dwelling) who is the head of tine household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition policies Act of 1970, (g) foster child care payments; IN the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (exclUding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes A No, or (b) have they dispRped of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes N No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $$,000? Yes No I$ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: S and (2) the amount of such income, if any, that was included in Item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy tine unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information 1/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that 1/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of tine unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this 0 day of c fN o� 1 qq o in the City of - NRA)R T �C �'�' , California. licant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) y • . ' FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: $ I2q o.ZLI a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,Oo0, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings I$ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): $ 2. The amount entered in 1.c: Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned:- Z& Bedroom size: 2+Z Rent: 4. This apartment unit (was/was not) last occupied fora period of31 consecutive days by persons whose aggregate anticipated annual income as certified In the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicant(s) income: Employer income verification. Copies of tax turns. Other(' GJ(�GW1 Date Project 31 0m�wo Unit No. 34(, INCOME RESTRICTED FINANCIAL WORKSHEET � w Applicant's Name: K i i iyk VYUI E2 Annual Salary $ -zz,, a zo Others Residing in Unit: J?AJn&5E _Annual Salary $ `y 1 44 Annual Salary Salary $ Commissions/Bonuses Savings Accounts: Bank pQ nF Q Balance ����$.af� x 4•0p %_ $ l aZ •Z� Bank ��L15 FOA60 Balance 3.1% x10 %_ $ 06 Bank Balance _ Interest Bearing 7Gri �.(. o /oCf Checking Account Bank 17 OF A Balance 31D f x2-0 = $ Bank Balance x % = $ Stocks/Bonds: Type Amount Trust Fund: Type Amount x % _ $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Annual S Type Annual S Type Property Owned By Resident: Address Equity Annual S _ TOTAL ANNUAL ELIGIBLE INCOME S 1 r 1 ` 0 '7� �2e1.03 Maximum Annual Household Income Limit S BAYVVOOD EXPANSIO*: Unit No. 5W TO: INCOME VERIFICATION Your employee has applied for a rental unit located in an affordable apartment project for persons whose annual income does not exceed established County Median Income limits. We are obliged to verifv income statements on all prospective tenants for such units. Please indicate below your employee's current annual income from wages, overtime, bonuses, commissions or anv other form of compensation received on a regular basis: 22.320. o0 Annual wages Overtime Bonuses Commissions Total current income Mln 0. °° I hereby certify that the statements above are true and complete to the best of my knowledge. l,�l I pmplover atom Date �b (Q G7.DNl/�oGLT�Z Title I hereby grant you permission to disclose my income to Baywood Apartments in order that they may determme my income eligibility for rental of an apartment located in their project. ixpplicant Signatttte Date !V..!, VA M t Please return to: Baywood Apasmcnts 1 Baywood Drive Newport Beach, California 92660 0 BAAflD EXPANSION Unit TO: INCOME VERIFICATION Your employee has applied for a rental unit located in an affordable apartment project for persons whose annual income does not exceed established County Median Income limits. We are obliged to verify income statements on all prospective tenants for suet units. Please indicate below your employee's current annual income from wages, overtime, bonuses, commissions or any other form of compensation received on a regular basis: Annual wages 1 �)' ` Overtime Bonuses Commissions Total current income ULy7,-CC, I hereby certify that the statements above are true and complete to the best of my knowledge. 7yZ� c/G�i4 G �v, Fstpiover sign Date Title I hereby grant you permission to disclose my income to Baywood Apartments in order that they may determine my income eligibility for rental of an apartment located in their project. AopUmnt Signattue / // Ate Please return to: Baywood Aparrmmts I Baywood Drive Newport Beacb, California 92660 'Bank of America • • P.O. Box 3530 Rancho Cordova, CA 95741-3530 1020 EO.3 Ildn2r6lill I6dIdlnIII III dIII IIt �61LLLLrJI NOVA MARIE MILLER 3845 SAN ANTONIO RD YORBA LINDA CA 92886-6979 Your Bank Combined Statement of America Account Statement Date: December 23, 1997 At Your Service Call: 714-973-8495, 24 hours, 7 days a week Written Inquiries Bank of America Newport Center Branch P.O. Box 60049 Los Angeles, CA 90060-0049 Customer since 1990 Bank of America appreciates your business and we enjoy serving you. ❑ Summary of Your Deposit Accounts ❑ Bank of America News Account Account Number Your Balance Interest Maximizer 10203-13033 $ 11,818.90 Limited Checking 10205-06121 398.64 Total Balances S 12,217.54 Get up to $1,000,000 of Accidental Death Insurance at no cost to you for 90 days. As a CA BofA personal checking customer, age 18-80, acceptance is guaranteed. After 90 days, premiums are automatically deducted from your account. Call JCPenney Life at 1-800-527-5245 and refer to Bank of America 346B. Some conditions apply - see JCPenney Life brochure. Who doesn't like a little extra holiday cheer? Visit your local BofA branch and pick up free AOL software, specially packaged in a festive holiday tlnl Quantities are limited, so stop by today. To find BofA on AOL, go to Keyword: B&A. Happy Holidays from America Online and Bank of America. VERSATEL Values - receive $5 off on a purchase of $30 or more at participating GNC Centers throughout California! Perfect for natural holiday gifts! Offer cannot be combined with any other promotion/discount or with GNC Gold Card Membership. Show your VERSATEL Card at time of .purchase. Offer expires 11,15/98. ❑ Your interest Maximizer Account Account Number: 10203.13033 Statement Period: November 21 through December 23, 1997 Beginning Balance on i1/21/97 $12.174.97 Total Checks, Withdrawals, Transfers, Account Fees - 400.00 Interest Paid + 43.93 Ending Balance 511,818.90 Annual Percentage Yield earned this period 4.0a% Interest paid year-to-date $218.90 Number of ATM withdrawals and transfers 1 Number of purchase transactions 0 umber of 24 Hour Customer Service Calls Self -Service Assisted 0 0 Continued on next page ololssa.00l.Tte California Page 1 of 3 Bank of America • • NOVA MARIE MILLER ❑ Ac count Activity Statement Date: December 23, 1997 Data Reference Number Amount Posted Description ' Withdrawals, Transfers and Account Fees an 12/17, Versateller ATM #216001 (Card #212815880) 001071 $200.00 12/17 12/23 Cash withdrawal Telephone Transfer To Checking 10205-06121 CSR Total Withdrawals, Transfers and Account Fees $400.00 12/23 Interest Paid Interest Paid From 11/21/97 Through 12/23/97 $43.93 ❑ Daily Balance Date Amount Data Amount 12117 $ 11,974.97 12/23 11,818.90 Date Amount ❑ Your Limited Checking Account Account Number:10205.06121 Statement Period: November 21 through December 23, 1997 Beginning Balance on 11/21/97 $84.83 Total Deposits + 1,250.71 Total Checks, Withdrawals, Transfers, Account Fees - 927.90 Service Charge - 9.00 Ending Balance $398.64 ❑ Branch/ATM Deposits Number Data Posted Amount 12/01 $ 130 1j6.00 12/12 L7 Checks Paid " Gap in check sequence Dais Paid Number 12/04 2272 12/04 " 2276 12/03 2279 12/09 2280 12/09 2281 12/15 2282 ❑ Account Activity Dale Posted A Description Amount S 104.00 30.00 102.46 61,99 37.00 4.00 9.32 62.00 Deposits and Credits 12/23 Telephone Transfer From Checking 10203-13033 CSR Continued on next page California ol0ieae.o02.T19 .Number of ATM withdrawals and transfers 1 Number of purchase transactions 3 Number of 24 Hour Customer Service Calls Self -Service 4 Assisted 1 0 of your Customer Service Calls am free of charge each statement period. Number Data Posted Amount 12115 361.41 [Total of 3 deposits $1,050.71 Data Paid 12/12 12/09 12116 12/18 12/18 12122 Total of 14 Checks Paid Number 2283 2284 " 2286 2287 " 2289 e 2292 Amount 149.85 60.00 69.27 5.35 40.06 34AS $769.75 Reference Number I •-Amount $200.00 Page 2 of 3 Bank of America NOVA MARIE MILLER Statement Date: December 23, 1997 L1 Accuum •aaunq •.uuu1IUV" Date ReferenceAumber Amount Posted Description Withdrawals, Transfers and Account Fees 172147 $11.71 12/04 VERSATEL purchase CA 4 (Card #212815880), 12/05 Orange VERSATEL purchase on 12/06 (Card #212815880), 3660fi4 20.25 12/10 Arco Paypoint 060 Anaheim CA VERSATEL purchase on 12/09 (Card #212815880). 305596 25.19 Arco Paypoint 030 Anaheim C 1Mon,hly sateller ATM #215502 (Card #212815880) 002614 101.00' 12%23 VERSATEL Purchase Fee Total Withdrawals, Transfers and Account Fees $158.15 Service Charge $4.50 12/23 Monthly Service Charge 4.50 12/23 Excess Transactions $g.00 Total Service Charges ❑ overdraft Protection Plan BankAmericard Visa 4024-2120-0554-4478 Overdraft coverage available $1,000.00 ❑ Bank of America: In Balance To assist you in reconciling your account, we have provided the following summary information. A reconciliation worksheet is printed on the reverse of this page. • Your ending balance from this statement .............................................. • Subtract other account fees from your checkbook register ............... • Subtract the monthly service charge from your checkbook register 9.00 ❑ ATM Information This period, you visited the following ATM locations: Bank of America's Verseteller ATM Network • #215502 East Yorba Linda, Yorba Linda, CA • #216001 Main Place, Santa Ana, CA ❑ FACTS - FDIC Insured Account Disclosure Information As you may know, Bank of America recently sold its Hawaii retail banking unit, Bank of America Hawaii, and no longer operates retail branches in Hawaii. We continue to provide you with banking services at Bank of America and Seafirst branches conveniently located throughout the Western United States. Page 3 of 3 otolseo.00s.rte California ra WELLS FARGO Customer No. Date Time :000000C2025 Ol/'ZC/% 01:29 ATM No. Location 0692E =RANCE -;v AN w -RIMARY SAVINGS 0ATE 'RANSAC-:CN ArCLN' BPLANC' 22/24 SERVIC-T -E_ $2.40 $5.:7 t2/_4 !HTE.REST ZAYMEN- -$0.01 'S6.1a O1/2'a SERVICE =EE $:5.0C $.:..13 01/29 -O-oL BALANCE 01/29 AVAILABLE SALANCES -' ANK CU See reverse for Important information Member FDIC t :t �a ffMM.7.1 Unit No. 615 Baywood Drive M71'� Y• • • •• y • .7 • • M N. ■ I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the totalLl eligible income* of the undersigned does not exceed �ydollars. ell CC) J .00). l {x'i * included in the to annuaeligible income are: wages, tips, overtime, bonuses, and cc muissions; net income from a business or rental of -real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alinony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household BY: Date C Resident Su to Finn Resident Resident Unit No. 327 Baywood Drive I/We hereby certify to Western National Property Management Company, as Agent for rihe Irvine Co pany, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible intone* of the undersigned does not exceed $ 3 7�— dollars. ($ .00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, r_ retirement funds or —ions, and disability benefits; workers' cmVensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents e. collectible for occupancy of the Leased Preens-- The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Intone earning household members: /CcdY�ra,y %, Ifff By: ' geld Barham� V-- Date i. gelo Rey Yent Lannea Barham Resident Resident BAYWOOD EXPANSION • INCOME COMPUTATION AND CERTIFICATION 1/We, the undersigned state that 1/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment DI Af4GELD M,Mv % 14u-s 4t.lo 4.7 ri63- 1 i �13'i i uEStcr rJ n1+Tiu ;a� LANNEA DA54AAk WIPE L1 SL5-i9`2(fiv 11NctlAPtalrJ Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this par j 6' 7 VIpersonsover the age of 18 years listed above for the 12-month period beginning the date that 1/we plan to move into a unit is $ Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions, (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic, payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and M any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (a) special pay to a household member who is away from home and exposed to hostile fire; (0 relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (1) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the Job Training Partnership Act; (n) Income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust Ignd)_Li—Yes No; or (b) have they dispKed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes 11�� No (c) If the answer to (a) or (b) above is yes, does t combined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes —X No ($ �• ZT- total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in tine unit that you propose to rent: $ 1 � 7 44 , and (2) the amount of such income, if any, that was included in item 6 above: $ 1 `6--7!6 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual ora family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information 1/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deenned necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employers) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this lI-rli day of t�,JoVsFw( M-7 intheCityof LIEWED-( c.N ,California. plaoAMo pbcam Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ), (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ), (3) Enter at right the greater of the amount calculated under (a) or (2) above: c. TOTAL ELIGIBLE INCOME (line La plus line I.b(3)): 2. The amount entered in 1.c: XQualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applica-ntt((s)) aas�a Low or Moderate Income household. 1 3. Number of apartment unit assigned:Bedroom size: 2+'2 Rent: `�''')•Z� $ 2-7 %� • -1 '� 4. This apartment unit (was/was not) last occupied fora period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: XEmployer income verification. Copies of tax returns. X Other( •�VWI,,SI4LCi1Arlll ) • C� Project Unit No. INCOME RESTRICTED FINANCIAL WORKSHEET Applicant's Name: J 4rNi (met. b Annual Salary $ Others Residing in Unit: l 4 fJt,4 A (b%144YVV, Annual Salary $ Annual Salary $ Annual Salary $ Commissions/Bonuses S Savings Accounts: Bank Balance x %= $ Bank Balance x %= $ Bank Balance x %_ $ Interest Bearing Checking Account Bank B o P to Balance r1 qST ZZ x 2.J %= , I $ Bank Balance x % = $ Stocks/Bonds: Type Amount x % = $ Trust Fund: Type Amount x % = $ Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type Type Type Property Owned By Resident: Address Annual Annual Annual $ Equity x_%= TOTAL ANNUAL ELIGIBLE INCOME $ Maximum Annual Household Income Limit $ Z BAYWOOD EXPANSION Unit No. `�D+ TO: INCOME VERIFICATION Your emnlovee has applied for a rental unit located in an affordable apartment project for persons whose annual income does not exceed established County Median Income limits. We are obliged to verify income statements on all prospective tenants for such units. Please indicate below your employee's current annual income from wages, overtime, bonuses, commissions or any other form of compensation received on a regular basis: Annual wages � 7 6�4�2 Overtime Bonuses Commissions Total current income 7, I herebv certifv that the t tements above are true and complete to the best of my knowledge. Employer. pature ➢at Title I hereby grant y u permission to disclose my income to Baywood Apartments in order that they may determine v income eligibility for rental of an apartment located in their project. Signature Date Please return to: Buy wood apartments 1 Baywood Drive Newport Beach, camornia 92660 Calentlar Day lime 7ennaylNo. �) • "., _ BolABusmess Day Caro Number n< r,a�saPons 3�3'1 Vlsit s U0 H,w, &,_ n the ri ---s .nodenkolAjmNcj SFQ yY BAYWOOD Unit No. 773 Alderwood Drive I/We hereby certify to Western National Property Management Company, as Anent for The Irvine Company, that: the undersigned is to be the only income earning occupant(s) of the Leased Premises, and as of the date specified below, the total annual eligible Inca* of the undersigned does not exceed $�1 ($ .00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. '� ► 1Rib Date Income earning household members: BY: a A ReSld r_.n;-rc-i Miamson Resident Resident Resident Unit No. 766 Alderwood Drive I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: the undersigned is to be the only income earning occapant(s) of the Teased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ ��. C�t�4_� dollars. included in the total annual eligible income are: wages, tips, overtime, bonuses, and coimnissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Teased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: 3_ ?._ qq ByW iu6/�- Date Resid Mohammad Shahhosseini Resident Resident Resident Unit No. 913 Baywood Drive M71 a • • M . A• • ? • • 31 •C ■ I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only h-joane earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $Z� dollars. .00). * included in the total annual eligible inccme are: wages, tips, overtime, bonuses, and cotmnissions, net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Coupany, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Teased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: Da7; Resit Virginia Burback Resident Resident Resident Unit No. 678 Alderwood Drive •1�1'a ■ Y• • • •• ■ 7• • 9 • • o1 ■: ■ UWA I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning ocxipant(s) of the Leased Premier, and 2. as of the date specified below, the total annual eligible come* of the undersigned does not exceed ,-0 doll .?Rxrif3t� ($ .00). * included in the total annual eligible income are: wages, tips, osrerti,z, boluses, and c=,missions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alim°ri1'; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned ac]mawledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: -O Y-176 By: Date Resident Resident toYa 0 r 0 JJ�� IRVINE APARTMENT MANAGEMENT COMPANY October 13,1998 9 q0P City Manager - - - City of Newport Beach P.O. Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting - Baywood Project Agreements to Provide and Maintain Affordable Housing ❖ "PDM" dated 7/26/86 Tract 12209 ❖ "JPL" dated 6/12/86 Tract 12245 ❖ "CDM" dated 6/13/86 Tract 11949 4• "BC10" dated 11/8/86 Tract 10814 ❖ "BC16" dated 8/27/86 Tract 12105 ❖ "Allred" datedl/19/84 Tract 11935 4• "Villa Pointe" dated 1/31/90 Tract 11937 Dear Sirs and Madam: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to quatify new residents as "Affordable." This reporting covers new move -ins during the period June through September 30, 1998. Should you have any questions please do not hesitate to call. Sincerely, Michelle Pierce Bond Compliance Administrator City of Newport Beach 8 Executive Circle, P.O. Box 19528, Irvine, California 92623-9528 • (714) 862-6400 • Fax (714) 862.6491 0 IRVINE PACIFIC AND CITY OF NEWPORT BEACH DEVELOPMENT AGREEMENT INCOME RESTRICTED UNITS MARCH, 1998 BIG CANYON 16 UNIT ADDRESS RESIDENT NAME MI DATE MO DATE RENT (1) 338 DAYWOOD (BC16L) LEVITAN 06/28/97 1,085 (2) 761 ALDERWOOD (BC16L) ARMENDARIZ 09/15/94 1,075 (3) 665 ALDERWOOD (BC16M) CHAMBERS/LINN 05/31/95 1,025 (4) 651 BAYWOOD (BC16M) CHRISTENSEN 08/18/93 1,045 (5) 673 ALDERWOOD (BC16M) TREFTS/MITCHELL 07/16/95 1,120 (6) 355 BAYWOOD (BC16M) FRAZIER 11/06/97 1,155 (7) 747 ALDERWOOD (BC16M) NEHLS 09/28/96 1,095 (8) 782 ALDERWOOD (BC16M) CRUZ/TRAFECANTY 08/17/95 1,075 PDM UNIT ADDRESS RESIDENT NAME MI DATE MO DATE RENT (1) 672 ALDERWOOD (PDM-L) SCHROEDER 07/11/97 1,100 (2) 674 ALDERWOOD (PDM-L) CROSSMAN 08/20/97 1,132 (3) 933 ALDERWOOD (PDM-L) WETMORE 07/03/97 1,085 (4) 353 BAYWOOD (PDM-M) DE PINTO 08/30/97 1,155 (5) 731 ALDERWOOD (PDM-M) MOORE 11/07/96 1,095 (6) 652 ALDERWOOD (PDM-M) MOUVET 01/21/95 1,025 (7) 671 ALDERWOOD (PDM-M) McCAULEY 10/08/90 1,085 (8) 758 ALDERWOOD (PDM-M) THOMAS 05/07/94 1,095 (9) 767 ALDERWOOD (PDM-M) DUROCHER 02/01/96 1,050 VP MOD UNIT ADDRESS RESIDENT NAME MI DATE MO DATE RENT (1) 261 BAYWOOD (2) 667 ALDERWOOD (3) 762 ALDERWOOD (4) 225 BAYWOOD (5) 676 ALDERWOOD (6) 765 ALDERWOOD (7) 153 BAYWOOD (8) 346BAYWOOD (9) '615 BAYWOOD (10) 327 BAYWOOD (11) 773 ALDERWOOD (12) 766 ALDERWOOD (13) 913 BAYWOOD (14) 678 ALDERWOOD WALKER 07/12/96 1,155 KANDEL 10/01/92 1,055 BACCHETTA 12/01/97 1,200 McNASH 05/10/96 1,205 HOWARD 10/23/96 1,165 STUBBLEFIELD 09/07/94 1,035 SKAWIN 08/16/97 1,225 MILLER 01/31/98 1,240 FINN 05/28/95 1,190 BASHAM 11/15/97 920 WILLIAMSON 11/07/94 1,105 SHAHHOSSER'U / SANAI 10/14/95 1,100 BURBACK 07/15/95 1,175 VICKERS 05/06/95 1,030 0 VP LOW (IRM) UNIT ADDRESS RESIDENT NAME MI DATE MO DATE RENT (1) 315 BAYWOOD HEILIG 08/11/90 865 (2) 333 BAYWOOD GIGLIOTT 11/01/95 862 (3) 337 BAYWOOD REESE 06/23/96 862 4 "755,AEQERW 3' 06%29/91 865 (6) 743 ALDERWOOD HICKS 04/13/97 782 (7) 341 BAYWOOD VEERA/PRADIT/SCHROEDER 02/27/97 862 (8) 656 BAYWOOD NORTH 03/15/97 782 (9) 356 BAYWOOD SISSON 07/06/91 865 (10) 735 BAYWOOD VESELY 09/12/97 782 (11) 513 BAYWOOD COLE 09/24/97 800 (12) 783 ALDERWOOD MELGOZA 06/14/90 843 (13) 281 BAYWOOD BANDA 09/12/94 859 (14) 677 ALDERWOOD HUNT 02/01/96 862 * 742 MARKET switched with 755 Now VP LOW. 0 Unit No. 315 Baywood Drive I/We hereby certify to Western National Property management Copany, as Agent for The Irvine CoRpany, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 6Z70 dollars. ($ at ar0 .00) . * included in the total annual eligible income are: wages, tips, cnrertime, bonuses, and =mdssions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' cmTpensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and between the on the etund the rents ed the monetary benefits of the Agreement collectible for occupancy of the Leased premises. 'Ihe undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: 4 & l d By: Date Resident Resident Resident Unit No. 333 Baywood Drive N01 a ■ • • •• ■ S• •c 3 • • 01 ■: ■ I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupants) of the Leased Premises, and 2. as of the date specified below, the 1 eligible income* of the undersigned does not exceed $t� dollars. ($ 23�a�.00) . * included in the total annual eligible income are: wages, tips, overtime, bonuses, and ccmnissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased premises to the undersigned and in between thermroon the etind the r� the monetary benefits of the Agreement collectible for o=arx-y of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Bch, California. a --1 8h-- 9's Tn=ne earning household members: Residentmartmy G lliiotti Rpsi � Paola(Gial(�5ti Resident Resident Unit No. 337 Baywood Drive «� no «• • • •• �• • a 1111 • e r. ■ I/We hereby certify to Western National Property Management Ccnpany, as Agent for The Irvine Cmnpany, that: 1. the undersigned is to be the only income earning occupants) of the leased Premises, and as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ Z�Z U O O dollars. included in the total annual eligible income are: wages, tips, overtime, bonuses, and cxmuissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' copensation and disability pay; severance Pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management aupany, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Ire earning household members: Date 4Resid 'Rita Reese Resident Resident Resident • • BAYWOOD EXPANSION '755- INCOME COMPUTATION AND CERTIFICATION lift the undersigned slate that Ilwe have read and answered fully, frankly and personally each of the following questions for all persons who are to in the apartment project. Listed below are names of all persons who intend to reside in the unit: occupy the unit being applied for above 3lhe 1, 2 Nameof Members Relationship Social Securit Place o Number Emace of of the to Head of Household y f nl Household Household Ace Ir�c IR-Zgo3 CoaYr et:Ft.-rr�wl�� El )� AVlSy)AVA-PUI (I 112- i15-21�q �u(JEn)T 5A14 OAVlS ubt+CEt2 _ Income Computation 6. The total anticipated Income, calculated In accordance with the provisionsofthis arlSp�ig�,(1�9Lpersons over the agcof lg years lisle) above for the 12•monlh period beginning the dale that Uwe plan to move Into a unit is $ Included in the total anticipated income listed above arc: c (a) it overtime hos and m he renand tal oFre Iornopersonalpropertyfw lhuul dedudfnge penditures for orprofefees zilon t Ib)lther he net incomchom lheopershors fabusdint inns or business expansioabufn or amorlWllan of appal Indebtedness or any allowance 'or deprenation of capital assets}, Icy interest and dividends (Including Income hom assets Included below); mount of pedodi<paymenls received hom social security, annuities, Insurance policies, retirement funds, pensions, disability or death (it) the full ais ant so- per �nmenlsinlleucof arninI-rgs haeunemp yrestrmenlanld dLsabililylcoLummpens poyn, workers�comepensatianrana seveLip P (el PaY than the amount of any assistance specific,lly designated for If) ilia maximum amount of public assistance available to the above persons other shelter and utilities; (g) periodic and determin,blcall�wancea, such as alimony and cluld support payments and regularcanlrlbulionsand gifts receive from persons nut residing in the dwelling flit all regular pay, special pay and allowan<n of a member of the Armed Forces (whether or nor living in the dwelling) who is the hex of tile household or spouse, and (1) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular Vita; (b) amounts which arc specifically for or in reimbursement of medical expenses; to family assets, such as Inhedlances,Wurancepayments (including payments under health and accident insurance and •• ` WI=sum additions workers' compensation), capital gains ana settlement for personal or property lasses: ) amounts of educational scholarships paid directly to the student or the educational Institution, end amounts paid by the government to a Idyments to veterans not used the tuition, fees, books and equipment (any amounts of such scholarships or p, t , , •+ • •,, ,• veteran, for use in meeting costs of for the above purposes are to be Included in IncomeY, (e) special pay to a household member who is away from home and exposed to hostile fire•, Real Properly Acquisition Policies Act of 197U , (U reloatlon payments under Title 11 of the Uniform Relocation Assistance and (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (1) payments to volunteers under the Domestic Volunteer Service Act of 1973, (1) payments received under the Alaska Native Claims Settlement Act' United Stales that is held in trust far certain Indian tribes; (it) income derived from certain submarginal land of the Assistance Program; III payments or allowances made under the Department of Health and Human Services'Low•Income Home Energy I h fmlpayments received from the job Training Partnership Act W income derived hom the disposition of funds of the Grand River Bank of Ottawa Indians; and fromjudgment fundsawarded by the Indian Claims Commission or the Court of Claims. t (a) the Ml S200000 of per capita sharesrecelved 7. Do the persons whose income or contributions are included in item 6 abovr. (a) have savings, stocks, bonds, equity in real property or other form of capital In, laze oiling the values of necessary Items ul personal inn, ,•, pproperty such u furniture and automobiin and interests in Indian trust land) Yes or have they, suchas d of any assets (other than at a foreclosure ar bankruptcy sale) during the last two years al less than fair market valuu7 r „ .;, a1•.,.'a �, y , .„ ; , � s^psit^+,,^ Ib) Yn_—No Icy If the answer to (a) or Ra���yb�pveisyyes, does the combined total value of all such users owned or disposed of by all such persons total mare1h,n A SS,ODO7 Yes No(f D•w total assets) — W If the answer to (c) above is yes, slate: (1) the amount of income expected to be deerriIved from such assets in the 12•monlh period beginning on the dale ofinilial occupancy in the unit ' and (2) lhethaimouou nt of such inme to mG if any, thatwasIn in Item 6 above. the housing project in which the unit Is located , S. NNlher myseU nor any olhv occuppant of the unit Ilwe propose to rent is the owner of rental famllyrelaliouhip to the Owner, orowns directly or indirectly any interest to the Owner. For purposes of this "Owner"), hastrust (hercindler the any opartnership, estatcor inir held by the lndlvlduaion family member, paragraph, indirect awncrehip by an individual shall mean ownership by a family member,, ownership by a <orporalhad in proporti the owners hip or beneficial interest Insuch corporation,partnership, estate orTruslee and ownership, disci or Indirect by a partner of the Individual knowledge lhil it wEl be relied upod by the Ownesto determine maximum income for eligibllily to occupy the ;.;: (;••;-;••.-�.;, ^-:;^:^ 9. 7hla certificaleb made with the e. uNtandllwededare thLL all in(ormatlanaet foil herein biros, correct and complete and based up oninformalionllwedeem reliabblSneddurme 6 is reasonable and based upon such Invesligalion as the undersigned domed , .'; ,I ,• statement of total anlidpaled income contained to paragraph 1. ; \.Y„ :,,,"<.",;•, `.+,• ,.i,, '� necessary. log either an income eon made herein year. 10. Uwe will assist the Owner in obtaining any Information of f documents tax r turnsrequired the erifyimmediately dia stasly preceding from mylour employer(s) or copies o(federel lez returns for ilia Immediately preceding calendar year. verification present it. Uwe acknowledge that Uwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a the owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the . material breach of my/our agreement with unit by institution of an action for ejection or other appropriate proceedings. Uwe declare under penalty of perjury that the foregoing is true and correct. i"'.� •` �•i• •' • •.... T4 day of �x.sY"-1-4 Ia"S'i in the City of '"F+WPo2T 6G4tl'I ,California. .. Executed this j ... .. s Applicant ' �Ap iunl Applicant listed In number 2alxwe uyuircJl 19lgnalurcof all over age of 1l8 a years .. ... ,. FOR COMPLETION BY APARTMENT OWNER ONLY g Z1-f-gs�1•�2 •• ' • 1. Calculation of eligible incomr. • .. a. Enter amount entered for entire household In 6 above. b. (1) if the amount entered in 7(c) above bs greater than $5,000, enter the total amount entered in 7(d)(1), -.. ... • . • . , subtract from that figure he amount entered in 7(d)(2) and enter the remaining balance I$ ); rate as HUD to 12) Muldetelrminehe amount entered In 7(c) times the what the total annual earnings a the amount in 7(c)would bbeei(Nvested In passbook savings (g I, subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance(4 ); (3) Enter at right the greater of the amount calculated under (a) or (2) above 5 2 as�.'jz c. TOTAL ELIGIBLE INCOME (line 1A plus line I.b(3)): g • ...... a L The amount entered in 1.c ' • Qualifies the appbcant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate home household. Does not qualify the applicant(s) as a Low or Moderate Inom2}tihold. -4Z W 3. Number ofapartment unit assigned: i56' Bedroomsizr. Rent: IJ 4 In hewabovem manner upon heir Inititial occcupancy of the apartmenteriod of31 nttqualified them as Low orsons rM deatetIn Income anticipated naantsannual income as certified Yc�•:,• ,., •• c• ;. (_ , ,:,,:. 5. Method used to verify applicant(s) income. •^ Employer Income verification. Copies of taz returns, "' •, %� Other( Sw4L, sac u21'i (Lr iV EsAt7VP Manager BAYWOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION 1/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside In the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment Eu5tA ofts w+.on4G►2- Jan, OAV15 nryow- ey- _ tos- I%-ZgU3 C04a ftWrvtofile i M- 0-2151 STUDGME Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this aet'WRI of ail persons over the age of 18 years listed above for ' the 12-month period beginning the date that I/we plan to move into a unit is $M. Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; W the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling: (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or Irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational Institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (a) special pay to a household member who is away from home and exposed to hostile fire; (0 relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotment% for the purchase of food pursuant to the Food Stamp Act of 1977, (i) payments to volunteers under the Domestic Volunteer Service Act of 197.1; (1) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in tryst for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included In item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes n^ No; or (b) have they dispgssd of any assets (other than at a foreclosure or bankruptcy sale) during the last'two years at less than fair market value? Yes JJee No (c) If the answer to (a) or (b ove is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,0007 Yes ^ y' No ($ co total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be d ivgd from such assets in the 12-month period beginning on the date of initial occupancy in the unit, that you propose to rent: It and (2) the amount of such income, if any, that was included in item 6 above: $ O" 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual, 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10.,I,/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either.an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that Ilwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. in the City of r 5_W Po2T 6GWi , California. Applicant I Applicant (Signature of all persons over the age of 18 years listed in number above required) L 4 J FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: a. Enter amount entered for entire household in 6 above: b. (1) If the amount entered In 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered In 7(d)(2) and enter the remaining balance ($); (2) Multiply the mount entered In 7(c) times the current passbook savings rate as determined by HUD to determine 4tthe total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (S ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: 'e. TOTAL ELIGIBLE INCOME (line l,a plus line 11(3)): 2. The amount entered in l.c XQualifies the applicant(s) as a Low Income household. Qualifies the appticant(s) as a Moderate Income household. $ 21{1959•12 $ 7" $ Z* a511 iZ Does not qualify the applicant(s) as a Low or Moderate Income household. ejo 3. Number of apartment unit assigned: -rBedroom size: 2+2 Rent: —7$Z 4. This apartment unit(was/was not) last occupied for a period of31consecutivedaysbypersonswhoseaggregateanticipatedannualincomeascertified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: XEmployer income verification. — Copies of tax returns. x Other( 5004L- Manager Date INCOME RESTRICTED FINANCIAL WORKSHEET Project•_ Unit No. r, Fi Applicant's Name: E�MA 04yiS Annual Salary Others Residing in Unit: .7AN4 CAV15 Annual Salary Annual Salary Annual Salary Commissions/Bonuses Savings Accounts: Bank Balance x %= $ Bank Balance x %= S Bank Balance x %= S Interest Bearing Checking Account Bank Balance z %= S Bank Balance x % = $ Stocks/Bonds: Type Amount z % = S Trust Fund: Type Amount z % = S Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type 50(,16rL%.uaia4 �Et.96510 Annual S 12(0400*0`1 " Type TZETIOZY"Er.IT CBL*S54) Annual $ Z7 t 1 •'rz Type Annual $ Property Owned By Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME S 2y Sq •`?Z Maximum Annual Household Income Limit S BAYWOOD EXPANSION Unit No. TO: INCOME VERIFICATION Your employee has applied for a rental unit located in an affordable apartment project for persons whose annual income does not exceed established County Median Income limits. We are obliged to verify income statements on all prospective tenants for such units. Please indicate below your employee's current annual income from wages, overtime, bonuses, commissions or any other form of compensation received on a regular basis: Annual wages Overtime Bonuses Commissions Total current income I hereby certify that the statements above are true and complete to the best of my knowledge. Employe sipamce �� Dam I hereby grant you permission to disclose my income to Baywood Apartments in order that they may determine my income eligibility for rental of an apartment located in their project. AppHamt sipmmre Dice Please return to: Baywood Aparcmem 1 Baywood Drive Newport Beacb, California 92660 PAYER'S name, street aooress, coy, REVILLON INCORPORATED PENSION PLAN -3.33 7TH AVE. NEW YORK NY 10001 CORRECTED Gross eo3tnbuaan0 OMB M $ 2,711.72 111 2a r axab a amount � e Form wfmhew or PAYER'S Fedeol IdentiBoation number RECIPIENTS identification numter a cm e" °W1°'°°°""' or l s ranco premiums " ^"' ""' •" in employer's securitlea - -- __ this copy to •13-5625779 105-18-2903 $ $ ourrenum. This infonnatiori Account number (Optional) 7 DlsLnbution code ^" s Other Batch No.. Fie No., Co. Code Dept. No. 1997/4/00686 001060 82W 7 S % is being furnished to the cremeice.. 9a Your percentage of total 9b TotalEmployeeSeryEmployee Contributions RECIPIENTS name, street address, city, state, and ZIP Code EL I SSA DAV I S distribution % s 12 State distribution 10 State tax withheld 11 SntelPayer'a state no. 423 FAIR DRIVE #202 $ NY $ ' 13 Local tax wmhheld 14 Name of locality COSTA MESA CA 92626 is Local dbmbuuon s' s e.puhnad of th* Trs..wydmar" ll v s.rvim Form 1099-R ❑VOID ❑ CORRECTED PAYER'S name, street address, city. state, and ZIP code —on 1 toss dutrt won OMB M. 1545.Ot 19 Distributions From Pensions, Annuities, 2 , . 72 S Retirement or REVILLON INCORPORATED 2a axable amount 1997 Pro11t•Sharinq Plan, IRAs, ate. PENSION PLAN $ Form 1099-R Contracts, 333 7TH AVE. 21iTctax ;,a"` ddiiosmbutim LJ Copy NEW YORK NY 10 001 3Capdal gain included in a Fed" ed ryt IM tax For Recipient's withhold box 2a1 Records • s. s PAYERS Federal wenbhcatlon number RECIPIENTS identification numbm s wmdrigirmn lu 6 l^� urmall�,e�y secir^aea °" 13-5625779 105-18-2903 $ s This information Account number (Optional) 7 Distribution code a Odar is being famished 7 ❑ S % to the Internal Bunch No File No. Co. Code Dept. No. 1997/4700686 001b60 82W 9aYourpercentageoftotal 9bTotal EmpleyaaContnbutiora Revenue Service. RECIPIENTS name, street address, city. ante, and ZIP Cade EL I SSA DAV I S •• distribution % to state tax wNdaW S tt StatalPayer's state no. 12 stata diatlibution 423 FAIR DRIVE #202 s NY s COSTA MESA CA 92626 13Local tax wdhlaw t4NaradloWky t5Local daftubon Form 1099-R (keep rot your records.) D.paYa.d or tM Tn.awY'faMa.n aswraasuvlw ❑VOID CORRECTED 1 Grow o OMB No.1515.0118 �oma From PAYER'S name. street address, city. state, and ZIP code 2j,711.72 or S' 1gFarm REVILLON INCORPORATED �^W^` 99-R •� �. PENSION PLAN �t000ttdatermhrd amountLidNabtrtlort T�yl , , Li I 333 7TH AVE. NEW YORK NY 10 001 "; 3 Capes gain (Included in 4 Fed" : ax Copy 2 File tills copy s our'litatse . e` y-PAYERS Federal kienliftallOn number. ...••,. �- .. _'96%5779 a _ ,. i s +T V • •� C , tr YYr• .' ault0ei�pp�gyq r. c- � tl�e'fiCJ t1 '�fsN+R''..1Cb'ks' 14Yi��,f.��ir •: ,+.•�,r e•.,•.!•�e 'Qf.'MfT..+. Z�I 5'aLK mgetc 4. 0ea of WA wTaWEmplo�l!!odttl6rswtls �r�quind 1997' 0�686'°0 11060 $lW 'v •11c4r., en 1• ., :, . krr: .. �•kry ..., . �IkhlbuBon 4wr;'.•N':. ++e �••• � ,, atli ;i{a'.•.7• „ ■ , syiriis"61N.�1sY:i`e321Pi� y Q.`�'¢• :,:...a' % S 5.,, i'..a4�«w .a.R t.'t�TSs Y a� d� T 1 la �RIVa �O^y 1Llm„L Y '$ '':, �-�+: R V. ►l �2020e fie."e:.(;.. rail H:7 t.*>�m •fir~ _ tr „x• a' '-34'ts,..+-WWt 0•-.:JeF•„Hf,1 stRis'�V.7.\•e t�,<. .• '+I'�:!'1 'eW' `pJJ rvw ��,, • ►Social Security.. kministratioll 1926. . Rkirement, Survivors, and Disability Insurance Notice of Change in Benefits Northeastern Program Service Center 155-10 Jamaica Avenue Jamaica, New York 11432-3830 Date: January 31, 1998 Claim Number: 105-18-2903 A ELISSA DAVIS 423 FAIR DR APT 202 COSTA MESA CA 92626.6255 ILlrrrdrLllrrrrLLllrrrllrrrrl,Llrlyddrrrl,l„IlrrrLll We are writing to give you new information about the retirement benefits which you receive on this Social Security record. Your Danefits We raised the monthly benefit beginning August 1991 to correct your benefit amount. What we Will Pay • The next check you receive will -.be for $628.00, which is the money you are due through january 1998. • Your next scheduled payment of $1,054.00 which is for February 1998, will be received on or about the third of March 1998. • After that you will receive $1,054.00 on or about the third of each month. Information About Medicare We will continue to deduct Medicare premiums from your monthly checks. Do You Think We Are Wrong? If you think we are wrong, you have the right to appeal. We will correct mistakes. We will look at any.new facts you have. Then a person who did not make the first• decision will decide your case again.. • You have 60 days to ask for an appeal. SEE NEXT PAGE BAYWOOD Unit No. 3 -:23 2A`II.Ucon U «aa • • wlkw "MA, a • • I/We hereby certify to Western National Property Management Company, as Agent for r1he Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the �ligible income* of the undersigned does not exceed $ dollars. ($ & R .00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and cmmnissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers, compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. _. Income earning household members: �/ Z-2-2 By: ('-�/ _ Date Res ent Julie Stull Resident Resident Resident BAYWOOD Unit No. 743 Aiderwood Drive CERTIFICATION OF CONPI = HOUSEHOLD ELIGIBILITY I/we hereby certify to Western National Property Management Cerny. as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 000 dollars. ($ 600D = .00) . * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay, severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that western National Property Management Company, as Agent for The Irvine Company, and the city of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Teased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the city of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. income �g household members: By: Date nesitWPauarH-icks Hicks nc=;rlan1- Resident Resident BATWOOD EXPANSION 0 • • • INCOME COMPUTATION AND CERTIFICATION •• We, the undersi ned stale that Ilwe have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in Ilie above apartment project. Listed below are the names of all persons who intend to reside in the unit 1. 2. 3. 4. 5. Nameof Members Relationship of the to Head of Household Social Securitl• Place of Household .. Household Ace Number Emnluement WONh1E VLH-�+ NAC —Ljj / GL,F %3 S�'F9 d{i0-i ezn/)m Income Computation 6. The total anticipated Income, calculated in accordance with the provisions of lhi52gfpp[UILP rb u persons over the age of IB years listed above for the 12-month period beginning the dale that I/we plan to move Into a unit is S Included in the total anticipated Income listed above are: lamm ) all wag" and salaries, overtime pay, cxissiuns, fenon , tipsand bonuses and othercompensation forpersal services, before payroll deductiunc (b) the net income from the operation of a businessor profession or from the rental of real or personal properly (without deducting expenditures for business expansion or Amortization of capital indebtedness or any allowance for depreciation of capital asselsk (c) interest and dividends (Including income from assets included belowb fill the full amount of periodic payments received from social security, annuities, Insurance policies, retirement funds, pensions, dimbihty or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment, (e) payments in lieu of eamings, such as unemployment and disability compensation, workers' compensation and severance pay, (q the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the hold of the household or spouse, and (I) any earned income lax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are•. (al casual, spuradic ar irregular pills; (b) amounts which are specifically for or in reimbursement of medical expenses: (c) turn sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers compensation), capitol gains and settlement for personal or properly losses; (d)amounts of educational scholarships paid directly to the student or the educational institution, and amounts Ford. by the government to a , veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts ofsuch scholarships or payments to veterans not used for the above purposes arc to be included in Income); (e) special pay to a household member who is away from home and exposed to hostile fire, (1) relocation payments underTille II of the Uniform Relucalion Assistance and Real Properly Acquisition Policies Act of 197U (g) foster child carepayments; Ih) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of IM, 111 payments to volunteers under the Domestic Volunteer Service Act of 1973, II) payments received under the Alaska Native Claims Settlement Act; (Is) income derived from certain submarginal land of the United Slates that is held in (rust for certain Indian tribes; (11 payments or allowances made under the Department of Health and Human Services'Law-Income Home Energy Assistance Program; Intl payments received from the job Training partnership Act; ) (n)income derived from the disposition offends of the Grand River Bank of Ottawa Indiana; and (ul the first SA000.00 of per capita shares received from judgment Ponds awarded by the Indian Claims Commission or the Court of Claims. 7. Du the persons whose Income or contributions are included in Item 6 above (a) have savings, stocks, bonds, equity In real properly or other form of capital love@tmenl (excluding the values of necessary Items of personal (d if the an s r to or(bl above lay SS,gp? =Yn _No U fill If the answer to (c) above is yes, at (1) the amount of income expected that you propose to rant: g— (2) the amount of such income, If It. Neither myself nor any other accupsi (hereinafter the "Owner"), has any fan PParagnplu indirect ownership by an It in proportion to the ownership or bens and ownership, direct or Indirect, by a 9. This certificate is made with the know a foreclosure or bankruptcy sale) during the last two years at less than fair market value? fted total value of all such assets owned ordisposed of by all such persons total more than total assets) from such assets in the 12•month period beginning on the date of initial occupancy in the mot and IIt.42-04 scluded In Item 6 above S /we propose to rent is the owner of the rental housing project in which the unit is located Ip to the Owner, or owns directly or Indirectly any Interest in the Owner. For purposes of this upon by the Owner to determine maximum income for eligibility to occupy Ihv :orrect and complete and based upon Information Iiwedeom reliable and Thal the statement of told anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. 11" will assist the Owner In obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the Immediately preceding calendar year. 11. I/we acknowledge that Uwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of mylouragreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by Institution oram action for election orolher appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. � / f /, ( . 1 Executed this �__L_�day of C` �r. l C f•� l t l s in the City of - MEW EM-17 l' , California. '1 f Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in numher 2 atone nyuindi FOR` COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income. s- o. Enter amount entered for entire household in 6 abovr. b. (1) If the amount entered in 7(c) above is greater than $5,BDO, enter the total amount entered kk7(d)(U, subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance (S k (2) Multiply the amount entered in 7(c) times the current passbook savings rate u determined by HUD to determine at the total annual earnings on theamountin7(c) would be lfinvested in passbook savings (S subtract from that figure the amount entered in 7(d)(2) and enter the remaining bat+race lS , (3) Enter at right the greater of the amount calculated under(a)or(2)above: $ c. TOTAL ELIGIBLE INCOME (line IAplus line l.b(3)): S 251o�t.�q 2. The amount entered in l.e _ QuaiifintheappII,,m(s) n a Low income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicannt(s)�as as Low or Moderate Income household. 3. Number of apartment unit assigned: "I1ed=msI= dry' Rene Aylo 4. This apartment unit (was/was not) last occupied fora period of31 consecutive days by persons whoseaggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. S. Method used to verify applicants) incomr. Employer income verification. Capin of tax returns. �. Other( MVE6T VNT 5-11, t2 17) `JOurst., 7ULV�rM1f -- r''s , Mamger Date .. INCOME RESTRICTED FINANCIAL WORKSHEET Project Y lQ0 rt Unit No. 3,43 Applicant's Name: YVONIIG t"—NG12A-Tq Annual Salary Others Residing in Unit: Annual Salary $ Annual Salary Annual Salary Commissions/Bonuses Savings Accounts: Bank Balance x %_ $ Bank Balance x %_ $ Bank Balance x %= $ Interest Bearing ^� / Bank p I RAW). (A RI(S �i' W) Balance Ifa l7b.Ux �t !i %= $ 3�+S•� Checking Account Bank Balance x %= $ TEVAEGUt4 WV01VnSvJT CI-1-35nUp tz 000 OOD CIEVd4aa irlVe,7T"69r Go. �50co i_ Stocks/Bonds: Type V49UAy rr. Amount ZOISr D• M I.3tK% = $ zGt .cn VW m5eczr •74S01;77 Co•e63% 5092.1E9 T und: Type Amount x %o = Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental(lss�upport, etc.) Show calculation, how Annual is arrived at! ( / Type � ocy"I' . Sewl`/ Annual $ 13 415. bU Type Annual $ Type Annual $ Property Owned By Resident: Address Equity TOTAL ANNUAL ELIGIBLE INCOME $ 2) 10� 4'7-707.00 Maximum Annual Household Income Limit $ '255izrr-�� Gnann gcn_inga — SOCIAL SECURITY BENEFIT STATEMENT 'PART 1 �J OF YOUR SOCIAL SECURITY BENEFITS SHOWN IN BOX 5 MAY BE TAXABLE INCOME. r SEE THE REVERSE FOR MORE INFORMATION. Box 1. Name Box 2. Beneficiary's Social Security Number YVONNE H PENBERTHY 549-38-9705 Box 3. Benefits Paid in 1997 Box 4. Benefits Repaid to SSA in 1997 Box S. Net Benefits for 1997 (Box 3 minus Box 4) I $13,425.60 1 NONE U3,425.60 DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN BOX 4 Paid by checkor direct deposit $12,900.00 Medicare premiums paid for you $525.60 Total Additions $13,425.60 NONE Box 6. Voluntary Federal Income Tax Withheld NONE Box 7. Address YVONNE li PENBERTHY 1601 KNOX CIRCLE CORONA CA 91719-1151 Box S. Claim Number (Use this number if you need to contact SSA.) 565-32-3333D Farm SSA-1099-SM (1.98) DO NOT RETURN THIS FORM TU ,66A Ur+ irw Social Security Administration Western Pro ram Service Center, P.O. Box 4061 Richmond, CA 94802 -0061 OFFICIAL BUSINESS PENALTY FOR PRIVATE USE. S300 g7990RItE020 0039364 C FIRST-CLASS MAIL M06 POSTAGE AND FEES PAID 1 SOCIAL SECURITY ADMINISTRATION PERMIT NO. G-11 ************* 5-O[GIT 9L718 YVONNE H PENBERTHY 16OL KNOX CIRCLE CORONA CA 91719-LL51. 0732-883624 W WELLS FARGO BANK WELLS FARGO BANK, N.A. #0601 P.O. BOX 6995 PORTLAND, OR 97228-6995 I Ill all III url n 1111 1111 CALL 1-800—TO—WELLS YVONNE PENBERTHY N (1-800-869-3557) 1601 KNOX CIRCLE 22 24 HOURS/DAY, 7 DAYS/WEE! CORONA CA 91719-1151 FOR ASSISTANCE WITH YOUR ACCOUNT. PAGE 1 OF 2 THIS STATEMENT'COVERS: 1/22/98 THROUGH 2/19/98 STAGECOACH SUMMARY CHECKING 0732-883624 PREVIOUS BALANCE 16,678.12 MINIMUM BALANCE 15,139.90 DEPOSITS 1,680.32+ AVERAGE BALANCE 16,274.29 CONVERTED FROM WITHDRAWALS 2,181.82— FIRST INTERSTATE TELEPHONE BANKING CALLS .00— ACCOUNT POINT OF SALE USAGE FEE .00- 339634022 MONTHLY CHECKING FEE AND OTHER CHARGES .00— ► NEW BALANCE 16,176.62 ***IMPORTANT NOTICE*** EFFECTIVE MARCH 2, 1998, THE MINIMUM DAILY BALANCE NEEDED TO WAIVE THE MONTHLY YOUR TO REFER TOOYOURHERE MINIMUMLBE BALANCE NO CHANGE NOTED MONTHLYACCOUNT SERVICEWILL TORTHEES9EOOON ABOVE TO SEE IF THIS CHANGE FEE.INCREASE PLEASE WILL IMPACT YOU. IF YOU ARE UNABLE TO MAINTAIN THE MINIMUM DAILY BALANCE NEEDED TO WAIVE THE MONTHLY SERVICE FEE, PLEASE CALL US IMMEDIATELY SO WE CAN DISCUSS WAYS TO REDUCE YOUR MONTHLY SERVICE FEES. YOU ARE A VALUED CUSTOMER AND WE WANT TO ASSIST YOU IN EVERY WAY POSSIBLE. CHECKS AND CHECK DATE PAID AMOUNT CHECK 2950 DATE PAID 2/02 AMOUNT 19.48 WITHDRAWALS 2931 1/22 2939* 1/22 429.04 130.00 2951 2/02 49.65 2940 1/22 36.71 2952 2/03 100.00 2942* 1/28 28.33 2953 2954 2/17 2/11 140.00 86.58 2943 1/29 2944 1/28 150.00 16.94 2955 2/12 28.75 2945 2/02 357.46 2956 2/12 2/17 51.76 17.04 2946 1/30 2947 2/02 226.22 49.10 2958* 2959 2/13 73.40 2948 2/02 28.85 2960 2961 2/17 2/18 129.98 16.09 2949 2/02 16.44 DATE POSTED AMOUNT DEPOSITS CUSTOMER DEPOSIT 2/03 2/03 81.32 500.00 CUSTOMER DEPOSIT US TREASURY 312 SOC SEC 565323333D SSA 2/03 11099.00 YVONNE H PENBERTHY DIRECT OUTSTANDING BALANCE $0.00 OUTSTANDING AS OF THIS BALANCE STATEMENT $0.00 DEPOSIT AS OF LAST STATEMENT ADVANCE CONTINUED MEMBER FDIC © =INTED ON RECYCLED PARER 7732-883624 rWELLS FARGO BANK WELLS FARGO BANK, N.A. P.O. BOX 6995 PORTLAND, OR 97228-6995 YVONNE PENBERTHY 1601 KNOX CIRCLE CORONA CA 91719-1151 #0601 ..... ..... ..... . CALL 1-800-TO-WELLS N (1-800-869-3557) 30 24 HOURS/DAY, 7 DAYS/WEEK FOR ASSISTANCE WITH YOUR ACCOUNT. (PAGE 1 OF 2 THIS STATEMENT COVERS: 12/18/97 THROUGH 1/21/98 STAGECOACH CHECKING 0732-883624 CONVERTED FROM FIRST INTERSTATE ACCOUNT 339634022 CHECKS AND WITHDRAWALS (DEPOSITS 39"rl�Ll:�l PREVIOUS BALANCE 16,838.40 MINIMUM BALANCE 16,526.15 DEPOSITS 1,740.89+ AVERAGE BALANCE 16,933.87 WITHDRAWALS 1,901.17- TELEPHONE BANKING CALLS .00- POINT OF SALE USAGE FEE .00- MONTHLY CHECKING FEE AND OTHER CHARGES .00- NEW BALANCE 16,678.12 ***IMPORTANT NOTICE*** EFFECTIVE MARCH 2, 1998, THE MINIMUM DAILY BALANCE NEEDED TO WAIVE THE MONTHLY SERVICE FEE ON YOUR ACCOUNT WILL INCREASE TO $1,000. THERE WILL BE NO CHANGE TO THE 09.00 MONTHLY SERVICE FEE. PLEASE REFER TO YOUR MINIMUM BALANCE NOTED ABOVE TO SEE IF THIS CHANGE WILL IMPACT YOU. IF YOU ARE UNABLE TO MAINTAIN THE MINIMUM DAILY BALANCE NEEDED TO WAIVE THE MONTHLY SERVICE FEE, PLEASE CALL US IMMEDIATELY SO WE CAN DISCUSS WAYS TO REDUCE YOUR MONTHLY SERVICE FEES. YOU ARE A VALUED CUSTOMER AND WE WANT TO ASSIST YOU IN EVERY WAY POSSIBLE. PLEASE READ THE ENCLOSED "NEW FEE SCHEDULE" FOR INFORMATION ON CHANGES TO SOME MISCELLANEOUS FEES. CHECK DATE PAID AMOUNT CHECK DATE PAID AMOUNT 2907 12/18 9.80 2922 1/06 47.75 2908 12/19 65.60 2923 1/05 100.00 2909 12/19 71.02 2925* 1/07 31.05 2910 12/19 37.90 2926 1/12 140.00 2911 12/19 28.68 2927 1/14 55.65 2912 12/19 50.00 2928 1/12 20.22 2913 12/22 42.58 2929 1/12 40.00 2914 12/23 33.00 2930 1/12 240.39 2915 12/22 11.90 2932* 1/12 46.93 2916 12/22 100.00 2933 1/12 47.14 2917 12/22 200.00 2934 1/13 29.19 2918 12/23 30.00 2935 1/13 95.26 2919 1/21 25.00 2936 1/16 70.58 2920 12/26 25.00 2937 1115 13.43 2921 12/29 95.40 2938 1/16 35.50 SAFE DEPOSIT ANNUAL FEE CA-W749-907 12/23 60.00 DATE POSTED AMOUNT CUSTOMER DEPOSIT 12/22 543.63 BANK ORIGINATED ENTRY 12/23 5.00 CONTINUED MEMBER Foic c�-OINT-cD ON RECYCLED PAPER - GUARANTEE E TRUST CO TTEE FBO YVONNE H PENBERTHY R—IRA DTD 5/8/97 1601 KNOX CIRCLE CORONA CA 91719-1151 YOUR INVESTMENT REPRESENTATIVE IS: MARK A. HOPPE 610 NEWPORT CENTER DRIVE, SUITE 550 NEWPORT BEACH, CA 92660 IRX 485-153 PHONE 714-719-1800 TOLL FREE (800) 995-8562 MONEY MARKET FUND 7 DAY AVERAGE YIELDS FOR CURRENT YIELD INFORMATION PLEASE CONTACT YOUR INVESTMENT REPRESENTATIVE rz ASSETS [ .; %;: ..':i2'.'''."�r';vp•; �1,i%"� �,t LIABILITIES £ ``:�ii.�,.•• ,;b`. PERCENT OF YOUR AMOUNT PORTFOLIO AMOUNT CASH CASH MONEY FUNDS 339.03 2 % MARGIN LOAN CD'S SHORT OPTIONS MUNICIPAL ASUES OTHER SHORT SECURITIES GOVT SECURITIES CORPORATE ISSUES CONVERTIBLE BONDS STOCKS 19,819.00 98 OPTIONS MUTUAL FUNDS LTD PARTNERSHIPS / OTHER ✓ NET VALUE OF YOUR ACCOUNT' $ 20,158.03 CURRENT ESTIMATED YIELD 1.31 X EXCLUDES UNPRICCD,SECURITIES ESTIMATED ANNUAL INCOME $265.00 .vr� s� , ,.%,o..,. -:fiw. r$.sli-=g`.y'�;+i•.; ;';%:,'�/"•,�ii;ems FUNDS DEPOSITED AND WITHDRAWN �,�� �s � %•=. v.. ••�%� f £ `'� s. si%�,�fi.'i•sj ���-:s� �i/ / %� fy'�//!.''%i ��"i:• INCOME/EXPENSE SUMMARY �� %j••�oy� � �,'%�����' -%''�r INCOME DIVIDENDS CORP/GOVT INT OTHER TAXABLE INT LIQUIDATIONS CAPITAL GAINS NON -TAX DIV NON -TAX INT LTD PARTNERSHIPS THIS THIS EXPENSE PERIOD YEAR 46.16 46.16 INTEREST CHARGES U.S. TAX NON-RES TAX FOREIGN TAX THIS THIS PERIOD YEAR PAGE 1 Arrnt INT f PRPIFD EY ET ALEX BPON/N INCORPORATED M S POSITIONS IN YOUR ACCOUNT,,'- � �,�;,,. %��� �����y'• �' irf/r/ri %rirr /r �5"i:'r / it r//� / ��.r £„i rrr:/r �'%:9r. r'N•� %ri �':r ///'K rr:'%N�wri�4 . rr i" r rri'.r' ri ri 9 n/ i •DESCRIPTION SYMBOL PRICE MKT VAL I . 4"- Z I TYPE UANTSTY )HEY FUNDS 339.03 QUALITY CASH RESERVE PRIME SHS 1.000 339 4.710 15 CASH POCKS AND OPTIONS KO 64.750 8,094 .864 70 CASH 125 COCA COLA CO 100 MERCK & CO INC MRK 117.250 11,725 1.535 180 CASH »»»»»» YOUR PR1CLU FUKII'UI.IU ACTIVITY IN YOUR ACCOUNT - INCOME ACTIVITY IN YOUR ACCOUNT DESCRIPTION RATE AMOUNT TYPE DATE ACTIVITY 01/02/98 DIVIDEND MERCK & CO INC 45.00- CASH CASH DIV ON 100 SHS REC 12/05/97 PAY 01/02/98 01/27/98 DIVIDEND QUALITY CASH RESERVE PRIME SHS 1.16- CASH SECURITY PURCHASES AND SALES DATE ACTIVITY QUANTITY DESCRIPTION PRICE AMOUNT TYPE 01/05/98 PURCHASED 45.00 QUALITY CASH RESERVE PRI SWEEP 1.00 45.00 CASH 01/27/98 FUND REINV 1.16 CASH RESEENDREINVESRVE MEDSHS 1.00 1.16 CASH MQUALITY ONTHLY DIVI ALANCE BV TVPE OPENING BALANCE [BCCLOSING BALANCE CASH ACCOUNT ,00 .00 MARGIN ACCOUNT •00 •"" INCOME ACCOUNT '� - SHORT ACCOST m__ _ _ OTHER ACC00UH0TS OO COMBINED ACCOUNTS .Oo YOUR STANDING INSTRUCTIONS ARE: THE UANUARY 1998 VAN KASPER REVIEW: PURCHASES: HOLD SECURITIES IN STR^r-rT NAME TSUNAMI WATCH IS AVAILABLE FROM YOUR INVESTMENT SALES: CREDIT PROCEEDS TO ACCOUNT REPRESENTATIVE. INCOME• HOLD IN ACCOUNT END OF STATEMENT PAGE 2 r, r 1rr cr-: ^' T-l^ r-Jcr-,jrPIT rrn 4;rr`p,lr TAV PljPPO-r- YVONNE H PENBERTHY 1601 KNOX CIRCLE CORONA CA 91719-1151 YOUR INVESTMENT REPRESENTATIVE IS. MARK A. HOPPE 610 NEWPORT CENTER DRIVE, SUITE 550 NEWPORT BEACH, CA 92660 IR# 485-153 PHONE 714-719-1800 TOLL FREE (800) 995-8562 MONEY MARKET FUND 7 DAY AVERAGE YIELDS FOR CURRENT YIELD INFORMATION PLEASE CONTACT YOUR INVESTMENT REPRESENTATIVE ASSETS :",.-'•.:'.,:""_; ,-i.:-,• LIABILITIES : ;. PERCENT OF YOUR AMOUNT PORTFOLIO AMOUNT CASH CASH MONEY FUNDS 22,623.67 30 % MARGIN LOAN CD'S SHORT OPTIONS MUNICIPAL ISSUES OTHER SHORT SECURITIES GOVT SECURITIES CORPORATE ISSUES CONVERTIBLE BONDS • STOCKS 51,937.00 70 OPTIONS MUTUAL FUNDS LTD PARTNERSHIPS OTHER ... . , . 11 lle 1v I iohilifiec 4 .00 _ NET VALUE OF YOUR ACCOUNT' $ 74,560.67 CURRENT ESTIMATED YIELD B.a3 x . EXCLUDES UNPRtcEU sEcuRinIES - -ESTIMATED ANNUAL INCOME $S,060.00 FUNDS DEPOSITED AND WITHDRAWN •'i%,?1„_, '' ,,, ;';s '; '. `;%f ":,:•�/%ii,..;y�i4/J%w:'i�i wq'j INCOME/EXPENSE SUMMARY THIS THIS INCOME PERIOD YEAR EXPENSE DIVIDENDS 81.66 81.66 INTEREST CHARGES CORP/GOVT INT U.S. TAX OTHER TAXABLE INT NON-RES TAX LIOUIDATIONS FOREIGN TAX CAPITAL GAINS NON -TAX DIV NON -TAX INT LTD PARTNERSHIPS THIS THIS PERIOD YEAR PAGE I I Mi �l "��•` " ""''` N YOUR T:.•,, ACCOUN " _�� " �;:_�;': : • "�," ;:' <;,,'.'s;:. /Sa s�:;.,• POSITIONSI �i%' ; .•r"%%�" �•" • •• �• •. /)NEY PRICEM22,6244.710 TYPE UANTITY DESCRIPTION SYMBOL FUNDS 22,623.67 QUALITY CASH RESERVE PRIME SHS 1.00p 1,065 CASH POCKS AND OPTIONS1,000 I-8% CUM QUARTERLY CPZPRA 25.875 25.. 2,000 CA CPL CAPITAL INCOME PFD SECS (QUIPS) SER A DUE 4/30/2037 (BOOK ENTRY) RELIASTAR FINANCING II-8.10% RLRPRB 26.062 26.062 7.769 2,025 CASH 1,000 CUM TRUST ORIGINATED PFD SECS (TOPRS) DUE 6/3/2027 (B/E) wmwm YOUR PRICED PUK'lkVLlU «««««« a:�,_� ;. ACTIVITY IN YOUR ACCOUNT INCOME ACTIVITY IN YOUR ACCOUNT DESCRIPTION RATE AMOUNT TYPE DATE ACTIVITY QUALITY CASH RESERVE PRIME SHS 81.66- CASH 01/27/98 DIVIDEND SECURITY PURCHASES AND SALES DATE ACTIVITY QUANTITY DESCRIPTION PRICE AMOUNT TYPE 01/02/98 PURCHASED 1,006.25 QUALITY CASH RESERVE PRI SWEEP 1.00 1,006.25 CASH 01/27/98 FUND REINV 81.66 MQUALITY ONTHLY CASH RESEENDREINVESRVE MED SHS 1.00 81.66 CASH DIVI BY TYPE CASH ACCOUNT MARGIN ACCOUNT INCOME ACCENT SHORT ACCOU0N0T OTHER ACCOSTS OU COMBINED IAOO6.25CRl BALANCE OPENING BALANCE 1 006.25CR •00 00 00 ,00 rLOSINO BALANCE 00 00 00 THE JANUARY 1998 VAN KASPER REVIEW: TSUNAMI WATCH IS AVAILABLE FROM YOUR INVE REPRESENTATIVE. VOUR STANDING INSTRUCTIONS ARE: PURCHASES: HOLD SECURITIES IN STREET NAME SALES: CREDIT PROCEEDS TO ACCOUNT END OF STATEMENT PAGE 2 Ei EASE RETAIN THIS STATEMENT FOR INCOME TAX PURPOSES 10732-883624 11 ..... ..... ..... �+ WELLS FARGO BANK, N.A. P.O. BOX 6995 PORTLAND, OR 97228-6995 YVONNE PENBERTHY 1601 KNOX CIRCLE CORONA CA 91719-1151 #0601 CALL 1-800-TO-WELLS N (1-800-869-3557) 28 24 HASSISTANCE75/WEEK WITH FOR YOUR ACCOUNT. i PAGE 1 OF 2 THIS STATEMENT COVERS: 11/21/97 THROUGH 12/17/97 J STAGECOACH SUMMARY CHECKING 0732-883624 PREVIOUS BALANCE DEPOSITS CONVERTED FROM WITHDRAWALS FIRST INTERSTATE TELEPHONE BANKING CALLS ACCOUNT POINT OF SALE USAGE FEE 339634022 MONTHLY CHECKING E OTHER CHARGES CHECKS AND WITHDRAWALS DEPOSITS DIRECT DEPOSIT ADVANCE 21,490.55 2,516.76+ 7,168.91- .00- .00- .00- MINIMUM BALANCE 16,838.40 AVERAGE BALANCE 19,014.97 NEW BALANCE 16,838.40 USE YOUR EXPRESS CARD TO MAKE POINT OF SALE (A $1.00 MONTHLY PURCHASES FEE MAY APPLY.) AT PARTICIPATING RETAILERS. TRY IT TODAY AT SUPERMARKETS ... GAS STATIONS... DRUG STORES... AND THE BACK OF YOUR CARD! MORE --WHEREVER YOU SEE THE SYMBOLS ON CHECK DATE PAID AMOUNT CHECK 2892 DATE PAID 12/02 AMOUNT 58.15 2869 2879* 12/17 11/21 3.99 55.13 2893 12/03 12/03 32.31 35.97 2880 11/25 112.55 112.15 2895* 2896 12/03 18.90 2881 2382 11/24 12/03 543.33 2897 12/04 12/05 182.48 45.94 2883 11/25 49.12 59.59 2898 2899 12/05 128.00 2884 2885 11/25 11/24 100.00 2900 12/12 12/10 140.00 14.97 2886 12/02 65.60 40.14 2902* 2903 12/12 6.81 2887 2888 11/23 12/01 10.19 2904 12/15 12/16 53.29 66.03 2889 2890 12/02 12/01 30.88 5,000.00 2905 2906 12/16 28.23 129.44 2891 12/02 45.72 12/10 DATE POSTED; AMOUNT CUSTOMER DEPOSIT SEC 565323333D SSA 11/24 12/03y 1,436.76 1,075.00 US TREASURY 312 SOC YVONNE H PENBERTHY 12/05 5.00 BANK ORIGINATED ENTRY OUTSTANDING BALANCE $0.00 OUTSTANDING BALANCE AS OF THIS STATEMENT 50.00 AS OF LAST STATEMENT NEEDTO PAY A BDEPOSIT ILL T'S DUE BADVANCETOORE YOUR XPAYCHECK? USE OF DIRECT YOUR DIRECT DEPOSIT RECEIVE INCOME AHEAD UP TO OF TIME! CONTINUED Q P4iMTED N RECYCLED PAPER 0 r� u M ofc'k 16, ► %q PROMISSORY NOTE For value received Temecula Investment Company, Inc., a California corporation, and Roger W. Epperson, jointly and severally, promise to pay to Yvonne E. Penberthy or her assigns, or order, at Irvine, California, the principle sum of Twenty -Five Thousand Dollars ($25,000.00). Interest on said sum shall accrue at the rate of twelve percent (12%) per annum and be payable, interest only, monthly on or before the fifteenth (15th) day'of each month. The entire principle balance of this Note shall be due and payable no sooner then eighteen (18) months, nor later than thirty-six (36) months from the making hereof. This Note shall be secured by a pledge of the partnership interest in False Front, a California general partnership, by the makers hereof. Should an attorney be employed in order to enforce collection of this Note, we promise to pay such sums as shall be fixed as and for attorneys fees. In the event that a payment shall not be received within five (5) days of the due date, a ten percent (10%) late charge shall be assessed and payable immediately. Temecula Investment Company, Inc., a California Corporation •.A_ • • - • As an individual: ����pMWW �•;� ••_ • ww&N Izndn 002 C� 11 PROMISSORY NOTE (n onti 5, l a9(0 For value received Cleveland Investment Company, Inc., a California corporation, Wk and Neal M. Cleveland, jointly and severally, promise to pay to Yvonne E. Penberthy or her assigns, or order, at Irvine, California, the principle sum of Twenty -Five Thousand Dollars um an00-00). Interest on said sum nd be payable, interest only, monithly accrue or before the t befo ethe fifteenth (15th) daye of twelve percent of perannof each month. The entire principle balance of this Note shall be due and payable no sooner then eighteen (IS) months, nor later than thirty-six (36) months from the making hereof. This Note shall be secured by a pledge of the partnership interest in False Front, a California general partnership, by the makers hereof. Should an attorney be employed in order to enforce collection of this Note, we promise to pay such sums as shall be fixed as and for attorneys fees. In the event that a payment shall not be received within five (5) days of the due date, a ten percent (10%) late charge shall be assessed and payable immediately. Cleveland Investment Company, Inc., a California Corporation By _"L - - Nedl M.We As an individual: l- Neal M. Cleveland c Wewwtl iandnem 001 Unit No. 341 Baywood Drive a ■ • • •• ■ a• • • • ■: ■ I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occvpant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible of the undersigned does not exceed $ 7)&C ($ 3tc.eCG 00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' cmppevsation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: BY: Date gnsid �imara Prad�t Resident • BAYWOOD Unit No. 656 Alderwood Drive C RI=CATION OF CONTSNUID HOUSEHOLD ELIGIBMM I/We hereby certify to Western National Property Management Company, as Agent for the Irvine Company, that: 1. the undersigned is to be the only income earning occupants) of the Leased Premises, and 2. as of the date specified below, the total annual eligible inane* Of, the and igned does not exceed $ �� �'_ dollars. ($.00). * included in the total annual eligible income are: wages, ties, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' coapensation and disability pay; severance Pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for ocoopancy of the Teased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of Per7urY in Ne�;port Beachl California. / 1 Income earning househoid;.•mem>bers: Resident Dawn Nor Resident Resident j F—ME .ice El BAYWOOD Unit No. 356 Baywood Drive CEEUIFICATION OF cmnm = HOUSEMID ELSGIBILIIY I/We hereby certify to Western National. Propert-Y Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning oc Vryt(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ IT- dollars. ($--- / OD .00). * included in the total annual eligible income are: wages, tips, Ovprtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' sensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Lased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. T1re undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. income earning household ;ZX 9S' By: Date Resident Resident Resident " - BAYWOOD Unit No. 735 Alderwood Drive I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed dollars. ($11, avc .00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and eon¢oissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance) - The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the city of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises' The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the city of Newport Beach. This certification is made under penalty of perjury in Newport Beach, California. Income earning household members: n I , lu�-4By: �! N ident Samara Vesely Resident Resident Resident Unit No. 513 Baywood Drive M71 ■ r• • • .• 7�• • a • • 71 ■: ■ I/We hereby certify to Western National Property Management Cagoe' y, as Accent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupants) of the Leased premises, and 2. as of the date specified below, the annual eligible income* of the undersigned does not exceed $ Y G� C� dollars. ($ G` .. G .00) . * included in the total annual eligible income are: wages, tins, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance)• The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Based Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occu;xuxy of the Leased Premses• The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Date � 5S1" 3�a • �` �' Income earning household memds: Resident ode Resident Resident Resident BAYWOOD Unit No. 783 Alderwood Drive C=IFICA`FION OF CWTINM hOUSEHOOID ELIGIBILITY I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Ccipany, that: 1. the undersigned is to be the only income earning occuPant-(s) of the Leased Premises, and 2. as of the date specified below, the totalannual eligible income* of the undersigned does not exceed $' ($ 00) . * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or Pensions, and disability benefits; workers' c^mpen_sation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the A=nd Fores (to exclude hostile fire allowance). The undersigned acic cwlge(s) that Western National Property Management Ccmcany, as Agent for The Irvine Company, and the City of Ne<aport Beach are relying on the accuracy of the repre—seentaticn herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the P_gresm--nt betwe°.n them ressictirg the rents collectible for occupancy of the Leased Premises. The urcersigred also ccn_sents to the delivery of a copy of this Certification of Continued Fcu_sa old Eligibility to the City of NGwPOrt Beach. This Certification is made under penalty of perjury in Newport Beach, California. LnCcMe earning . household mE*ters: 3 By: , Cate Resident Rosie Melgoza Resident Resident Resident 0 - 0 Unit No. 281 Baywood Drive I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total r ual eligible income* of the undersigned does not exceed $ a dollars. ($ .ao). .71 * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property, interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the aaasacy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises- The undersigned also consents to the delivery of a copy of this Certification of continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. moans earning household members: By: Resident Debra Banda Resident Resident Resident Unit No. 677 Alderwood Drive Ely 97 ki ■ • I y • • 01 ■: ■ - - I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning 0=3pant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ ($ .00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and acnmussions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers, motion and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned admowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. 7: /v . i \v 9 ZJ Date Income earning household members: By: ident Judith Hunt -4J z Resid ryan Hunt Resident Resident 1 BAYWOOD EXPANSIO4 • INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that 1/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. • • - 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment _ 1.)014N CWL4415 SRoW.oc -%L 216206-13'7 1?entreo SIxONY10 ceotJ S)Nt 1z -71 VU, 30 TYU Rc geo Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this ara�rca1 h 6 oof all persons over lire age of 18 years listed above for the 12-month period beginning the date that Uwe plan to move into a unit is $ Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation ofa business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the (read of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d)amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire, (f) relocation payments under Title lI of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments, (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (1) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) Income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,(1W.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) X Yes No; or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair markeeNaluei Yes X No (c) If the answer to (a) or (b) above is yes, do€.sjyed the total value of all such assets owned or disposed of by all such persons total more than $5,0W? x Yes No ($ /�1i `I13.. 77 total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ i y., and 3, q'fH. fo'i (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, crowns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate orTrustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information 1/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will.constitult.a- material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this day of uZ r (Ctr't -rd in the Cityof 't-��GT �o4Lli' ,California. Applicant Applicant Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above mquired) 0 FOR COMPLETION BY APARTMENT OWNER ONLY %� n 1. Calculation of eligible income: $ `�I� 1_`,S- 24 a. Enter amount entered for entire household'in 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure'the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ), (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ ' c. TOTAL ELIGIBLE INCOME (line 1.a plus line Lb(3)): $ 3� t" l•S 2 2. The amount entered in I.c: X Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: Bedroom size: Rent: A. This apartment unit(was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. Copies of tax returns. X Other5WAPSMe-%1T5 . 2GTtn6tx8 t4 �T5 Date 0 INCOME RESTRICTED FINANCIAL WORKSHEET Project" f�2l wo Unit No. �� Applicant's Name: JOHKi CON046 Annual Salary $ !y SOLO 11.41.0 Let,N Annual Salary S Others Residing in Unit: Annual Salary $ Annual Salary $ Commissions/Bonuses S Savings Accounts: Bank Balance x %_ $ Bank Balance x %= $ Bank Balance x %= $ Interest Bearing Checking Account Bank (NS5,W-&t Balance %042, 7. Sil x _!-'VS %= S 5• �%Z Bank Balance x %= S Stocks/Bonds: Trust Fund: Type f_re (,s5,.-,r.�.: Amount 5$'iS5.H3 x S'•34 % = S �ji 'J•GI Z Tvpe Amount x % = Other: (Alimony, Child support, retirement pensions, social security, disability payments, parental support, etc.) Show calculation, how Annual is arrived at! Type 5L14L Sswgr--•JoH,'t Annual S "�"l3• �O Type uar q S�Gi)".ttU Annual $ (2a. ( O Type I�t5k3t�t1��- .bust Annual S `I1D40.cw Property Owned - Bv Resident: Address Equity x_%= S TOTAL ANNUAL ELIGIBLE INCOME S 3i t 161S" 14 Maximum Annual Household Income Limit S 134� Iy W JAN LLCMCWi Es LA DLOfL a/I I C c3 �� SJ J CHIS ITF !� LE JEAN DELANEY 5 CALLE LOBINA { - _SAN CLEMENTE CA 92673-5615 1'.J YY�• PAGE .Ol WAHT-TO KNOW THE ACTIVITY ON YOUR SAVINGS? GET A MIHI-STATEMENT OF YOUR ACCOUNT -- HOW AVAILABLE 25i-HOURS A DAY AT HOST GREAT WESTERH ATLAS. RIGHT HOW, AND UNTIL YOUR HEXT STATEMENT, YOU CAN TRY THIS GREAT NEW SERVICE FREEI S A V I N G S I N V E S T M E N T S U M M A R Y ACCOUNT NUMBER DATE DEPOSITS WITHDRAWALS CHARGES CREDITED FRONTIER SAVINGS ACCOUNT ACTIVITY 1 02401 1049 _ 15859•s -_ ENDING S BALANCE ACCOUNT NUMBER DATE DESCRIPTION $ AMOUNT S BALANCE 149-005725-4 02/08 BEGINNING BALANCE — FRONTIER SAVINGS 21,616.46 02/19 NITHDRAHAL TRANSFER TO: DDA 149-806312-2 750.00 20,866.46 44 03/07 INTEREST DEPOSIT 61.34 20,927.80 03/07 MONTHLY SERVICE CHARGE 5.00 20,922.80 03/07 MINIMM BALANCE WAIVER 5.00 20,927.80 03/07 ENDING BALANCE — FRONTIER SAVINGS 20,927.80 INTEREST INTEREST INFORMATION FOR THIS STATEMENT PERIOD YEAR—TO—DATE INTEREST ANNUAL PERCENTAGE YIELD EARNED AMOUNT EARNED AMOUNT CREDITED AMOUNT WITHHELD AMOUNT CREDITED AMOUNT HITHHELD 3.850% 61.34 1 61.34 1 .00 205.09 .00 INTEREST CREDITED DURING 1997: $ 1,165.88 SAN CLEMENTE, CA 92672 i JOHN J CONCHIS ITF VALERIE JEAN DELANEY 2315 CALLE LOBINA SAN CLEMENTE CA 92673-5615 �Ily 149 rj 0-9 MARE YOUR MONEY WORK AS HARD AS YOU DO - OPEN A GREAT WESTERN GREATRATE MONEY MARKET ACCOUNT. EARN HIGHER RATES WITH HIGHER BALANCES. ENJOY EASY ACCESS TO YOUR FUNDS AND HAVE FDIC INSURANCE. VISIT GREAT WESTERN TODAY FOR MORE DETAILSI S A V I N G S I H V E S T M E H T S U M M A R Y fl ACCOUNT NUHBER DATE DEPOSITS HITHORAHALS CHARGES CREDITED 5 BALANCE MAXIMUM YIELD CD (7-364D) ACCOUNT ACTIVITY ACCOUNT !AMBER DATE DESCRIPTION 5 AMOUNT 5 BALANCE 149-506490-9 11/06 BEGINNING BALANCE - MAXIMUH YIELD CD 17-3640) 58,134.99 11/12 INTEREST DEPOSIT 56.64 58,191.63 11/12 ACCOUNT RENEGOTIATED - RATE 58,191.63 58,191.63 11/12 INTEREST RATE CHANGED TO 05.33'/. 58,191.63 11/12 INTEREST RATE CHANGED TO 05.33% 58,191.63 11/12 INTEREST RATE CHANGED TO 05.337. 58.191.63 12/12 INTEREST DEPOSIT 263.42 58,455.05 01/12 INTEREST DEPOSIT 264.62 58,719.67 02/12 INTEREST DEPOSIT 265.81 58 985.48 02/12 ENDING BALANCE - MAXIMUM YIELD CO 17-36401 58,9 CONTINUED ON PAGE 02. , i I . Sox 3. Benefits Paid in 199.= . Box -1. Benefits Reoaid to SSA in 1997 Box 5. Net 311,493.50 NONE DESCRIPTION OF AMOUNT IN BOX 3 Paid by check or r direct deposit $i0,95s.00 Medicare premiums paid for you $525-60 total Additions $11,493.60 i =orm SSA-1099-SM 11.98) DESCRIPTION NONE .60 QU-NTIN' BOX J��' I f� Dox o. voluntary Federal Income Tax Withheld NONE • t I Box i. Address , iJOHII J CONCIJIS 2315 CALLELOBENA 3r,N CLEMENTE CA 92673 I IBox 8. Claim Number (Use this number rf you need to contact SSA.) . 21 2_ DO NOT RETURN THIS FORM TO SSA OR IRS Soci.aL Security !administration Mid-AtLantic, Program Service (.enter 300 Spring Garden Street Ph Uadelphia, PA 19L'33-5?g9 OFFICIAL BUSINESS PENALTY FOR PRIVATE USE. S300 • n3"9(3rI)Pn1-141. L4 Gr?S C FIRST-CLASS NIAIL M1'? POSTAGE AND FEES PAID L SOCIAL SECURITY ADMINISTRATION PERMIT NO. G-i 1 ..U•.bf\HJ II L✓AI �:!tT-3U-t; `J43 Sox 3. Benefits Paid in 1997 Box u. Benefits Repaid to SSA in 1997 Box 5. Net Benefits for 1997 ,8m3 wnuS Bar of , $7,617.60 $900.0! $(3717 60 DESCRIPTION OF AMOUNT IN Paid by check or direct deposit Medicare premiums paid For you Deductions for work or other adjustments Total Additions Form SSA-1099-SM I7-98) K3 $6,192.00 $525.60 $900.00 at7,617.60 DESCRIPTION OF A OUNT IN BOX 4 Deductions for work or i other adjustments9Ov.00 I Box 6. Voluntary Federal Income Tax Withheld i NONE Box 7. Address SOCORRO M LEON 231.E CALLS LOSINA SAN CLEMENTE CA 92670-56iS � I Box S. Claim Number (Use this number if you neec :o contact SSA) I DO NOT RETURN THIS FORM TO SSA OR IRS .So1;LaL Security Administration Uester•n Program Service Center 13.13. EOX 4016L Richmond. CA 94302 -0 ;61 OFFICIAL BUSINESS PENALTY FOR PRIVATE USE. S300 n4?o0f0FQ27tmt3q SG4 FIRST-CLASS MAIL MIL POSTAGE AND FEES PAID I. SOCIAL SECURITY ADMINISTRATION PERMIT NO. G-11 v m 1 Department of • Veterans Affairs 210 WALNUT ST 97 December T-3, 1-0-94 DES MOINES -n zD�o_ x, DEPARTMENT OF 7 HE TREASURY :FINANCIAL MANAGEMENT SERVICE i'REGIONAL FINANCIAL CENTER,: t1490 14 9 058 zS:?'j;�:•s':: AUSRN TrXAS78714 JOEN J CONC :S A�.rL y_ m `_c 24E9 CORTE MERLANGO SAN CLEI4ENTE, CA 92E72 :k RE=LY RVES TC. %ILE IUM6E=. 1?-3E1-5a8, 1OC Ste approved an award for d'_Scb-__-- „om?e_ SEit-2o^ 2S f..__owS: MONTHLY RATE EFFECTIVE DATE 5_6E.00 %-01-94 :R70.0 _--01-94 We granted serv_ce cor.nect_cn for: c =EUN:AmZC =EVER : O o WE included a .. :5 Cf-1.:.V_.^.0 _ncrease :.n :..^._° $W'crd e_-e.._=le December -, 1994. -_ecSE read the e'C=GSed Vr'. crm -C 64. :- coma_:': .. _ =nr.t ir_forma-ior. abcu- _ic;:-E -,, rece-Ve th:S benefit. -_ YOU nES:D,E IN THE CON^-':N2NTAL UNITED STATES, ALASKA, n WA: - OF =UERTC _ 7-CO, YOU N.AY CONTACT_ VA WITH QUESTION'S AND tEC::VE r RTr. Hr=? E° CALLING OUR "_'C:L-FRrz NUMBER _-900-627-100: (FOE it 1-7D• X• )Z 2Dgb INPORTAN- - SEE REVERS_ RJP PROCEDURAL AND APO LATE 'RIG^'S KEEP THIS LE -TER FOR ='TURE REFERENCE '- `0R" 20-890-3 .0 Conference of Teamsters Pension Trust An Employer -Employee Jointly Administered Pension Plan rehruary 25, 1947 RE: SOCIAL SECURITY# DEAR MEMBER: 526-30-3543 Southwest Administrative Office: P.O. Box 57310 2601 Wilshire Boulevard Los Angeles. California P0057 (213) 386.3300 THIS IS TO CERTIFY THAT YOU, Socorro Leon , RETIRED UNDER THE WESTERiv COrvFEREiJCE OF TEAPriSTERS PEi'iSIO,. ,"LAN OCi AND ELECTED THE OPTION INDICATED BELOW.• EMPLOYEE AND SPOUSE PENSION MONTHLY BENEFIT FOR MEMBER'S LIFETIME S MONTHLY BENEFIT TO SPOUSE UPON DEATH OF MEMBER S EMPLOYEE AND SPOUSE PENSION WITH BENEFIT ADJUSTMENT OPTION MONTHLY BENEFIT TO AGE $ MONTHLY BENEFIT FOR REMAINING LIFETIME $ MONTHLY BENEFIT TO SPOUSE UPON DEATH OF MEMBER S Y LIFE ONLY PENSION S LIFE ONLY PENSION WITH EENEFiT ADJUSTMENT OPTION MONTHLY BENEFIT TO AGE S MONTHLY BENEFIT FOR REMAINING LIFETIME S THE LUMP SUM DEATH BENEFIT PAYABLE TO YOUR DESIGNATED BENEFICIARY IS IN THE AMOUNT OF S . THIS LUMP SUM DEATH BENEFIT IS PAYABLE IN ADDITION TO ANY OTHER BENEFITS AND IS PAYABLE EVEN THOUGH YOU MAY HAVE BEEN RECEIVING YOUR RETIREMENT BENEFIT IN A FORM OTHER THAN THE LIFE ONLY PENSION: IF YOU DO NOT NAME A VALID BENEFICIARY OR IF YOUR NAMED BENEFICIARY DIES BEFORE YOU, THE PLAN WILL LOOK AT THE FOLLOWING CLASSES OF SURVIVORS: A) SPOUSE B) CHILDREN C) PARENTS D) BROTHERS AND SISTERS S g2 , S% I Z� E) YOUR ESTATE ar�.r: C IRVINE PACIFIC AND CITY OF NEWPORT BEACH DEVELOPMENT AGREEMENT INCOME RESTRICTED UNITS JANUARY, 1997 BIG CANYON 16 UNIT ADDRESS RESIDENT NAME MIDATE MO DATE RENT (1) 338 BAYWOOD (BC16L) LEVITAN 06/28/97 1085 (2) 761 ALDERWOOD (BC16L) ARMENDARIZ 09/15/94 1015 (3) 665 ALDERWOOD (BC16M) CHAMBERS/LINN 05/31/95 995 (4) 651 BAYWOOD (BC16M) CHRISTENSEN O8/18/93 1045 (5) 673 ALDERWOOD (BC16M) TREFTS/NIITCHELL 07/16/95 1040 (6) 355 BAYWOOD (BC16M) FRAZIER 11/06/97 1155 (7) 747 ALDERWOOD (BC16M) NEHLS 09/28/96 1080 (8) 782 ALDERWOOD (BC16M) CRUZITRAFECANTY O8/17/95 1000 PDM UNIT ADDRESS RESIDENT NAME MIDATE MO DATE RENT 672 ALDERWOOD (PDM-L) SCHROEDER 07/11/97 1,100 ,(1) (2) 674 ALDERWOOD (PDM-L) CROSSMAN 08/20/97 1,132 (3) 933 ALDERWOOD (PDM-L) WETMORE 07/03/97 1,085 (4) 353 BAYWOOD (PDM-M) DE PINTO 08/30/97 1,155 (5) 731 ALDERWOOD (PDM-M) MOORE 11/07/96 1,075 (6) 652 ALDERWOOD (PDM-M) MOUVET O1/21/95 1,025 (7) 671 ALDERWOOD (PDM-M) McCAULEY 10/08/90 1015 (8) 758 ALDERWOOD (PDM-M) THOMAS 05/07/94 1,035 (9) 767 ALDERWOOD (PDM-M) DUROCHER 02/O1/96 1,050 VP MOD UNIT ADDRESS RESIDENT NAME MI DATE MO DATE RENT (1) 261 BAYWOOD WALKER 07/12/96 1,030 (2) 667 ALDERWOOD KANDEL 10/O1/92 1055 3) 762 ALDERWOOD 13ACCHETTA 12/01/97 1,200 (4) 225 BAYWOOD McNASH 05/10/96 1,205 (5) 676 ALDERWOOD HOWARD 10/23/96 1,080 (6) 765 ALDERWOOD STUBBLEFIELD 09/07/94 1,035 153 BAYWOOD SKAWIN 08/16/97 1,225 ,.,(7) (8) 346 BAYWOOD MILLER 01/31/98 1,240 0 615 BAYWOOD FINN 05/28/95 995 10) 327 BAYWOOD BASHAM 11/15/97 1,041 (11) 773 ALDERWOOD WILLIAMSON 11/07/94 1,635 (12) 766 ALDERWOOD SHAHHOSSEINI / SANAI 10/14/95 1,030 (13) 913 BAYWOOD BURBACK 07/15/95 1010 (14) 678 ALDERWOOD VICKERS 05/06/95 1030 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MI DATE MO DATE RENT (1) 315 BAYWOOD HEILIG 08/11/90 865 (2) 333 BAYWOOD GIGLIOTT 11/01/95 862 (3) 337 BAYWOOD REESE 06/23/96 862 (4) 742 ALDERWOOD SMITH 01/11/97 862 (5) 323 BAYWOOD STULL 06/29/91 865 (6) 743 ALDERWOOD HICKS 04/13/97 782 (7) 341 BAYWOOD VEERA/PRADIT/SCHROEDER 02/27/97 862 (8) 656 BAYWOOD NORTH 03/15/97 782 (9) 356 BAYWOOD SISSON 07/06/91 865 (10) 735 BAYWOOD VESELY 09/12/97 782 (11) 513 BAYWOOD COLE 09/24/97 800 (12) 783 ALDERWOOD MELGOZA 06/14/90 843 (13) 281 BAYWOOD BANDA 09/12/94 859 (14) 677 ALDERWOOD HUNT 02/O1/96 862 * 762 MARKET switched with 223 Now VP MOD. * 355 MARKET switched with 752 Now BC 16L. • 0 �_r Unit No. 261 Baywood Drive cSRi'rF'TCATION OF ,CONTINUED HOUSEHOLD ELIGIBIISI'Y I/We hereby certify to Western National Property Management =4 as Agent for The Irvine Ca=any, that: 1. the undersigned is to be the only income earning occupar(s) of the Leased P-ranises, and 2. as of the date specified belcw, the ; annual eligible inane* of the undersigned does not exceed 0dol4ars. included in the total annual eligible income are: wages, tips, overtime, bonuses, and c min„ lions; net txme from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pa'�; alimony, chilli support- all regular and special pay and allowances` -of-a a r of a Armed Forces (to exclude hostile fire allowance). The uumlkrsigned acknowledges) that Western National Property Management Company, as Agent for The Irvine C=Vany, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased P_-aises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport - Beach. � This Certification is made under penalty of perjury in Newport Beach, California. Resident Resident • • Unit No. 667 Alderwood Drive I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only JXIO a earning occupant(s) of the Leased Premises, and - - 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ S 3.0� M dollars. 00) * included inthe total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income frcmm a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: -01 Resident Michael Kandel Resident Sandra Kan el Resident Resident Unit No. 223 Baywood Drive I/We hereby certify to Western National Property Management Company, as Agent for Me Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total anrnAal eligible income* of the undersigned does not exceed u : i�f*u. ollars. ($ gp/ o0 .00) . * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; any; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: Date ident , 5nj ey Parvin/ate/g/ J!`6 »1 n0 tcn 9,Me'q LQ Ajo.in 1 havE. Btcn Una6(t -� Obdwri SosSca�rsabi%% Un BAYMOD ,npJl, Unit No. CE1=CATICN OF CONTINM MU5rZ= MIGIBILM"1 m v7 I/We hereby certify to Western National Property Management CCm kiny, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible ice* of the undersigned does not exceed $ dollars. ($ .00) . * included in the total amzual eligible income are: wages, tips, overtime, bonuses, and camiissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' c=pens ticn and disability pay; severance pay; may; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned ackncwledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the. City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them res-=icting the rents collectible for cc=Tency of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. ln=q Parning household members: By: Date ident Resident Resident Resident Unit No. 754 Alderwood Drive as a ■:p *wN1 y Kwi Z Ke) 4Kkej e Oki ■ a• • a •too a a Kex n=0 ■ FM I/We hereby certify to Western National Property Management Cc mny, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occuparit(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $:� 00n dollars. ($ .00). Z4 4 * included in the total annual eligible =x-= are: wages, tips, overtime, bonuses, and camdssions; net income from a business cr rental of real property; interest and dividends, social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. C3- ^% 96 By: Date MM-4r MOM Resident AX'n.•. Unit No. 765 Alderwood Drive �191,'JM.A1 r: p •n • �•�iM4U�• ..•i 7D..• • :I .: ■ MYI I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupants) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ CCn dollars. 00) included in the total annual eligible income are: wages, tips, overtime, bonuses, and comusGions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alnK)ny; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Properly Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: - .a'a - CI By: Date Resident Charles Stebbiefield C%AA'I _ A -�j���W Residents / Cathy Stubbief%Id Resident Unit No. 153 Baywood Drive I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income eai=ing occn:ant(s) of the Leased Premiss, and 2. as of the date specified below, the total annual eligible inCCM* of the undersigned does not exceed $ ('rb dollars. 'x -415'r. * included in the total annual eligible i tee are: gages, tips, overtime, bonuses, and coomissicns; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' Gmpezvsaticn and disability pay; severance pay; a-immiy; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned ackncwledge(s) that Western National Property Mamgemert Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the rerresentation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household memb-xs: 3 I3 yG By: Date I Scaratne R�id� ea aeatne Resident Resident Unit No. 346 Baywood Drive I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupants) of the Leased Premises, and 2. as of the date specified below, the total annualeligible income* of the undersigned does not exceed $ dollars. {$.00). * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions; net ins from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile. fire allowance). The undersigned admowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between then restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. 3111f 6 Date Resident Elizabeth Macaryn 124- m1 -z�a� Resident Resident U V90 0 11 Unit No. 615 Baywood Drive I/We hereby certi�`y to western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only h=me earning occupant(s) of the leased premises, and 2. as of the date specified below, the tnta annual el m gible oan * of the undersigned does not exceed $_ dollars. ($ 00) . * included in the total annual eligible —==ma are: wages, tips, overtime-, bwn:ses, and c=m ssio➢s, net income from a business{ nor rental of Ho��f{.real property; interest Caryl. }dividends;s; rsoccial. security, Z, Lnati ement frauds or pensions, and disability benefits; workers' compensation and disability pay; severance pay, alimony; child support; all regular and special pay and allowances of a member of the Aged Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management company, as Agent for The Irvine Company, and the city of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. nxxne earning household members: 3 -'U^ I(0 By: Date Resident /Eric Finn Resident 'Ytette Hnn Resident 4 Unit No. 327 Baywood Drive I/We hereby certify to Western National Prc_oesty Management Co=any, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning cccupant(s) of the Leased Prenises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 2A.��� dollars. ($ 3q, oon .00) . included in the total annual eligible income are: wages, tips, overtime, bm ases, and cmnissicns; nat income "cm a LusiT� or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay, alimany; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned aclmowledge(s) that Western National Properly Management Company, as Agent for The Irvine Company, and the City of Newport Bead are relying on the accuracy of the representation herein in leasing the Leased Premises to the urriersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for cccx4mncy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Bead, California. Date 9-(4Nzuwgi dolfo Bautita Resident Fabian Montagut Resident Unit No. 773 Alderwood Drive I/We- hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning ocxupaat(s) of the Leased Premises, and as of the date specified below, the total annual eligible income* of the undersigned does not exceed $. ��DD. c90 dollars. �IyKrl.i ($ •oo) .,N a.J,Cdd, ua P/�Jt v✓ * included in the total annual eligible income are: urges, tips, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance lay; may; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household members: m a u By: -k UJ Q ,l,cUw e: Date Resident Marjorie Williamson Resident Resident Resident r 0 Unit No. 766 Alderwood Drive • •• • a• • a • • � r ■ I/We hereby certify to Western National Property Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ 7, oov - dollars. ($ .00). * included in the total annual eligible in-ane are: wages, tips, overtime, bonuses, and ccmmissions; net income from. a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay,' severance pay; alim=y; child support; all, regular and special pay and allowances of a member of the Armed Forces .(to exclude hostile fire allowance). The undersigned • acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Date 1 L��111� �. M� �� ��l �) t• II JII�J¢T BY: 4.11 OLL ident a ma Sanai Reydkr6/' Whammad Shah Hosseini Resident Resident Unit No. 913 Baywood Drive I/We hereby certify to Western National Prcperty Management Company, as Agent for The Irvine Company, that: 1. the undersigned is to be the only income earning occupant(s) of the Leased Premises, and 2. as of the date specified below, the total annual eligible income* of the undersigned does not exceed $ice F.yn dollars. .00) . * included in the total annual eligible inCSLt' are: wages, tits, overtime, bonuses, and commissions; net income from a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance pay; any; chid support; all regular and special pay and allowances of a member of the Armed Farces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Cony, and the City of Newport Beach are relying on the accuracy acy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. Me undersigned also consents to the delivery of a copy of this Certification of Continued Household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Inoue earning household members: Date pesi Virginia Burback MOD UNIT ADDRES RESIDENT NAME MI DATE MO DATE RENT 1 (1) 261 B OOD McDONALD 09/10/94 1,040 (2 7 ALDERWOOD KANDEL 10/01/92 995 (3) 223 BAYWOOD PARVIN 04/11/92 995 (4) 225 BAYWOOD GRIFF 02/13/90 900 (5) 754 ALDERWOOD SULLIVAN/KASPER 09/01/95 995 (6) 765 ALDERWOOD STUBBLEFIELD 09/07/94 1,035 (7) 745 ALDERWOOD VACANT 11/15/94 (8) 153 BAYWOOD SENARATNE 11/06/93 1,020 (9) 346 BAYWOOD MACARYAN 05/26/95 1,000 (10)615 BAYWOOD FINN 05/28/95 995 r(11) 327 BAYWOOD CALDERON/MONTAGUT 07/30/95 995 (12)773 ALDERWOOD WILLIAMSON 11/07/94 1,040 v(13)766 ALDERWOOD KAYE 07/25/95 1,015 ✓(14)913 BAYWOOD BURBACK 07/15/95 995 V VP LOW (HUD) 6 UNIT ADDRESS �u RESIDENT NAME MI DATE MO DATE RENT jaif% (1) 315 BAYWOOD HEIIdG 08/11/90 817 (2) 333 BAYWOOD JULIAN 08/26/94 860 (3) 337 BAYWOOD DUNN 11/15/91 845 (4) 742 ALDERWOOD CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10)425 BAYWOOD BONILLA 02/27/94 861 (11)267 BAYWOOD WEST 05/25/90 817 (12)783 ALDERWOOD MELGOZA 06/14/90 800 (13)281 BAYWOOD BANDA 09/12/94 817 (14)677 ALDERWOOD SHEIK 07/08/94 861 THE FOLLOWING HAVE BEEN CONVERTED TO CONVENTIONAL EFFECTIVE 9/1/95 743 (A-L) 666 (A -NO 668(A-M) 755 (A -NO 737 (BC10L) 661(JPL-L) 757(JPL-M) 735 (JPL-M) 653 (CDM-L) 663 (CDM-L) 651(CDM-M) 263 (CDM-NI) 747 (CDM-NO 732 738 BA VrOOD EXPANSION . �0* INCOME COMPUTATION AND CERTIFICATION i/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy file unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. Name of Members 2. Relationship 3. 4. 5. of the Household to Head of Household Social Security Place of Household Age Number Employment JUAN CALDERON ROOMATE 74 551-63-4413 PARK PLAZA GROUP PABIAN MONTAGUT ROOMATE 30 604-56-1430 ALLEE ON Tr1TpR 7. Income Computation i. The total anticipated income, calculated in accordance with the provisions of this e2aragraph 6, of all persons over the age of 18 years listed above for the l2-month period beginning the dale that Vwe plan to move into a writ is $—Z7 6f10 Included in the total anticipated income listed above are: y (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions, (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) tine maximum amount of public assistance available to the above persons other than the amount of any assistance specifically delignated for shelter and utilities; (8) periodic and determinable allowances, such as alimony a nd child support payments and regular contributions and gifts received from persons not residing in the dwelling; 00 all regular pay, special pay and allowances,of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household orspodse;and (I) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), Capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire, (4 relocation payments under Title 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (B payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m)payments received from the Job Training Partnership Act; (a) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.W of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal Property such as furniture and automobiles and interests in Indian trust land) —Yes X No, or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes —XNo (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than VOW? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent:$ and (2) tlne amount of such income, if any, that was included in item 6 above: $ Neither myself nor any other occupant of the unit 1/we propose to rent is the owner of the rental housing project in which tine unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. Par purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member: and ownership, direct or indirect, by a partner of the individual. Phis certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including efther an income verification from mylour present employer(s) or copies of federal lax returns for the immediately preceding calendar year. 1/we acknowledge that Uwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/ouragreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate mylouroccupancy of the unit by institution of all action fur ejection or other appropriate proceedings. Itwe declare under penalty of perjury that the foregoing is true and correct. Executed this 30TH day of JULY, 1995 Applicant in the City of r " 0 1 /i'e r •r„ . If NEW1i0RT BEACH , California. over the age of 18 year; listed In number 2 above required) r � TOR COMPLETION BY APARTMENT OWNER ONLY L Calculation of eligible income: $ 27,600.00 a. Enter amount entered for entire household In 6 above: b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times lhecurrent passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings I$ ), subtract from that figure the amount entered in 7(d)(2) and enter the.remaining balance ($_ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): $ 27, 600.00 2 The amount entered in Lc: Qualifies the applicant(s) as a Low Income household. % Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3 Number of apartment unit assigned: 327 Bedroom size: 2+2 Rent: $995.00 4 This apartment unit (was/was not) last occupied fora period of 31,consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit -qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: % Employer'income verification. Copies of tax returns. Other( // ) lvl—.be', Date r e�h�lSi:_,5�.,1. _�. ...T��i7tY '.('f'i^• 1 U.q;' t ' a ,..iur� � of •;Ij i.,,, '.7: :..I o m7s.t"( I' � 7. '; ,. s., 1).:,:,,u4j(,, "n,q';u'agn:,,l.7;dncet,.w�v, „.•i ... 4 ..• BAYWOOD EXPANSION MODERATE INCOME UNIT SUBORDINATED LEASE ADDENDUM This Addendum becomes a part of that certain Lease dated JULY 30, 1995 by and between Irvine Pacific and JUAN CALDERON & FABIAN MONTAGUT Resident(s) Names) THIS LEASE IS SUBORDINATE TO ANY MORTGAGE CURRENTLY EXISTING OR AT ANY TIME CREATED IN THE FUTURE OVER THE PREMISES. nV1 (INITIALS) (INITIALS) Resident hereby acknowledges that the Premises are subject to an agreement by and between Owner and the City of Newport Beach (the "Agreement'), which (I) restricts occupancy of the Premises to persons or families whose aggregate gross annualized income does not exceed one hundred percent (100%) of the Orange County annualized median income as periodically revised and published in the County of Orange (the "Median Income"), and (ii) further restricts the rent Owner may charge for occupancy of the Premises. As a material inducement to Owner to enter into this Lease, and in order to secure the benefits hereof and of the Agreement, Resident hereby certifies that the information provided and statements made in the Income Computation and Certification, relied upon by Owner in verifying Resident's qualification for occupancy of the Premises pursuant to the Agreement, are in all respects accurate, and acknowledges that the accuracy of such information and statements is material to Owner's willingness to enter into this Lease. In order to carry out the intent of this Lease and the Agreement, Resident agrees as follows: (a) Resident agrees that this Lease entitles Resident to occupy the Premises only so long as there is no material change (as defined in subparagraph (c)(iii) below) in the aggregate annualized gross income of the occupants of the Premises. Therefore, in the event of any increase in the aggregate gross income of the occupants of the Premises in excess of ten percent (10%) in any year during the tern of this Lease (whether due to salary raise, a change in occupants, or otherwise), Resident agrees promptly to so notify Owner. (b) Resident agrees promptly to comply with all reasonable requests (reasonable for these purposes meaning no more often than quarterly) by Owner to update the information provided and statements made In the Income Computation and Certification, hereby certifies that all such updated information shall be accurate, and acknowledges that the accuracy of all such updated information shalt be material to Resident's continued occupancy of the Premises. Resident further agrees to provide such proof of the accuracy of the matters shown in the Income Computation and Certification and any updated information as may be reasonably requested by Owner, and to cooperate with Owner in obtaining independent verification of the accuracy of the Income Computation and Certification and updated information. (c) Owner shall have the right and power to terminate this Lease, at the direction of the City, upon thirty (30) days written notice to Resident, in the event of W Owner's discovery of any falsification of the information provided by Resident in the income Computation and Certification or in response to any request for updated information, (ii) Resident's failure or refusal promptly to notify Owner of a ten percent (10%) increase in aggregate annualized gross income of the occupants of the Premises, or to comply with a reasonable request to update, or to verify or cooperate in the verification of, information and statements made in the Income Computation and Certification or any updated information or (iii) Owner's discovery of a material change in the aggregate annualized gross income of the occupants of the Premises (a material change for these purposes being a change in such income resulting in an aggregate annualized gross income exceeding ten percent (10%) of the then current income qualifying limit). Resident hereby agrees that Owner may provide copies of the income Computation and Certification and any updated Information with respect thereto to the City of Newport Beach or its agent for verification. v' Date: .IuLY 40, 1995 ' A Resid t G esidenl Resident Resident l F is! �S�IN«iz-'� !' £' Project _LLU Unit No. 32� INCOME RESTRICTED FINANCIAL WORKSHEET Applicant'.sName: J C.t_a" Annual Salary Others Residing in Unit: 1; .l, t cw- Annual Salary Annual Salary s 13.2-oy S Annual Salary S Commissions/Bonuses S Commissions/Bonuses S Savings Accounts: Bank Balance x _°o = S Bank Balance x _°o = S Interest Bearing CheckingAccounc Bank Balance x_90 =S Bank Balance x _% = S Stocks/Bonds: Type Amount x _% = $ Type Amount x _,5 = $ Trust Fund: Type Amount x _% = S Other. (Alimony, child support, retirement pensions, social security, disability payments, parental support, etc.) Type Annual S Type Annual S Type Annual S SUB -TOTAL $ 7 G U O Property: Address Equity x _To = S TOTAL ANNUAL ELIGIBLE INCOME $ �2-4 1 (' U U n.�cutres� Unit No. — .3-Lq . TO: ENTCOME 7=1 CAT.-LON Your e----Izve-- has anciied.lor a rental unit lc=E=4 inan,E::4.,bie whose ax--.= =a=e aces nat w:caed estabiished Cz=.-.- Mecian Lnctn=e Weareabaredta ve:t7 atcre sauentents an aa --.-mmec=.re tenants 6-r suc!: Y is Please bsd4—we beowyour e—.--iovee's c^s annual :-==e -cro wages, ave------ -anuses, crnunis=crns or any other czar or comamnsarion -.-ec---'ve--; cn a re . . vims: A=tW wages over:i=e Bonuses Canumissunts f-f rum mie rbmvby S=ycm.':: tacffsdar=y,impf:aB.woodAunc=mftizL=dwfttther �41 I IA., I 16641� 2 Unit No. TO- INCOAM -Y-M=-. CAT.-LON Your e----icve-- has a= iied -Fcr a r-m-ml unit !acres in = aa:md a b I e av=---mnt-pmec: .4zr=—ans whose ar--= Lnc::me aces nor e==d established Cour.r.- Meau= Inccme ics. We are abl:pd w versr ='=--.e scare= eas on ail ----=ec:tve t=.an= for su--h ..its. Please be—iow your eazpicym's c,=—.-.r annual inccmp 6= wage. ave^ =mmiisw= cranv otheribr-n cic=rm=ccn ----,'ved cn a,--,j!arbasis A=Uai wages Ll L-1 C) Bonuses C��-cq=cc TQ=L Ll 00 .. ......... . . . . . . . . . . . $AYWOOD EXPANSION • V �� • INCOME COMPUTATION AND CERTIFICATION I/We, [fie undersigned state that Uwe have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy rite unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment JUAN CALDERON ROOMATE 24 551-63-4413 PARK PLAZA GROUP PABIAN MONTAGUT ROOMATE 30 604-56-1430 AL•LERGON T..LER Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this paragraph 6, of all persons over the age of 18 years listed above for the 12-month period beginning the date that 1/we plan to move into a unit is $ 77 6({r0 Included in the total anticipated income listed above are: Y (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment, (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay, (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically delignated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (It) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spotise; and (I) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses, (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title it of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; fill the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (I) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the Job Training Partnership Act; (n) Income derived from the disposition of funds of the Grand River Bank of Ottawa Indians, and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes X_No, or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes X_No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No (S total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the •12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ and „ (2) the amount of such income, if any, that was included in Item 6 above: $ B. Neither myself nor any other acpupant of the unit 1/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any Interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member, and ownership, direct or indirect, by a partner of the individual. 9. This certificate Is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. 1/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that Uwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. 1/we declare under penalty of perjury that the foregoing is true and correct. Executed this 30TH day of JULY r 005 Applicant Applicant t , �' tl • u, .r,. u jNEW bRI T' BEACH — in the City of , , California. years listed in number 2 above required) FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: $ 27,600.00 a. Enter amount entered for entire household in 6 above: .. I b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings I$ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line I.a plus line Lb(3)): $ 27,600.00 2. The amount entered in I.c: Qualifies the applicant(s) as a Low Income household. r r x Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: 327 Bedroom size: 2+2 Rent: 995.00 4. This apartment unit (was/was not) last occupied for a period of 31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: x Employer'income verification. Copies of tax returns. Other( ) may/ 7,4�01 a—��• eager TT� Date !I n• . j(t ._vr,.1„r.10( t .f,"C�r..- Ir _. ^ ;— ��i'�`_'�"`,j��trl "'T_ � ...�.il;F' '.( 4'c•: ��'tr.,lr! 4 ' t r,.,(• - Fre :1nr-, t nt •:p bl .... r, •ni r, O'Cliq 1, ., t).•'r:uq"J)I;. sn Di q.rr. J tin• r f: , �.r .; It i k•3'1'.�,i�.�p .';••_���•� BAYWOOD EXPANSION MODERATE INCOME UNIT SUBORDINATED LEASE ADDENDUM This Addendum becorpes a part of that certain Lease dated JULY 30 1995 by and between Irvine Pacific and JUAN CALDERON & FABIAN MONTA UT Resident(s) Name(s) THIS LEASE IS SUBORDINATE TO ANY MORTGAGE CURRENTLY EXISTING OR AT ANY TIME CREATED IN THE FUTURE OVER THE PREMISES. Q11 (INITIALS) (INITIALS) Resident hereby acknowledges that the Premises are subject to an agreement by and between Owner and the City of Newport Beach (the "Agreement"), which (i) restricts occupancy of the Premises to persons or families whose aggregate gross annualized income does not exceed one hundred percent (100%) of the Orange County annualized median income as periodically revised and published in the County of Orange (the "Median Income'), and III) further restricts the rent Owner may charge for occupancy of the Premises. As a material inducement to Owner to enter into this Lease, and in order to secure the benefits hereof and of the Agreement, Resident hereby certifies that the information provided and statements made in the Income Computation and Certification, relied upon by Owner in verifying Resident's qualification for occupancy of the Premises pursuant to the Agreement, are in all respects accurate, and acknowledges that the accuracy of such information and statements is material to Owner's willingness to enter into this Lease. In order to carry out the intent of this Lease and the Agreement, Resident agrees as follows: (a) Resident agrees that this Lease entitles Resident to occupy the Premises only so long as there is no material change (as defined in subparagraph (c)(iii) below) in the aggregate annualized gross income of the occupants of the Premises. Therefore, in the event of any increase in the aggregate gross income of the occupants of the Premises in excess of ten percent (10%) in any year during the term of this Lease (whether due to salary raise, a change in occupants, or otherwise), Resident agrees promptly to so notify Owner. (b) Resident agrees promptly to comply with all reasonable requests (reasonable for these purposes meaning no more often than quarterly) by Owner to update the information provided and statements made in•the Income Computation and Certification, hereby certifies that all such updated information shall be accurate, and acknowledges that the accuracy of all such updated information shall be material to Resident's continued occupancy of the Premises. Resident further agrees to provide such proof of the accuracy of the matters shown in the Income Computation and Certification and any updated information as may be reasonably requested by Owner, and to cooperate with Owner in obtaining independent verification of the accuracy of the Income Computation and Certification and updated information. (c) Owner shall have the right and power to terminate this Lease, at the direction of the City, upon thirty (30) days written notice to Resident, in the event of (I) Owner's discovery of any falsification of the information provided by Resident in the Income Computation and Certification or in response to any request for updated information, III) Resident's failure or refusal promptly to notify Owner of a ten percent (10%) increase in aggregate annualized gross income of the occupants of the Premises, or to comply with a reasonable request to update, or to verify or cooperate in the verification of, information and statements made in the Income Computation and Certification or any updated information or (III) Owner's discovery of a material change in the aggregate annualized gross income of the occupants of the Premises (a material change for these purposes being a change in such income resulting in an aggregate annualized gross income exceeding ten percent (10%) of the then current income qualifying limit). Resident hereby agrees that Owner may provide copies of the Income Computation and Certification and any updated Information with respect thereto to the City of Newport Beach or its agent for verification. Date: .T_ 1ILY 10s 1995 Resident Resident Project— La Unit No. 32�j INCOME RESTRICTED FINANCIAL WORKSFIEET Applicant's Name: «/-lam^ Q�� ` Annual Salary Others Residing in Unit: _P�C.4 «I 1A e ` �4y ' { Annual Salary Annual Salary Annual Salary Commissions/Bonuses Commissions/Bonuses $ _I LI LI Cy S Savings Accounts: Bank Balance x _% = S Bank Balance x _To = S Interest Bearing Checking Account: Bank Balance x_90 = Bank Balance x _% = Stocks/Bonds: Type Amount x _% = $ Type Amount x _% = S TmstFund: Type Amount x% = Other. (Alimony, child supporr, retirementpensions, social security, disability payments. parental supporr,.etc.) Type Annual S Type Annual S Type- Annual S Address SUB -TOTAL Equity x _% _ TOTAL ANNUAL ELIGIBLE INCOME $ �� 1 G U U TO: rTCOMM Y=--CAT-LON Ya= e=7—icye-- has a=iled for a rammi unit I a =tad in ar, at5==Lie a c=--=t rje^ or =e sons esmblished Counry3efeianlhc a!=hr'tVearecbB;--d w vedfj jm�—e smta=== an art soe ve tez—ants mr pimse irdi=ta below your e=pioyeiVs c,=---.t armuai ;--=e M= wages, ave.^m bonuses. cr any otter fart a c=ue=anon received cn a rerilarbas= Annuai wages cvm--�=e IN Ca==Lmions hw2by c=-ffthatthmstu=m=abave am =e a=;=isolate to the bestd=y-k=wledg—m L Due M&W fIA1 WmW&"ft= to: Unit Na. `�"�^l • TO: • Li4'COi1iE Ti�TiIF:C3TiON Your eW icyee has apoued for a rental unit lc=ed ht ar. ai^rabie afar enr prcjec ?csons whose ar ai inure aces tmr m== esmombed Cz=r-Yem-= lnccme limis We are obliged to vedfv inc—.e ware =s on aII _-%=e=ve tenants for ss c: ;^its. Please ciliate below your e=pioyei_'s c=.----t annuai :-Conte E wm wag-- ove^_._ b--W.ses. mmaus=cns or anv other fcr of comnetisatlon eceived on a.epkr basis: Arn u=! wages i L —I oy Over^..me Bonuses �TS1S!!ISS}n}}V , Toga. tT.== p BA`"YWOOD EXPANSION • *0 INCOME COMPUTATION AND CERTIFICATION 1/We, the undersigned stale that 1/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in,the above apartment project. Listed below are the names of all persons who intend.to reside in the unit: 1. Name of Members of the Household MELISSA KAYE 2. Relationship to Head of Household Household HEAD OF HOUSE 4. Social Security Place of Age Number Employment 20 608-60-4499 FRANKLIN AND ASSC. Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this v ra U81h@�QQf all persons over the age of 18 years listed above for the 12-month period beginning the date that I/we plan to move into a unit is $ 29, 9Uu • OU Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments to lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; M the maximum amount of public assistance available to lire above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received front persons not residing in the dwelling; Ih) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (1) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (Including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; Id) anunnds of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under ritle 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973; (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the Job Training Partnership Act; (h) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.U0 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture anti automobiles and interests in Indian trust land) Yes _X No, or (b) [love they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes X No (c) If the answer to (a) or (b) above is yes, dues the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ and (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant�of the unit Ilwe propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member. and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income fur eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon information I/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that ilwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for ejection or other appropriate proceedings. I/we declare under penally of perjury that the foregoing is true and correct. Executed this 25TH day of JULY, 1995 in the City of NEWPORT BEACH , California 1 r I1/Y�(J V Applicant I AI'Pllcant - . ,, . r,� •, ..,, r Applicant +.n"i;pd,+1�,+9g/, (SApplicant ignature o(al persons over the age of 18 years listed In number 2 above required) n v 0 FOR COMPLETION BY APARTMENT OWNER ONLY I. Calculation of eligible Income: $ _ 28, 800.00 a. Enter amount entered for entire household in 6 above: . I ,I i ; b. (1) If the amount entered in 7(c) above is greater titan $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings an the amount in 7(c) would be if invested in passbook savings ($ ), subtract from (hat figure the amount entered fit 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): $ _ 28,800.00 2. The amount entered in l.c: Qualifies the applicant(s) as a Low Income household. x_ Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: 766 Bedroom size: 2+2 Rent: 1,015.00 4 This apartment unit (was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: ---x Employer'income verification. Copies of tax returns. , x_ Other( —.GRANDFATHER IS. SUPPORT_) Idanager r Date w ., 'h.o4:,"fl d tit ;111. torte• 'fn116''.:, �..,�+l') nn. 1. y BAYWOOD EXPANSION MODERATE INCOME UNIT SUBORDINATED LEASE ADDENDUM This Addendum becomes a part of that certain Lease dated JULY 25, 1995 by and between Irvine Pacific and MELISSA .KAYE Resident(s) Name(s) THIS LEASE IS SUBORDINATE TO ANY MORTGAGE CURRENTLY EXISTING OR AT ANY TIME CREATED IN THE FUTURE OVER THE PREMISES. (INITIALS) (INITIALS) Resident hereby acknowledges that the Premises are subject to an agreement by and between Owner and the City of Newport Beach (the "Agreement"), which (i) restricts occupancy of the Premises to persons or families whose aggregate gross annualized income does not exceed one hundred percent (100%) of the Orange County annualized median income as periodically revised and published in the County of Orange (the "Median Income"), and (11) further restricts the rent Owner may charge for occupancy of the Premises. As a material inducement to Owner to enter into this Lease, and in order to secure I Ile benefits hereof and of the Agreement, Resident hereby certifies that the information provided and statements made in the Income Computation and Certification, relied upon by Owner in verifying Resident's qualification for occupancy of the Premises pursuant to the Agreement, are in all respects accurate, and acknowledges that the accuracy of such information and statements is material to Owner's willingness to enter into this Lease. In order to carry out the intent of this Lease and the Agreement, Resident agrees as follows: (a) Resident agrees that this Lease entitles Resident to occupy the Premises only so long as there is no material change (as defined in subparagraph (c)(M) below) in the aggregate annualized gross income of the occupants of the Premises. Therefore, in the event of any increase in the aggregate gross income of the occupants of the Premises in excess of ten percent (10%) in any year during the term of this Lease (whether due to salary raise, a change in occupants, or otherwise), Resident agrees promptly to so notify Owner. (b) Resident agrees promptly to comply with all reasonable requests (reasonable for these purposes meaning no more often than quarterly) by Owner to update the information provided and statements made in the Income Computation and Certification, hereby certifies that all such updated information shall be accurate, and acknowledges that the accuracy of all such updated information shall be material to Resident's continued occupancy of the Premises. Resident further agrees to provide such proof of the accuracy of the matters shown in the Income Computation and Certification and any updated information as may be reasonably requested by Owner, and to cooperate with Owner in obtaining independent verification of the accuracy of the Income Computation and Certification and updated information. (c) Owner shall have the right and power to terminate this Lease, at the direction of the City, upon thirty (30) days written notice to Resident, in the event of (i) Owner's discovery of any falsification of the information provided by Resident in the Income Computation and Certification or in response to any request for updated information, (ii) Resident's failure or refusal promptly to notify Qwner of a.ten percent (10%) increase in aggregate annualized gross income of the occupants of the Premises, or to comply with a reasonable request to update, or to verify or cooperate in the verification of, information and statements made in the Income Computation and Certification or any updated information or (iii) Owner's discovery of a material change in the aggregate annualized gross income of the occupants of the Premises (a material change for these purposes being a change in such income resulting in an aggregate annualized gross income exceeding ten percent (10%n) of the then current income qualifying limit). Resident hereby agrees that Owner may provide copies of the Income Computation and Certification and any updated information with respect thereto to the City of Newport Beach or its agent for verification. Date: 7-25-95 � e,La,� Resldent Resident Resident s 0 WESTERN NATIONAL PROPERTY MANAGEMENT, INC Project Unit No. INCOME RESTRICTED FINANCIAL woiWlff Er Appliam's Nana 0Annual Salary S Others Raiding in Unit Annual Salary S Annual Salary S Annual Salary S Commissions/Bonuses $ Commisti nVaonusm S Savings Accounts:Bank Interest Baring Checking Account: Stocks/Bonds: Trust Fund: Other. Property: B alance X % s S Bank Balance X % s S Bank Balance X sJi :. S Bank Balance X o/, S Type Amount X %i : S Type Amount X % : S ,'a Amount X °li s S (Alimony, child support, ►etitement pensions, social security, disability payments, parental support, ere) Type Annual s TYPe Annual S lYPe Annual S SUBTOTAL $ Address Equity }(__% s S TOTAL ANNUAL ELIGIBLE INCOME S 'Z '4 O Z> , Unit No. TO: INCOME VM=C AnON Your employee has applied for a rental unit located m, an affordable apartment project wr persons whose annual income does not exceed established County Median Income limits. We are abut d to verity innate statements on all prospective tenants far such, units. Please indl=te below your employee's current annual income from wages, overtime, bonuses, commissions or any other form of compensation received anbasis:/regular bbasi Anrmual wages - + t�('(�!lL{,� ` 0" Overtime Bonuses Commissions v �) V Total current income above am ¢rngand complete to the best of my knowledge I hemby grant you oemaission to dk[3o hty income to Haywood Apartments is order that they may determine my income etigtbt7ity forrental of an apartment located is their project Me sere=to: rHapwoorlDavr .. Ncwp=rBe=h, Caifor fa 92"0 '1� �. �4 nfi'`4•L�jjj� J ��ti7 Ili' � ��. .ofitihN..t�Gn.W>XPNr;SS6A;:ax:5.. Xe.v:.... -tle •!. it To Whom It May Concern, 4�itLo-, vr-Pn*E0- LOA - the/PA gel "WO0 of will be supporting Newport North Apartments at the . _, Newport Beach, California, Qtw total monthly financial contributionnto �VY.Ul ` for a total annual financial .00ntribution o£ S Uc If there are any problems or concerns regardittg myfe ees residency or rental payment please contact me immediately. C Od rr }. Qy q •} a orj � s o axmaH,K YNdS T � T p '3 C� '+4'2: 'G,O T 0 1 's } cc tl y } s off -4- s 0 c[ 0 j�j Nc yt d�6�'G�� O", S4 E���2'�`"2: 0 BAYWOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that Uwe have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1. 2, 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment MELISSA KAYE HEAD OF HOUSE 20 608-60-4499 FRANKLIN AND ASSC. Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this pdrag8h 68f all persons over the age of 18 years listed above for the 12•month period beginning the date that I/we plan to move into a unit is $ 23 0 U Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment,for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (I) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income); (e) special pay to a household member who is away from home and exposed to hostile fire; (f) relocation payments under Title It of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977, (I) payments to volunteers under the Domestic Volunteer Service Act of 1973, (j) payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low•Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) Yes X No; or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes X No (c) If the answer to (a) or (b) above is yes, does the combined total value of all such assets owned or disposed of by all such persons total more than $5,000? Yes No ($ total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to be derived from such assets in the 12•month period beginning on the date of initial occupancy in the unit that you propose to rent: $ and ' (2) the amount of such income, if any, that was included in item 6 above: $ 8. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner, or owns directly or Indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust In proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and Uwe declare that all information set forth herein is true, correct and complete and based upon information 1/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. I/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. Ywe acknowledge that Ilwe have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of the unit by institution of an action for election or other appropriate proceedings. I/we declare under penalty of perjury that the foregoing is true and correct. Executed this 25TH day of JULY, 1995 Applicant NEWPORT BEACH . in the,Ciky�ofr - - -- - , California. ---��� A pllcant — Applicant s,'J + , "t , T/vl, Applicant (Signature of atlpersons over the age of 18 years Iisled In number 2 above required) 6 FOR COMPLETION BY APARTMENT OWNER ONLY 1. Calculation of eligible income: $ 28, 800.00 - a. Enter amount entered (or entire household in 6 above: it, ',• � ' ` b. (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ ); (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ c. TOTAL ELIGIBLE INCOME (line La plus line Lb(3)): $ ' 28,800.00 2. The amount entered in l.c: Qualifies the applicant(s) as a Low Income household. , • _x Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: 766 Bedroom size: 2+2 Rent: 1,015.00 4. This apartment unit (was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: —X_ Employer income verification. t 1 1 ' Copies of tax returns. 111,r x_ Other ( GRANDFATHER t S SMEORT ) , r,,, y . I . • ''r r'.Ir r, c, fo Date r 1 �r • ! • P 1 '1 ,1• rl•r4^I`i •i`U'aI4',. ny rJ hL+• r• ,, •7 •,Q !r t�j1T:"1ti:,rXT• •):1,)v{•..r.t.r r/ r .., • q .,,I ,.r v. 91' ll[, p=pm. • .q rt)i L, 6' �•.r: r t If IIFI . (', r-: r'I• t t n t t* nq u' I frwc•ouv(l...•r, y�ulijsn tn1lrrMe +' dtts^pin" inr nil i r r <i flri 1' }> P, CFNIIA44V 7 •'t3'A WIC I. BAYWOOD EXPANSION MODERATE INCOME UNIT SUBORDINATED LEASE ADDENDUM This Addendum becomes a part of that certain Lease dated JULY 25 1995 by and between Irvine Pacific and MELISSA •RAYE Resident(s) Name(s) THIS LEASE IS SUBORDINATE TO ANY MORTGAGE CURRENTLY EXISTING OR AT ANY TIME CREATED IN THE FUTURE OVER THE PREMISES. (INITIALS) (INITIALS) Resident hereby acknowledges that the Premises are subject to an agreement by and between Owner and the City of Newport Beach (the "Agreement"), which (i) restricts occupancy of the Premises to persons or families whose aggregate gross annualized income does not exceed one hundred percent (100%) of the Orange County annualized median income as periodically revised and published in the County of Orange (the "Median Income"), and (ii) further restricts the rent Owner may charge for occupancy of the Premises. As a material inducement to Owner to enter into this Lease, and in order to secure the benefits hereof and of the Agreement, Resident hereby certifies that the information provided and statements made in the Income Computation and Certification, relied upon by Owner in verifying Resident's qualification for occupancy of the Premises pursuant to the Agreement, are in all respects accurate, and acknowledges that the accuracy of such information and statements is material to Owner's willingness to enter into this Lease. In order to carry out the intent of this Lease and the Agreement, Resident agrees as follows: (a) Resident agrees that this Lease entitles Resident to occupy the Premises only so long as there is no material change (as defined in subparagraph (c)(iti) below) in the aggregate annualized gross income of the occupants of the Premises. Therefore, in the event of any increase in the aggregate gross income of the occupants of the Premises in excess of ten percent (10%) in any year during the term of this Lease (whether due to salary raise, a change in occupants, or otherwise), Resident agrees promptly to so notify Owner. (b) Resident agrees promptly to comply with all reasonable requests (reasonable for these purposes meaning no more often than quarterly) by Owner to update the information provided and statements made in the Income Computation and Certification, hereby certifies that all such updated information shall be accurate, and acknowledges that the accuracy of all such updated information shall be material to Resident's continued occupancy of the Premises. Resident further agrees to provide such proof of the accuracy of the matters shown in the Income Computation and Certification and any updated information as may be reasonably requested by Owner, and to cooperate with Owner in obtaining independent verification of the accuracy of the Income Computation and Certification and updated information. (c) Owner shall have the right and power to terminate this Lease, at the direction of the City, upon thirty (30) days written notice to Resident, in the event of (1) Owner's discovery of any falsification of the information provided by Resident in the Income Computation and Certification or in response to any request for updated information, (it) Resident's failure or refusal promptly to notify Owner of a ten percent (10%) increase in aggregate annualized gross income of the occupants of the Premises, or to comply with a reasonable request to update, or to verify or cooperate in the verification of, information and statements made in the Income Computation and Certification or any updated information or (iii) Owner's discovery of a material change in the aggregate annualized gross income of the occupants of the Premises (a material change for these purposes being a change in such income resulting in an aggregate annualized gross income exceeding ten percent (10%) of the then current income qualifying limit). Resident hereby agrees that Owner may provide copies of the Income Computation and Certification and any updated information with respect thereto to the City of Newport Beach or its agent for verification. Date: 7-25-95 �►..f )C a Resident Resident Resident Resident a WESTERN NATIONAL PROPERTY MANAGEMENT, INC Project Unit No. INCOME RESTRICTED FINANCIAL WORKSHEET Applicant's Name: Annual Salary S b O� Others Residing in Unu: Annual Salary S Annual Salary $ Annual Salary S CommissiorwBonum S Commissiotu/Bonuxs S Savings Accounts:Bank BalanCe X % = S Bank Balance X %i = S Interest Bearing Checking Account: Bank Balance X %i = S Bank Balance X % = S Stocks/Bonds: Type Amount X % = S l'pe Amount X %i = S Trust Fund: 'type Amount X %i = S Other. (Alimony, child support, retirement Pensions, social security, disability Payments. parental support; etc) Type G,�/�- C//.r— Annual G� S TYPe . Annual S T/w Annual $ SUBTOTAL S Property. Address Equity X_%i = S TONAL ANNUAL ELIGIBLE INCOME S Unit No, TO: 0 INCOME VETtIFIC CATION Your emaiovee has anpfied for a rental unit located in an affordable apartment project far persons whose annual income does not exceed established County Median Income limits. We are obliged to verify income statements on all prospective tenants for such, units. Please indicate below your employee's current annual income from wages, overtime, bonuses, coms+«M,= or any other form of compensation received /'o7n/�aJrzz soulla�r/basis Anrtual wages I�Jy(L(,� ` Overtime Bonuses Commissions Total L2 current income 6 L—vim/ complete to the best of my knowledge. ... �YY1K ^. yi^.+iA4!•:.�§u.�fi.Ntil [J To Whom It May Concern, 100 - the„ pqWWM of .4c.' will be supporting at Newport North Apartments at the Newport Beach, California, Va9w total montbziy .financial contribution too m � HI be for a total annual financial contribution of S If there are any problems or concerns regarding myfeerson1pt{ersS dcac}, or rental payment please contact me immediately, TSignr here Sign / e Print name here h'.,. C Od W - 'aV tt * a aN a s ox Maka'K W a a t : t a 9$ -a:= "L0 t Od 's } CC le q i ON } a o G•.nahI� LSd�E '��:�On�NSF 6^•tZ.+'�•4�i.;GO BAYWOOD EXPANSION INCOME COMPUTATION AND CERTIFICATION I/Wo, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: I. 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment VIRGINIA BURBACK HEAD OF HOUSE 68 570-30-4384 RETIRED Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this pars ra�rh 6, of all persons over the age of 18 years listed above for the 12-month period beginning the date that 1/we plan to move into a unit Is'$ 18 • L 1 Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation forpersonai services, before payroll deductions, (b) the net intone from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets), (c) interest and dividends (including income from assets included below); (d) the full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (e) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities, (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; 00 all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and (i) any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; fill amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be included in income), (e) special pay to a household member who is away from home and exposed to hostile fire; W relocation payments under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970; (g) foster child care payments; 00 the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977; (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (U payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; 1m)payments received from the Job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,000.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and autumobiles and interests in Indian trust land) x Yes No; or (h) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes % No (c) If the answer to (a) or (b) above is yes, Niue iI a cobined total value of all such assets owned or disposed of by all such persons total more than $5,000? —_Yes No ($ p • 9� • UU total assets) (d) If the answer to (c) above is yes, state: (1) the amount of income expected to bggderived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $329 . gU ,and (2) the amount of such income, if any, that was included in item 6 above: $-329.00 8. Neither myself nor any other occupant of the unit 1/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner; or owns directly or indirectly any interest in the Owner. For purposes of this Paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust in proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual ur a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit; and I/we declare that all information set forth herein is true, correct and complete and based upon Information 1/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. 1/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. H. I/we acknowledge that Usve have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate mylour occupancy of the unit by institution of an action for ejection or other appropriate proceedings. 1/we declare under penalty of perjury that the foregoing is true and correct. Executed this 15TR day of - JULY, 1995 in the City of NEWPORT BEACH , California. V Applicant . I � • r 1 Applicant Applicant (Signature of all persons over the age of 18 years listed in number 2 above required) r FOR COMPLETION BY APARTMENT OWNER ONLY L Calculation of eligible income: g 18,329.51 a. Enter amount entered for entire household in 6 above: b. (I) If the mnuunl entered in 7(c) above is greater than $5,(IBo, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($_39g, 5() ); (2) Multiply the amount entered in 7(c) limes the current passbook savings rate as determined by HUD to determine what the total annual earnings on the amount in 7(c) would be if invested in passbook savings ($-329-5 ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($_ I, (3) Enter at right the greater of the amount calculated under (a) or (2) above: $.18.399.51 c. rOTAL ELIGIBLE INCOME (line La plus line Lb(3)): $ ]R.179. 1 2. The amount entered in I.c: % Qualifies the applicant(s) as a Low Income household. Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: 913 Bedroom size: 2+2 Rent:995.00 4. This apartment unit (was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner' upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. —.x— Copies of tax returns. Other r n„• R'„ .,(311 f,,.I ... hr,,gw rnldlhl h � , :bU,1;.,rp�.fr Ui rls: ygra�:nA'd'4flp^Lrr„•III ' BAYWOOU . MODERATE INCOME UNIT SUBORDINNITI) LEASE ADDENDUM 'I his Addendum becomes a part of that certain Lease dated JULY 15, 1995 _ by and between It vine Pncific and Nsnu(s) 'IIIIS IXASr IS SUBORDINA'1'C'10 ANY MORTGAGE CURRCNTLY EXISTING OR At' ANY TIMC CRCNI'ED IN THE FUT URE OVER TI IE PREMISES. (INITIALS) (INITIALS) Resident hereby acknowledges that the Premises are subject !o an agreement by and between Owner and lite City of Newport (leach (the Agreement"), which (I) restricts occupancy of the Premises to persons or families whose aggregate gross atuualbell income clues not exceed one huodred percent (100%) of the Orange County annualized median income as petiodically tevised and published in the County of Orange (the "Median Income"), and (it) further restricts the rent Owner may chage fur occupancy of lite Premises. As a material inducement to Owner to enter into this Lease, and in order to secure the benefits hereof and of the Agreement, Resident hereby certifies thatthe information provided and statements tnade in the Inrunte Cool Jill Ill ion and Certification, relied upon by Owner in verifying Resident's qualification for occuponcy of the ('remises pursuant lu [lie Agreement, ate in all nespecls accutale, and acknowledges that the accuracy of such information and statements is material to Owner's willingness to enter into this Lease. In order to ratty out rile intent of this (.ease and the Agreement, Resident agrees as follows: (a) Resident agrees that this Lease entities Residenl to occupy the Premises only so long as there is no material change (as defined in sithparagralilt HIM) below) in the aggregate. annualized gross income. of the occupants of lite. Ptemises. There(ote, In Ihe evert] of any inctease in lite aggregate gross Income of lite occupants of file Premises lit excess lit ten percent (I0%) In any year (filling Ihe brut of this Lease (whether due to salary raise, a change lit occupants, or otherwise), Resident agtees ptomplly to so notify Owner. (b) Resident agrees promptly to comply with all reasonable requests (reasonable for these purposes meaning no more often than quarterly) by Owner to update the information provided and statements made in the Income Computation and ('edification, hrtrby cetlifies that all such updated formulation shall be accurate, and acknowledges that the accuracy of all such updated information shall be material to Resident's continued occupancy of the Premises. Resident (utther agrees to provide such proof of the accuracy of the matters shown fn the Income Computation and Certification and any updated iufnnnalfon m may be reasonably requested by Owner, and to cooperate with Owner in oblainhig (mlependenl vetificatinn of file accuracy of the Income Computation and Certification and updated information. (c) Owner shall have lite tight and power to terminate [his Lease, at lite direction of the City, upon thirty (JO) nays written notice to Resident, lit the event of (1) Owner's discovery of any falsification of the infornralion provided by Resident in lite Income Computation and Certification or in response to any request for updated information, (it) Resident's failure ar refusal ptontptly to notify Owner of a tell petcenl (10%) increase in aggregate• mmualized gross Income of the occupants of the ('remises, or it) comply will a reasonable tequest to update, or to verify or cooperate fit the verification of, infornaliun and statements made in the Income Computation and Certification or any updated Information or (lit) Ownet's discovety (if a material change to lite aggregate muma117C(i gross income of the occupants of the Premises (a material change for these put pules befn), a change to such income resulting [n an aggregate annualized gross Income exceeding ten percent (IM of [lie then current inconlc qualifying linig. Resident hereby agrees that Owner may provide copies of the Income Computation and Certification and any updated information with respect thereto to [lie City of Newport Beach or Its agent for verification. Dale: Resident Resident Resident Pntject BAYWOOD Unit No. !� ( I INCOME RESTRICTED FINANCIAL WORKSHEET Applicant's Name: .annual Salary Others Residing in Unit: Annual Salary S i.�-, Ouu Annual'Salary S ' Annual Salary $ Commissions/Bonuses S Commissions/Bonuses S Savings Accounts: Bank /!J Az Balance x _% = S Bank Balance x _% = S Interest Beating !L Checking Account. Bank °• o� A Balance q N9 • 34 x %a = S L{, 7 • Bank A Balance bW0,BH x%a = S -Z&2— Stocks/Bonds: Type _ _ /� -- Amount _ - x .% = S Type Amoun[ x _% = S TrustFund: Type Amount x_To = Other. (Alimony, child support, retirement pensions, social security, disability payments. parental support, etc.) Type Annual S Type Annual S Type Annual S Property: Address SUB -TOTAL $ Equity x _% = S TOTAL ANNUAL ELIGIBLE INCOME $ g 3 2 cl �^ n...,tvas e F 1040 Label (See L instructions A 0. page 12.) B E use the IRS L a btparlm..I of the Treasury- d nova... sarvica U.S. Individual In, --me Tax Return im 'our first name and imtul REX M BURBACK I a joint relurn, "Gust's I,rst name andImpal 1994 Last name Iabol. N Nameaaeressjnurber and street) 11 you have a F.O. box, see page lz. dtherwue, me,ae^.r,m n 5685 SCYTHE ,:.Axe r type. E Gty, town e, p_s: el Lce,stale, and ZIF cede. If you have a lera04 xomess, see pace l2. Presidential HIGHLAND, CA 92346 Election Campaign' Do you want S3 to go to this fund? .................................. (Be, ;.age 12.) II a joint return. does your spouse want 53 to go to this fund? ............. Jse only- Do Apt. no. 19 1 WAS No. 573-24-7206 ,ouse's socal security mpiwrr. 570-30-4384 For Privacy Act and Paperwork Reduction Act Notice, see page 4. N�Xy Note: Cbeck,.G' es. wuln of nonGe your Ias orred+ce Ycur re l un d. 1 SingleFiling Status 2 X Married filing joint return (even if only one had income) (see page 12.) 3 Married filing separate•relurn. Enter spouse's sec. sec, no. above & full name here P- C h,cx only 4 Head of household (with qualifying person). (See page 13.) It the qualifying person is a child but not your dependent, one box. enter this child' 5 C.:e:.";md tvid A(ei r ...... ,: i en rl hil6i War spouse die.. ._ . (See page 13.1 6a , Yourself. If yod: pta' __.led e _ you 2s r • -_ .. hisor her tax Exemptions !c:utnl do ^ be 6a Lse)an1cIaun re to check he �^ 33b on page 2• • • • No. c: boxesb V.i' Spous...... ............... 6aane EbnMilo,of c De endents: P lc undo tleoendem's sepal t t,ep.nden,•s No. of Your mes.11v.a in childrenon n)-:a-a :H:. -:•:I a-tllav na^!I IIf'.1 I ue11 stc+ntvr..r..per re:aharsh,p to )•pu I hen. m'Ec Ec wino: • d.tl.'t I•ve w.:n r—^ yeu due to th.clee It mere :non Six I I or to-eau.n (sea page 14) deer;t"u. I r1 , :rt cos t4. t I :Gcenet-:S II --' .re. Le CSt d 1 f,'.'7 C...' :.a :. A'1 yca b.:: S C!a'r 1Ed a. V: r dep. under ^1�-L65 2dfeCTClli, Ghee. .. ► i )•:..: •' - ❑ -ee •,.-:e•s ItTc:al m:mter cl a<emplions c!almetl ... e-..:Iles:: :•nes aced ► F 7 v✓ageS, salaries. tips. etc. Attach Fotm(s) W-2........................................ 7 1 18,0001 Income Sa Taxable m;n c^.t :.come (see page 15), Attach Schecule B it over S400 ................ ..... Sa to Tax-exempt.niciest(see page 16). C^ry,rcicpe cn: It Ea........ I 8b mtacn 9 Cur_.^c''1cc:T:: A'acn S7."..dale B d over S4e0 .. ............ ........................ 9 cnpy a of your 10 Taxable !elands, ciedns, or enseis of state and local Income taxes (see page 1........ ...... 6), 10 I 279 1 roims W-2. 71 W-2G.md 11 Alimony received .. .......... . ........................ ............ ........ 1099-H htte 12 Business income or (loss), Attach Schedule C or C-E2................................... 12 it you witnet 13 Capital gain or loss 11 required, attach Schedule D..................................... 13 —3 , 0 0 0 ate page 15. 14 Other gains or (losses). Attach Form 4797............................................. 14 Enclost, but eo 15a Total IRA 651fribttlions.......... 15a b Taxable amount (pg. 17) 15b mra:tach,tny b Taxable amount 17 16a Total pens•ons and 2nnullies..... 16a (pg. ) 16b cay,.,nt ..In your 'eta'"• 17 Rental real estate, royalties, partnerships. S corporations, trusts, etc. Attach Schedule E.......... 17 —1 , 14 2 r 18 Farm income or (loss). Anach Schedule F............................................. 18 19 Unemployment compensation (see page 18)........................................... 19 20a Social security benefits ......... 1 20a l b Taxable amount (pg. 18) 20b 21 Olhm inccmt. 22 Add the amounts In :he far right column for lines 7 through 21. ThiSie your total Income ........ ► 21 22 1 14,137 1 Ad usiments 23a Your IRA deduction (see page 15)................... to Income b Souse's IRA deduction see a e 19 ......... • 23b 24 f4ovmg expenses. Attach Form 3903 or 3903-F . . .... .. ...... 24 d,•, 25 One -hall of sell -employment tax .......................... 25.a•, Gabon: See rr:::+ct•cns .... ► 25 Sell -employed he2!!h insurance deduction (see pale 2l)....... 26 27 )'vL--. re: ,. •Fm!. an and soil-empk;ed SEP decuc:oa ... 27 28 Pcna!:y on r.a:!/'of sa•;rlp . ......... . ... ... 28 29 Aiimcny ,21d. Recipient S SSY ► 1 29 0 1 30 Add lines 23a through 29. These are your total adjustments ............................. ► 30 Adjusted 31 Subtract line 30 from line 22. This is your adjusted gross Income. If less than .025,296 and a child 14 137 Gross Income lived with you less than $9,000 it child didn't live with you), see "Earned Income Credit" on pg. 27. ► 31 _ Form �040 oiic- K1l,' q t�t fl, .t4�.•f. e. . i' 1•e it. ir, lfYr s', •3,f 11040(1994) REX M AND VT—'IINIA M BURBACK 573-24-7206 32 Amount from line 31 L sled gross income) ................... . ...... ax 33 a Check if: ® You were 65 or older, ❑ Blind: ® Spouse was 65 or older, ❑ Blind. m U- p _ Add the number of boxes checked above and enter the total here ................ ► 33a 2 /tation b It your parent (or someone else) can claim you as a dependent, check here......... ► 33b ❑ !Ili�i "A ave c II you are married filing separately and your spouse itemizes deductions or you are a dual -status alien, see page 23 and check here .............................. ► 33c ❑ Itemized deductions from Schedule A, line 29, OR �I I I/ 34 Enter Standard deduction shown below for your filing status. But If you checked the any box on line 33a or b, go to page 23 to find your standard deduction. larger If you checked box 33c, your standard deduction is zero, ' of I is Single - S3,800 • Head of household - $5,600 ...... , 34 your: I • Malmo filing jointly or Qualifying widow(er) - S6,350 • Married filing separately - $3.175 If you want the IRS:o ae yul 'a, let Pa Qe Credits (ste past is 1 Other Taxes 1 tt;,;e 21.1 Payments R:tacn Fprr. a W-Q. W-id,and 1Ills- R on the boot. Refund or Amount - You Owe 35 Subtract line 34 from line 32 ......................................................... 36 If line 32 is $83,850 or less, multiply $2.450 by the total number of exemptions claimed on line 6e. If line 32 is over $83,850, see the worksheet on page 24 for the amount to enter .................. 37 Taxable Income. Subtract line 06 from line 35. It I, n e 36 is more the, 1, n e 35. enter -0- . • • • • • • • • • • • • • • • • • • • • • .......... I ........... 38 Tax. Check if from a ® Tax ,Table, It ❑ Tax Sale Schedules, d ❑ Capital Gam Tax Worksheet, or d ❑ Form E515 (seo ,: . ' unt Fo 65 fr 39 Additicnal lases. Check I o . , m 97 IIII��ItT Form 4972. .. .. .. ...... .... 1.. .. .... ... 40 Add Imes 3E and 39...... �• �. . 41 Clfdli fdf ChnC and tlepe )dela-^ro-expen s. n. or 2441... 42 Cledn for lne eldefly or tt e d abled. Anac BSc etl le ....... .. . ff 43 Foreien tax credit. Attach .... 1116 .......................... -+19 44 O:her ctecits (cee pace 25) Checv. If from a ❑ Form 3600 b ❑ Fcim 6395 CC,- - d 4q-l� 45 Add lines 41 Inmugh .4 46 Subtract line 45 from lline <o. If :, 5 i m re ih 1 " I < eft•�i I • . • .......► 47 Sell-empfdymeni lay AnI Sch ,, -�•; 1 I , I. .. ..t.�I ,—! :........ . 4a A::e1,1?:"e n .:•n:cnl a%;h�-� 5 u . 1...III �. , , I, Ill 43 i;acap:..:e :_... %!• F �. ; r=t �7 :L--1e„t ; e ♦` Fc t Ll .. ....... 50 Social teccufy anc Medicaie tax on op Income not reponec to employer. Aaach Fctm 4137....... . 51 Tax on qualified fel::emenI plans, mc!uding IRAs, if req:jvcd, a::ach Fc!m 5329................... 52 AdVance earned income credit payments from Form W-2................................... 53 Add IIncs 46 ;h-Muoll 52. This is votrr total tax.... .. .................. 54 Feder; inc^_me tax withheld. II any is from Fcrm(s) 1029. chock ► ❑ Sa j 1 , 9471 55 IE94 ec;lntafed tax payments and amount apple" ito.111993 return 56 Earned Income credit If tequiied, attach Schedule EIC (see page 27), Nontaxable earned income: amount..... ► and type ► NO 56 57 Amount paid with Form 4868 (extension request) .. .............. 57 ' 58 Excess social security and RRTA tax withheld (see pace 32) ........ 58 59 Other payments. Check it from a ❑ Form 2439 It ❑ Form 4126 ... 59 60 Add lines 54 through 59. These are your total payments ................... . .............. ► 61 If line 6o is more than fine 53, subtract line 53 from line 60. This fs the amount you OVERPAID .. ^ . ► 62 Amount of line 61 you want REFUNDED TO YOU ........................................ ► 63 Amount of line 61 you want APPLIED TO 1995 ESTIMATED TAX.. ► 163 64 If line 53 is n10re than line 60, subtract line 60 hom line 53. This is the AMOUNT YOU OWE. Fol details on how to pay, includ.ng wtlai to wf he on your payment, seepaoe 32 ................. 65 Estimated lay penally (sea page 33) Also include on line 64 1 65 1 1 38 0 48 I 49 I 9,9oc 4,138 4,900 0 0 947 947 Sign Un Ctl Parsi6es of p "WY. I dteiart Via 1 have eaamm ed this return and &ccdmpa1ymp seheeeles ar d s t41tmenis. and to :he teal cf ny anprle Epe one belief, they ul imq correct. and Complete. deClaraLop OfpfepaiU(dihel toss taapdylr)Ip based Cd all mlprmdHdn di whmnp epaler non any knewle4Qe, Here 1 YdursipnaUrt Cam Ydur ocwpahon Keep a epos RETIRED ':et-:n 5; cuct_ai;:attire. is a pwia-urn. ECTt.-uq sign. Cam sppust's oea.pa: cn " I DATA PPOC-VSSI':G ••e;ut�c Paid // :' -sin /�/y�, Lam`_ /—� ' Cate Cheekd ''re:a,t!a stool sL:.•p::. :;:a:_:t �i2dBERT H. $ ERCC RP 2 23 95 sell-tmpidytd ® 546-76-7013 Preparer's Tri le III Concepts E.LNp. 33—,0078721 Use Only listll emp'oyeelapd �4172 'N. Sierra Wa addrai lL ;� San `Bernardino CP; 21P code 92407 BAi'WOOD EXPANSION s INCOME COMPUTATION AND CERTIFICATION I/We, the undersigned state that I/we have read and answered fully, frankly and personally each of the following questions for all persons who are to occupy the unit being applied for in the above apartment project. Listed below are the names of all persons who intend to reside in the unit: 1, 2. 3. 4. 5. Name of Members Relationship of the to Head of Household Social Security Place of Household Household Age Number Employment VIRGINIA BURBACK HEAD OF HOUSE 68 570-30-4384 RETIRED Income Computation 6. The total anticipated income, calculated in accordance with the provisions of this p18ag3ap9 !,of all persons over the age of 18 years listed above for the 12-month period beginning the date that 1/we plan to move into a unit is $ 1 Included in the total anticipated income listed above are: (a) all wages and salaries, overtime pay, commissions, fees, tips and bonuses and other compensation for personal services, before payroll deductions; (b) the net income from the operation of a business or profession or from the rental of real or personal property (without deducting expenditures for business expansion or amortization of capital indebtedness or any allowance for depreciation of capital assets); (c) interest and dividends (including income from assets included below), (d) the full amount of periodic payments received from social security, annuities, Insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts, including any lump sum payment for the delayed start of a periodic payment; (a) payments in lieu of earnings, such as unemployment and disability compensation, workers' compensation and severance pay; (f) the maximum amount of public assistance available to the above persons other than the amount of any assistance specifically designated for shelter and utilities; (g) periodic and determinable allowances, such as alimony and child support payments and regular contributions and gifts received from persons not residing in the dwelling; (h) all regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is the head of the household or spouse; and M any earned income tax credit to the extent that it exceeds income tax liability. Excluded from such anticipated income are: (a) casual, sporadic or irregular gifts; (b) amounts which are specifically for or in reimbursement of medical expenses; (c) lump sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and workers' compensation), capital gains and settlement for personal or property losses; (d) amounts of educational scholarships paid directly to the student or the educational institution, and amounts paid by the government to a veteran, for use in meeting the costs of tuition, fees, books and equipment (any amounts of such scholarships or payments to veterans not used for the above purposes are to be Included in income); (e) special pay to a household member who is away from home and exposed to hostile fire, (0 relocation payments under Title 11 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (g) foster child care payments; (h) the value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1977i (i) payments to volunteers under the Domestic Volunteer Service Act of 1973, (7 payments received under the Alaska Native Claims Settlement Act; (k) income derived from certain submarginal land of the United States that is held in trust for certain Indian tribes; (1) payments or allowances made under the Department of Health and Human Services' Low -Income Home Energy Assistance Program; (m) payments received from the job Training Partnership Act; (n) income derived from the disposition of funds of the Grand River Bank of Ottawa Indians; and (o) the first $2,090.00 of per capita shares received from judgment funds awarded by the Indian Claims Commission or the Court of Claims. 7. Do the persons whose income or contributions are included in item 6 above: (a) have savings, stocks, bonds, equity in real property or other form of capital investment (excluding the values of necessary items of personal property such as furniture and automobiles and interests in Indian trust land) x Yes No; or (b) have they disposed of any assets (other than at a foreclosure or bankruptcy sale) during the last two years at less than fair market value? Yes X No (c) If the answer to (a) or (b) above is es, joeg 1J,e c bined total value of all such assets owned or disposed of b all such persons total more than $51000? _}.�YaS No ($ O-• S� V • BV total assets) p y (d) If the answer to (c) above is yes, state: (1) the amount of income expected to 6ggderived from such assets in the 12-month period beginning on the date of initial occupancy in the unit that you propose to rent: $ 329 • SU ,and (2) the amount of such income, if any, that was included in item 6 above: $ 329,00 S. Neither myself nor any other occupant of the unit I/we propose to rent is the owner of the rental housing project in which the unit is located (hereinafter the "Owner"), has any family relationship to the Owner•, or owns directly or indirectly any interest in the Owner. For purposes of this paragraph, indirect ownership by an individual shall mean ownership by a family member, ownership by a corporation, partnership, estate or trust In proportion to the ownership or beneficial interest in such corporation, partnership, estate or Trustee held by the individual or a family member; and ownership, direct or indirect, by a partner of the individual. 9. This certificate is made with the knowledge that it will be relied upon by the Owner to determine maximum income for eligibility to occupy the unit, and I/we declare that all information set forth herein is true, correct and complete and based upon information 1/we deem reliable and that the statement of total anticipated income contained in paragraph 6 is reasonable and based upon such investigation as the undersigned deemed necessary. 10. 1/we will assist the Owner in obtaining any information or documents required to verify the statements made herein, including either an income verification from my/our present employer(s) or copies of federal tax returns for the immediately preceding calendar year. 11. I/we acknowledge that I/we have been advised that the making of any misrepresentation or misstatement in this declaration will constitute a material breach of my/our agreement with the Owner to lease the unit and will entitle the Owner to prevent or terminate my/our occupancy of tine unit by institution of an action for ejection or other appropriate proceedings. 1/we declare under penalty of perjury that the foregoing is true and correct. Executed this 15TH day of JULY, 1995 in the City of NEWPORT BEACH California. Applicant U Applicant Applicant s , i ! Applicant (Signai&ie d15)j pehd1s over the age of 18 years listed In number 2 above required) r x FOR COMPLETION BY APARTMENT OWNER ONLY L Calculation of eligible income: $ _ 18, 329.51 a, Enter amount entered for entire household in 6 above: • - — t tl b, (1) If the amount entered in 7(c) above is greater than $5,000, enter the total amount entered in 7(d)(1), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ 129 . 50 ), (2) Multiply the amount entered in 7(c) times the current passbook savings rate as determined by HUD to determine what the total annual earnings on (he amount in 7(c) would be if invested in passbook savings ($ ), subtract from that figure the amount entered in 7(d)(2) and enter the remaining balance ($ , (3) Enter at right the greater of the amount calculated under (a) or (2) above: $ 1 8.329 , 51 c. TOTAL ELIGIBLE INCOME (line La plus line l.b(3)): $ 1 A � 179. 51 2. The amount entered in l.c: % Qualifies the applicant(s) as a Low Income household. „ Qualifies the applicant(s) as a Moderate Income household. Does not qualify the applicant(s) as a Low or Moderate Income household. 3. Number of apartment unit assigned: 913 Bedroom size: 2+2 Rent:995.00 4. This apartment unit (was/was not) last occupied for a period of31 consecutive days by persons whose aggregate anticipated annual income as certified in the above manner upon their initial occupancy of the apartment unit qualified them as Low or Moderate Income Tenants. 5. Method used to verify applicant(s) income: Employer income verification. , —X_ Copies of tax returns. Other ( ----------------� i , ,r rfr'r• rl� I i , 1• , ,1 b, r a . .ylY �•,'� � AQ Yp S Date b II rI I. . i•.4 r,,.. A?,r• Sr'(. ^I)7Aopr .,}Pr PV'41r�pIr4,I�. .p. +•u�;'A`Jrl�,,.J�9•Jpl.�q)In(t}n: r.,tLr ,tog rl-rn;SlJ,na pu ,B l•, ' r • BAYWOOD. MODERATE INCOME UNIT SUBORDINATED LEASE ADDENDUM This Addendum becomes a part of that certain Lease dated JULx 1.),y�17[7%0� by and between Irvine Pacific and Residential Name(s) '1111S LEASE IS SUBORDINATE TO ANY MOR'IGAGE CURRENTLY EXISTING OR AT ANY TIME CREATED IN THE FUTURE OVERT I IE PREMISES. _ /� (/ (INITIALS) (INITIAtS) Resident hereby acknowledges that the Premises are subject to an agreement by and between Owner and the City of Newport Beach ((he "Agreement"), which (1) restricts occupancy of the Premises to persons or families whose aggregate gross annualized income does not exceed one hundred percent (100%) of the Orange County annualized median income as periodically revised and published in the County of Cringe (the "Median Income"), and (ill further restricts the rent Owner may charge for occupancy of the Premises. As a material inducement to Owner to enter into this Lease, and in order to secure the benefits hereof and of the Agreement, Resident hereby certifies (flat the information provided and statements made in file Income Computation and Certification, relied upon by Owner in verifying Resident's qualification for occupancy of the Premises pursuant to the Agreement, are in all respects accutale, and acknowledges that the accuracy of such information and statements is material to Owner's willingness to enter into this Lease. In order to carry out the intent of this Lease and the Agreement, Resident agrees as follows: (a) Resident agrees that this Lease entitles Resident to occupy (he Premises only so long as there is no material change (as defined lit subparngraph (000) below) in the aggregate annualized gross income of the occupants of lire Premises. Therefen e, In the event of any increase in the aggregate gross income of tine occupants of the Premises in excess of ten percent (10%) (n any year (filling the term of this Lease (whether due to salary raise; a change fit occupants, or otherwise), Resident agrees promptly to so notify Owner. (b) Resident agrees promptly to comply with all reasonable requests (reasonable for these purposes meaning no more often than quarterly) by Owner to update the information provided and statements made in the Income Computation and Certification, hereby certifies that all such updated Information shall be accurate, and acknowledges that the accuracy of all such updated information shall be material to Resident's continued occupancy of the Premises. Resident further agrees la ptuvide such proof of the accuracy of the mallers shown in the Income Computation and Certification and any updated infoi mation as may be reasonably requested by Owner, and to cooperate with Owner in obtaining independent verification of the accuracy of the Income Computation and Certification and updated information. (c) Owner shall have tiro right and power to terminate ([its Lease, at the direction of (lie City, upon thirty (30) days written notice to Resident, in the event of (p Owner's discovery of any falsification of the information provided by Resident in the Income Computation and Certification or in response to -,my request for updated information, (if) Resident's failure or refusal promptly to notify Owner of a ten percent (10%) increase to aggregate annualized gross income of the occupants of the Premises, or to coniply-with a reasonable request to update, or to verify or cooperate in the verification of, Information and statements made in the Income Computation and Certification or any updated information or (fit) Owner's discovery of a material change in tine aggregate annualized gross income of the occupants of the Premises (a material change for these purposes being n change in such income resulting in an aggregate annualized gross intone exceeding tell percent (10%) of the then current income qualifying limit). Resident hereby agrees that Owner may provide copies of the Incorpe Computation and Certification and any updated information with respect thereto to the City of Newport Beach or its agent for verification. Date: ReeiJenl kesidcni Resldent Resident ProjectBAYWOOD INCOME RESTRICTED unit No. FINANCIAL WORKSHEET r Applicant's Name: Ors ✓L `� .annual Salary Others Residing in Unit: Annual Salary Annual Salary Annual Salary Commissions/Bonuses Commissions/Bonuses Savings Accounts: Bank �� I Balance x—% _ Bank Balance x —Oo = S S Interest Bearing rt c� CheekingAccoune Bank °[, o� �` Balance 9 N4 . 34 x_1_% = S k� Bank o Balance S bu o • 8H x % = S -2�y Z . 0 Ll Stocks/Bonds: Type� Amount x_,_9$ _ Type Amount x —% = TtustFund: Type Amount x-% _ $ Other. (Alimony, child support, retirement pensions, social security, disability payments. parental support, etc.) Type Annual S Type- Annual S Type Annual $ Property: Address SUB -TOTAL $ Equity x TOTAL ANNUAL ELIGIBLE INCOME $ 3 2 y. Departmml of the Traiubry itRevenue $swim 1994 in Wag q' 1040 U.S. Individual I�me Tax Return m Only-On n6twr,le W,Mlile this$Dec.. M e' For the year Jan. I - One. 31,1994. 01 other tax year beginning .199<, ending �;19 OMS No. 154S-0074 YOursocaismsiny numbs Label Your lira name and,n,hal Last name 573-24-7206 (see L . REX M BURBACK spouse's sooal seanty somber - Last name instructions .A on page12.) e It atom(telurn. spouse's lust name and lm!'al 570-30-4384 E VIRGINIA M BURBACK Usethe IRS L 6beL Apt. no. Romeaddress (number andstree:)It yeu naves P.O. box seepage t2. For Privacy Act and Otherwise, N A Paperwork Reduction 5685 SCYTHE sees. print 0,npe. E GIy, tDwmol pC$:Gin<e.$tale, and Zip ccCe. It you n.vea foreign address, see page MAet Notice, see page 4. Presidential HIGHLAND, CA 92346 Yes No NO n [neckeg•Yes^ w,il not Onange your X Election Campaign Do you want S3 to go to this fund7............................................... to ricl. ce ycur X .fund. (sea Aide 12.) II a joint return. does your spouse want $310 go to this fund? .......................... 1 Single Filing Status 2 X Married filing joint return (even if only one had income) 3 Married filing separate -return. Enter spouse's soc, sec. no. above Z full name here ► (see page 12•) household person). (See page 13.) It the qualifying person is a child but not your dependent, Check only 4 Head of -(with qualifying one Doe. enter this child'1 . ��� ' 5 0;:arvinq wid +(e, nehit ry or spouse die . (See page 13.) 63 3 Yourself. II ycur poi _-. eo e _ se) an claim you as .•.: , .. his or her tax Exemptions r rr ' I E:Urn do b0 ;.9 ure 10 check he+ I' 33b on page 2.... l No. cf Dexes B0 de J eneceed o� .• (See sage 13.) b 0 Spouse ..... ................ ty i 11 ,. Sa and Eb d .. .. ..` ...... , r _ (5)No. of No. of ycur Z)C c Dependents: p it I I "c,endent's mos.nveam children On Cse..nl relationship to you hone in'94 Ec who: [ll::a-<,^^: eC':•,t a-d um na,.el a_eei I nuccb., seuntycur..ber e ' , L e .w..: you d.d Save with (•^ you c'e to dmc,ee or seea,Lemm (see U nCr<:e an eu I page la) e r1 , let ;a;t 14. Gr. c're: 1 1 � I I _ :e eo Lbere tl if t C1'd d•e•• i 1 .o :..:h ca b:: s c'amed as y.Jr dop. under pie-1965 a.reement, check. ► ❑ Acc-t-Ors - dire$ xte.e ► ._ e Total m:mter of uem?eons claimed... ................. ............................ 18 000 7 vJages, sa!aries, pips, etc. Attach FOim(5) v!-2......................................... 7 , IneOme 8a Taxable in;< ea income (see page 15). Attach Schedule B it over S400 ...................... 8a b Tax-exempt ulleteSt(See pale 16). CC-, Tirebca c,- ne Ea........ I 8b nl:aen 9 G,:icOnd I•ico^-_ :-7.3ch SchE•d:rl> B it Over e400 .............................. ........ 9 279 I Copy 9 your 10 Taxab!e lel,mcs, cledlls, of offseis of siaie and local income taxes (see page 1 E)...... • • • • • • • • • 10 ( - forms W-Z. 11 • w-xc. aka 11 Alimony received ............................................................... 1099-111 hahm, 12 Business income or (loss), Attach Schedule C or C-F2........................ . ......... . 12 13 —3 , 0 0+0 it you doi 13 Capital gain of (loss). If required, attach Schedule D..................................... g<tav+_2 sea page is. 14 Other gains or (losses). Attach Form 4797............................................. 14 15a I b Taxable amount (pg. 17) 15b Enclocn but do 15a Total IRA d:stobutions.......... b Taxable amount (pg. 17) 16b nota:lach,any Payment w,1n your 16a Total pensions and annuities..... tfia royalties, S corporations, trusts, etc. Attach Schedule E.......... 17 —1 , 1 MWI.• 17 Rental real estate, partnerships. 18 Farm income or (loss). Attach Schedule F............................................. 18 19 Unemployment compensation (see page lE)........................................... 19 20a Social securly berieftls ......... 1202 I I I b Taxable amount (pg. 1E) 20b 21 ' 21 01110 in^-cmc' 22 Add the amounts :n :he far rich[ column for lines 7 throutth 21. This is your total Income ........ ► 22 14 , 137 Adjustments 23a Your IRA deduction (see page 19).......................... 23a 10 Income b Spouse's IRA deduction (see page 19) ...................... 23b 24 Moving expenses. Attach Form 3903 or 3903-F ............... 24�i d,•' i i ,. 25 One -hall of self-employment fax ........................... 25 'II l t C.wbon: see o-:h,n•cns Ili.25 Self-empl0yec health insurance deduction (see pane 21)...... 26 , .... 27 Yeoch r<_: *c,"Cn1 3n and s0-emptcyed SEP deduction......27 25 Penalty Or. cs:!7 :..:::dta.va! of savings ........... .......... 28 29 Alimony paid. Recipient s SSN ► 1 29 1 0 30 Add lines 23a through 29. These are your total adjustments ............................. ► 30 Adjusted. 31 Subtract line 30 from line 22. This is your adjusted gross Income. It less than =,296 and a child I4 13 7 didn't live with you), see "Earned income Credit" on pg. 27. ► 31 Gross Income lived with you less than $9,000 it child - Form 1040 (1s;- ux`v M ANT) =T TNTA M RTTRRAr'iC 573-24-7206— Piton 32 Amount from line 3 sled gross income) ......................... .. ...:.... 32 14 , 13 7 I �;II1":4 ;I ij'I;Ijt, _ aX 33 a Check if: 0 You 65 or older, ❑ Blind; ® Spouse was 65 or older, • [I Blind. _ w re COmptl- Add the number o1 boxes checked above and enter the total here ................ ► 33a 2 r lation b If your parent (or someone else) can claim you as a dependent, check here......... ► 33b ❑ jej pave c If you are married filing separately and your spouse itemizes deductions or you are a dual -status alien, see page 23 and check here .............................. ► 33c ❑ Itemized deductions from Schedule A, line 29, OR 34 Enter Standard deduction shown below for your filing status. But If you checked the any box on line 33a or b, go to page 23 to find your standard deduction. If you checked box 33c, your standard deduction is zero. larger Single - $3,800 • Head of household - $5,600 ....... ' of • Narrled Olin olntl or Qualifying widow er S6,350 your: 91 Y' h'• 9 ( ) - • 44arrled filing separately - S3,175 '; J W, ' •: 9,999 34 35 Subtract line 34 from line 32.......................................................... 35 4,138 36 ' 4,9001 36 If line 32 is $83.850 or less, multiply $2,450 by the total number of exemptions claimed on fine Be. If line 32 is over $83,850, see the worksheet on page 24 for the amount to enter .................. 37 Taxable Income. Subtract line 36 from line 35. , , , , , , , , , , , , , , , , , , It line 3s is more this, " an line 35, enter -a- ..................••.... If you want :he IFS :p 38 Tax. Check if from a ®Tax�Table, b ❑ Tax Rate Schedules, c ElCapital Gain Tax Worksheet, Fo ,) bSt4..... I W see cape ' g•`=re°' or d ❑ Form a615 (see e - •. ' unlR977 ;< 39 Addnicnal taxes. Check I fro,I`•. ,,rm b [1IL] Form 4972. . _ ....... 37 0 38 0 39 I 40 Add lines 36 and 39 ... '..:.—I .. .. J • ...... ................ ! 40 I 0 41 credit for chic and depte�'f,,bi7edAtlac$11 Credits" 42 Cl edit for the a-Idedy or t. Isee pate paJ 43 Foreign tax credit. Attach116 ._'en51' n. Or ' 2441...... . d ed le ...... _ • . ... .............. .......... I .. , , 44 Other credits (see page 25). Check d from a ❑ Form 3EO0 b ❑ Fcrm a396 c ❑ "_ 45 Add lines 41 thteugh 44 46 Subtract h �e 45 Irom line d -=Zl� .... ... .. ....I. 40. If 5 1 re fh 44-r-I , ..... .. .: .:.L ......... ► •. . • . 45 I 46 0 Other 47 Self-employment lax ATtl Sch - . I .... ... .. Taxes 4a P:ema%ve m •1:r.1,:m lax. :❑c............. .k r a.l 50 Social seccrry anti 6!eClczle lax on tip income net reported to employer. AFtch Felm 4137...... .. 47 I 49 50 I I St Tax on qua'I'ied!ewement plans, ind'ud;nyw IRAs. If req:r:rvd, a:;ach Fc: n15329........ . .......... 51 52 Advance ea ned Income credit payments from Farm W-2................................... 52 I I 53 Add Imes 46 1.`,teuoh 52. This is your total tax ........................................... ► 53 I 0 I Payments 54 Federal Inccnv tax WrIlhe!d. it any is from farm(s) 1029, check ► ❑ 54 I 1,94L7 55 I ' 55 IS94 ec:inlated tax payments and anocnt applied imm 1993 return .. 56 Earned Income credit If required, a0ach Schedule EIC (see page 27). Nontaxable eat ned income: amount..... ►-I en Fw,.s and type ► NO Fcrr.31/-i. wise. and tags -a cn 57 Amount paid with Form 4868 (extension request) ................. the Ircnt. 58 Excess social security and RRTA tax withheld (see pace 32) ........ 56 57 58 59 59 Other payments. Check d front a ❑ Form 2439 b ❑ Form 4136 ... 60 Add lines 54 through 59. These are your total payments .............. I .............. 1,9471 Refund. or 61 It line 60 is more than line 53, subtract line 53 from line 60. This is the amount you OVERPAID .. :7. ► Amount' 62 Amount of line 61 you want REFUNDED TO YOU ........................................ ► You Owe 63 Amount of line 61 you want APPLIED TO 1995 ESTIMATED TAX.. ► 1 63 1 1- 61 1, 9 47 62 1, 947 64 If line 53 is more than line 60. subtract line 60 from line 53. This is the AMOUNT YOU OWE. ' 64 For details on hov+ to pay, includmg what to write on your payment, seepaee 32 ................. 5 „ „_ n• 1 , ,.f:u 65 Estimated tax penalty(see page 33). Also include on line 64 ........ 1 65 I I Vneer peralt.es of Fri I declare tharl nave examine d this return andaccpmpanyhgseheelfles andaeatemens, and to the best cf my line wle dge and be he I. Sign they are true, correct, and complete. Declaration of preparerfor her than taxpa yet) is based on all information of when preparer has any krowleege. Here your signature Date Your occupation I I RETIRE D Keep a copy s.et.n r •_ese<sfga=fire. l•a zx::aturn. SOT P. e,n sign. Gate Spouse's a ccupaten I ( DATA PROCESSI',G n FAB gT Cate pmearer scaa:u<.: :r co. Paid -ig:a:xm H. GERRA 2 23 95 self-employed ® 546-76-7013 ' Preparer's Triple III Concepts E.I. No. 33-0078721 Use Only fstli emp'cytel-.E l4172 N. Sierra Way21Pco Ee 11 ,dens, San Bernardino CA 92407 ' k WESTERAW TIONAL PROPERTY JIANACIENT. INC. 630 The City Drive South Suite 260 Orange, CA 92668 MAILING ADDRESS: Post Office Drawer 6348 Orange, California 92613.6348 October 17, 1994 City Manager City of Newport Post Office Box Newport Beach, Beach 1768 CA 92663-3884 RUCE!vED By CITY OF P-''S',Hu^P Al OCT 27 1994 PM RE: Affordable Housing Reporting - Baywood Project Agreements to Provide and Maintain Affordable Housing - "PDM" dated 7/26/86 RE: Tract 12209 - "JPL" dated 6/12/86 RE: Tract 12245 - "CDM" dated 6/13/86 RE: Tract 11949 - "BC10" dated 11/08/86 RE: Tract 10814 - "BC16" dated 8/27/86 RE: Tract 12105 - "ALLRED"dated 1/19/84 RE: Tract 11935 - "Villa Pointe 1/31/90 RE: Tract 11937 Dear Sir: AREA CODE: 714 TELEPHONE: 971.9411 Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period July 1994 through September 30, 1994. Should you have any questions please do not hesitate to call. Sincerely, p Nikki Lehman Bond Administrator /nl Enclosures 0 0 die RRQMlING MODERATES � 0 fl\(/�DC (WILL BE MKT. UPON MOVE -OUT) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 732 AIDERWOOD FOREST WYEDER 08/15/91 980 (2) 738 AIDERWOOD C AR1:ATTE ROBERTS 06/04/84 940 (3) 763 AMERWOOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOn-OUT DATE REDO' (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) 261 HAYWOOD 667 ALDERWOOD 223 BAYWOOD 225 HAYWOOD /754 ADERWOOD 765 AIDEE&X= 745 AIDERWOOD 153 BAYWOOD 346 BAYWOOD 615 BAYWOOD 327 BAYWOOD 773 ALDERWOOD 766 ATDEF&'OOD 913 BAYWOOD PATRICK A. BREWER M. KANDEL & S. NIERE? SHELLEY PARVIN DAFOM & ELIZABEIH GRIST' ID PARICH & JUAN CALDERON JOAN JULIAN KRISTEN CAUGHREN MR. & MRS. A. SENARATNE MR. AND MRS. J NORSEEN MARY & &RMY HICKSON MR. AND MRS. CANTRELL R. MOSS AND C. OSIMO SITYRREL LEE STEVENS RIDMMY 10/31/91 10/01/92 04/11/92 02/13/90 08/03/94 06/11/ 05/03/91 11/06/93 07/28/93 03/01/90 07/30/94 12/19/92 09/19/92 04/11/90 990 995 995 900 11040 995 940 1020 1010 900 1040 1,000 980 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 315 BAYWOOD HEIL_'� 08/11/90 817 (2) /333 BAYWOOD JOAN JULIAN 08/26/94 860 (3) 337 HAYWOOD JALONNA DUN 11/15/91 845 (4) 742 AIDERWOOD MACY CUNNINGHAM 04/06/90 801 (5) 323 HAYWOOD STULL 06/29/91 845 (6) 338 HAYWOOD ANN HAMS 04/26/90 818 (7) 341 HAYWOOD PRICE 04/01/90 818 818 (8) 345 HAYWOOD BENDER -NORTH 04/01/90 845 (9) 356 BAYWOOD SISSON 07/06/91 861 (10) 425 BAYWOOD MARIA BONILLA 02/27/94 817 (11) 267 BAYWOOD WEST 05/25/90 (12) 783 ALDERWOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD STRU HERSS 08/08/90 817 861 (14) 677 ALDERWOOD SHEIK 07/08/94 * 327 BAYWOOD V.P.MOD EFFECTIVE 05/20/94 * 754 ALDERWOOD V.P. MOD EFFECTIVE 07/27/94 * 677 ALDERWOOD V.P.LOW (HUD) EFFEC=I 05/20/94 crm UNIT ADDRESS RESIDENT NAME MOVE -IN DATE q4 MOVE -OUP DATE RENT (1) 653 AIDERWOCD (CtM-L) KATHLEE 1 GREGG 01/10/87 845 845 (2) 663 ALDERWOOD (CTM-L) JEAN BARR= 12/05/87 975 (3) 741 ALDERWOOD (CW-L) BARR= LINGLE 07/22/92 1,005 (4) 651 ALDECdvUOD (C�iM) A. CHRISTENSEN 08/18/93 1,010 (5) 652 AIDERWOOD (COMM) ALLAN WASH 07/23/93 1,010 (6) 654 AMERflOOD (COMM) LWER/MANSSE 05/01/93 (7) 655 AIDEt3'OOD (CCMM) DIPIEIPA & MURRA.Y 05/16/94 11020 35 (8) 768 AIDE990M (CTMM) L. JON S & S. G2EENE 02/05/94 975 (10) 747 AIDERWOOD CEMM) JAME.S,, LORIDA KOVACS 07/03/84 PCM UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -CUP DATE RENT (1) 675 AHEM OM (PDM-L) DENNIS MORAN 12/16/91 975 1050 (2) 335 BAYWOOD (PDM-L) WENDY MICEEM 05/20/94 1,020 (3) 756 AIDEf&7OOD (PLM-L) MR. & MRS. L. MANITZAS 02/26/94 940 (4) 751 ALDECddOOD (PEM-M) RU*KUAI NGARMDEE 12/31/91 1035 (5) 764 AMEWCOD (POMM) MR. & MRS. E. PETERSON 06/15/94 970 (6) 753 ALDEMQOOD (PDM-M) RANDY AND MARGO HUMP 05/23/92 (7) 671 AMER900D (PDM M) VIROQM ANNE McCAULEY 10/08/90 980 990 (8) 758 AMERWOOD (PDMM) TONI WALKER 11/28/90 970 (9) 767 AIDEWCOD (PDMM) MARILYN FAUN 07/20/90 * * 333 IS A V.P. IAW - EFFT]Ci7.jZE 07/27/94 * 756 I.R. 80% - EFFECTIVE 06/22/91 * 764 I.R. 80% EFFECTIVE 05/20/94 * 335 I.R. 80% EFFECTIVE 05/20/94 * 263 I.R. 100% EFFECTIVE 06/16/94 �N RII+A2IIIQG MODERATES (WILL BE M. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 732 AIDERWOOD FOREST WYIDER 08/15/91 980 (2) 738 AIDEISVOOD CHARLOTTE ROBERTS 06/04/84 940 (3) 763 ALDE0900D WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 AIDE3WOOD M. IGMEL & S. NIERENBURG 10/01/92 993 995 (3) 223 BAYWOOD SHELT_EY PARVIN 04/11/92 (4) 225 BAYWOOD DARRYL & ELIZABErH GRIFF 02/13/90 900 (5) 754 ADERVOOD 995 (6) 765 AIDERWOOD JOAN JULIAN 06/11/ (7) 745 AIDEI3900D KRISTEN CAUGHREN 05/03/91 940 1020 (8) 153 BAYWOOD MR. & MRS. A. SETUARA7.NE 11/06/93 1010 (9) 346 BAYWOOD MR. AND MRS. J NORSEFN 07/28/93 (10) 615 BAYWOOD NARY & SHELLY HICKSON 03/01/90 0 (11) 327 BAYWOOD MR. AND MRS. CAN'TRELL 07/30/94 1040 (12) 773 AIDEM900D R. MOSS AND C. OSIMO 12/19/92 11000 (13) 766 ALDE9900D lCayrR • LEE STEMS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD HEILLING 08/11/90 817 *(2) 333 BAYWOOD (3) 337 BAYWOOD JALONNAL DUNN 11/15/91 845 (4) 742 AIDE43d00D TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORM 04/01/90 818 () 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD MARIA BONILIA 02/27/94 861 (11) 267 BAYWOOD 05/25/90 817 (12) 783 ALDEI90M XELGOZA 06/14/90 800 (13) 281 BAYWOOD 08/08/90 817 -k(14) 677 ALDERWOOD SHEIK 07/08/94 861 * 327 BAYWOOD V.P.MOD EFFECTIVE 05/20/94 •y� * 754 ALDEEMOOD V.P. MOD EFFECTIVE 07/27/94 * 677 ALDER900D V.P-LCW (HUD) EFFECTIVE 05/20/94 V� WESTERN^v 1TIONAL PI1/1PE11TV IUAN R.,1IEN'T. INC. 630 The City Drive South Suite 250 Orange, CA 92668 MAILING ADDRESS: Post Office Drawer 6348 Orange, California 92613.6348 July 12, 1994 City Manager City of Newport Beach Post Office Box 1768 Newport Beach, CA 92663-3884 RE: Affordable Housing Reporting - Baywood Project Agreements to Provide and Maintain Affordable Housing - "PDM" dated 7/26/86 RE: Tract 12209- - "JPL" dated 6/12/86 RE: Tract 12245, - "CDM" dated 6/13/86 RE: Tract 11949 - "BC10" dated 11/08/86 RE: Tract 10814- - "BC16" dated 8/27/86 RE: Tract 12105, - "ALLRED"dated 1/19/84 RE: Tract 11935' - "Villa Pointe 1/31/90 RE: Tract 11937• Dear Sir: AREA CODE: 714 TELEPHONE: 971.9411 Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will find the income computations and certifications, as well as other documentation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period April 1994 through June 30, 1994. Also enclosed, please find annual recertifications for this year. Should you have any questions please do not hesitate to call. Sincerely, Nikki Lehman Bond Administrator /nl Enclosures t�i.Ha�sti'� t'i.�'� uFtTt�3t�:,`,•'r; 6,17Y f1%'s' FM 7 $t9►lJtlltizs� tZt3t4t5►� 0 0 'r99� RRM� MODERATES (WILL BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 732 ALDERWOOD FOREST WIDER 08/15/91 980 (2) 738 AIDERWDOD CHARLOTTE ROBERTS 06/04/84 940 (3) 763 AIDERWOOD WINIFRID CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MCXT-IN DATE MOVE -CM DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 ALDERWOOD M. ICANDEL & S. NIERENBUfZG 10/01/92 995 (3) 223 BAYWOOD SHELLEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH GR= 02/13/90 900 (5) 333 BAYWOOD DIW M & SUBUDI PUNAIR 05/23/93 1000 (6) 765 AIDERWOOD JOAN JUlffM 06/11/ 995 (7) 745 AIDERWOOD KRISTEN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD MR. & MRS. A. SE•ARA9.NE 11/06/93 1020 (9) 346 BAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 327 BAYWOOD (12) 773 ALDEWOOD R. MOSS AND C. OSIM 12/19/92 1,000 (13) 766 ALDERWOOD ' SITYRREL LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 EMEMMU9) ••• •guy r i • • •• • • •• �is� (1) 315 BAYWOOD HEILING 08/11/90 817 (2) 731 AIDERW00D MONICA SMITH 12/01/93 843 (3) 337 BAYWOOD JALODNA DUNN 11/15/91 845 (4) 742 ALDERWOOD TRACY CUNNINGHA14 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER NORMH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD MARIA BONII,IA 02/27/94 861 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDERWOOD MEIGOZA 06/14/90 800 (13) 281 BAYWOOD SPRaiBERS 08/08/90 817 (14) 677 ALDERWOOD * 327 BAYWOOD V.P.MOD EFFECTIVE 05/20/94 * 677 ATDER100D V.P.LOW (HUD) EFFECTIVE 05/20/94 . /, 1,ff� Al •.'.• I uV1u ueul uaipI a.�Vw�i� (1) 732 ALDERWOOD FOREST WYLDER 08/15/91 980 (2) 738 ALDERWOCD C-]ARECITE ROBERTS 06/04/84 940 (3) 763 ALDERWOOD WIS7IFRED ClVlM S, 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE REW (1) 261 BAYW= PATRICK A. BREWER 10/31/91 990 (2) 667 ALDERWOOD M. KANDEL & S. NIERENBURG 10/01/92 995 (3) 223 BAYWOOD SBELLEY PARVIN 04/11/92 995 (4) 225 BAYWCJOD DARRYL & ELIZA = GRIEF 02/13/90 900 (5) 333 BAYWOOD DBARAM & SUBUDI PUNAIR 05/23/93 1000 (6) 765 ALDERAIOOD JOAN JULTAN 06/11/ 995 (7) 745 ALDERWOCD KRISTEN CAUGBREDT O5/03/91 940 (8) 153 BAYWOOD MR. & MRS. A. SENIZ= 11/06/93 1020 (9) 346 BAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 BAYt^m NARY & SFBE[,LY HICKSON 03/01/90 900 (11) 327 BAYWOCD (12) 773 ALDERWOOD R. MOSS AND C. OSIMJ 12/19/92 1000 (13) 766 ALiDERWCpD SITYRREL LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOCD HEIL= 08/11/90 817 (2) 731 ALDERWOOD YMCA SMITH 10/01/93 843 (3) 337 BAYWOOD JALONNA DU W 11/15/91 845 (4) 742 ALDERWOOD TRACY CUNNIN04M 04/06/90 801 (5) 323 BAYWOCD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOCD BEBIDER-NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOCD MARTA BONILLA 02/27/94 861 (11) 267 BAYWOOD WEST O5/25/90 817 (12) 783 ALDERWOOD M=ZA 06/14/90 800 (13) 281 BAYWOOD STROTHERS 08/08/90 817 (14) 677 ALDERWOOD * 327 BAYWOOD V.P.MOD EFFECTIVE 05/20/94 * 677 ALDERWOOD V.P.LCW (HUD) EFFECTIVE 05/20/94 9 9 ' '-""`a" /, / w REMAINING MODERATES (WILL BE MU. UPON MOVE -OUT) (1) 732 AIDERWOOD FOREST WYIDER 08/15/91 980 (2) 738 ALDERWOOD CHARt0TTE ROBERTS 06/04/84 940 (3) 763 ALDERWOOD WINIFRED CAMPBEL L 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-OUC DATE RENT (1) (2) 261 BAYWOOD 667 ALDEE5900D PATRICK A. BREWER M. KANDEL & S. NIERENBURG 10/31/91 10/01/92 990 995 (3) 223 BAYWOOD SHELLEY PARVLN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABEIH GRIFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) (7) 765 ALDERWOOD 745 ALDERWOOD JOAN JULIAN KRISTEN CAUGHRFN 06/11/ 05/03/91 995 940 (8) 153 BAYWOOD PETER & PATTI SHAMBROOK 07/11/92 995 (9) 346 BAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) (11) 615 BAYWOOD 733 AIDERW00D MARY & SHELLY HICKSON ROBERRTA HOLM 03/01/90 03/06/90 900 900 (12) 773 AIDERWOOD R. MOSS AND C. OSIMD 12/19/92 1r000 (13) (14) 766 ALDERWOOD 913 BAYWOOD SITYPIM LEE STEVENS RIDGEWAY 09/19/92 04/11/90 980 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DUE xravl' (1) 315 BAYWOOD HEIL4G 08/11/90 817 (2) 731 ALDERWOOD MONICA SMITH 12/01/93 843 (3) 337 BAYWOOD JAIANNA DUNN 11/15/91 845 (4) 742 ALDEF6OOD TRACY CUNNINGHAm 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD MARIA B0Nr 02/27/94 861 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDEMQOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD STRO]HER.4 08/08/90 817 (14) 335 BAYWOOD WENDY MIC'H= 12/28/91 845 WESTER\ NATIONAL 1'1101"E111TV 31ANAG•JIENT. INC. 630 The City Drive South Suite 250 Orange, CA 92668 MAILING ADDRESS: Post Office Drawer 6348 Orange, California 92613.6348 March 14, 1994 -"City Manager City of Newport Beach Post Office Box 1768 Newport Beach, CA 92663-3884 AREA CODE: 714 TELEPHONE: 971.9411 RECEIVED BY PLANNING DEPARTMENT CITY OF NEWPORT 13EACH AM MAY 2 0 1994 PM 71819IIN110 IA31415a 0 a RE: Affordable Housing Reporting - Baywood Project Agreements to Provide and Maintain Affordable Housing - "PDM" dated 7/26/86 RE: Tract 12209 - "JPL" dated 6/12/86 RE: Tract 12245 - "CDM" dated 6/13/86 RE: Tract 11949 - 11BC10" dated 11/08/86 RE: Tract 10814 - "BC16" dated 8/27/86 RE: Tract 12105 - "ALLRE'D"dated 1/19/84 RE: Tract 11935 - "Vida Pointe 1/31/90 RE: Tract 11937 Dear Sir: Pursuant to the terms of the above referenced agreements, we, as agents for the owners of this property are responsible for qualifying residents as "Affordable Residents." Enclosed you will .find the income computations and certifications, as well as other documeatation on which we have relied to qualify new residents as "Affordable." This reporting covers new move -ins during the period January 1994 through March 371, 1994. Also enclosed, please find annual recertifications for this year. Should you have any questions please do not hesitate to call. Sincerely, Ak"ki Lehman Bond Administrator /nl Enclosures D ,• 01 oil• • is APRIL 1, 1994 UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 732 ALDERWOOD FOREST WYIDER 08/15/91 980 (2) 738 ALDERWOOD CHARL= ROBERTS 06/04/84 940 (3) 763 ALDERWOOD WINIFRED CAMPBELL 06/04/84 787 ►.•• 9 . • .• U. - 5. 5 (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 ALDERWOOD M. KANDEL & S. NIERE9BURG 10/01/92 995 (3) 223 BAYWOOD SIwt,LEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) 765 ALDERWOOD JOAN JULSAN 06/11/ 995 (7) 745 ALDERWOOD KRISPEN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD PETER & PATTI SAAMBROOK 07/11/92 995 (9) 346 BAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 AIDER900D ROBER A HOLM 03/06/90 900 (12) 773 AIDERWOOD R. MOSS AND C. OSIMO 12/19/92 1,000 (13) 766 AIDERWOOD SITYRREL LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD HEILING 08/11/90 817 (2) 731 AIDE13400D MONICA SMTPH 12/01/93 843 (3) 337 BAYWOOD JAIOIII, DUNN 11/15/91 845 (4) 742 AIDE4400D TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD SIULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD MARIA BONILLA. 02/27/94 861 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDEM OOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD SPROTH RS 08/08/90 817 (14) 335 BAYWOOD WENDY NICE= 12/28/91 845 •Gl�,�o REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) (2) (3) 732 ALDERWOOD 738 AMERWOOD 763 ALDERWOOD FOREST WYLDER CHARLOITE ROBERTS WINIFRED CAMPBELL 08/15/91 980 06/04/84 940 06/04/84 787 VP MOD ' (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 ALDERWOOD M. IWDEL & S. NIERENBURG 1O/01/92 995 (3) 223 BAYWOOD SrrFLLEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABEPH GRIFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) 765 ALDERWOOD JOAN JULIAN 06/11/ 995 (7) 745 AIDERWOOD KRISTFN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD PEPER & PATPI SHAMBROOK 07/11/92 995 (9) 346 BAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/9O 900 (11) 733 ALDEl%lOOD ROBERTA HOLM 03/06/90 900 (12) 773 ALDERWOOD R. MOSS AND C. OSIMO 12/19/92 1,000 (13) 766 ALDEM900D SITYRREL LEE SPEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD BEILING 08/11/90 817 (2) 731 ALDERWOOD MONICA SMITH 12/01/93 843 (3) 337 BAYWOOD JALONMA, DUNN 11/15/91 845 (4) 742 ALDERWOOD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STOLL 06/29/91 845 (6) 338 BAYWOOD ARID? HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER-NOM 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD MUUA BONILLA T'rl9 a3S 02/27/94 861• (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDEMQOOD MELCGOZA 06/14/90 800 (13) 281 BAYWOOD SPROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHEIL 12/28/91 .845 • � /YIarC� � �f REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUT) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-OUI? DATE �rWT 12) 738 •a•. ••• ter•• •ROBERTS�. �• •E•. ••D WINIFRED CAMPBELL 0. •• VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-0UT DATE RENT (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) 261 BAYWOOD 667 AIDERWOOD 223 BAYWOOD 225 BAYWOOD 333 BAYWOOD 765 ALDERWOOD 745 AIDERWOOD 153 BAYWOOD 346 BAYWOOD 615 BAYWOOD 733 ALDEMMD 773 ALDET4700D 766 AIDMWIOOD 913 BAYWOOD PATRICK A. BREWER. M. KANDEL & S. NIERENBURG SHELLEY PARVIN DARRYL & ELIZABEIH GRIFF DHARAM & SUBUDI PUNAIR JOAN JULIAN KRISTEN CAUGHREN PETER & PATTI S4AMBROOK MR. AND MRS. J NORSEEN MARY & SHELLY HIC[4SON ROBERTA HOLM R. MOSS AND C. OSIMO SITYRREL LEE STEVENS RIDGEWAY 10/31/91 10/01/92 04/11/92 02/13/90 05/23/93 06/11/ 05/03/91 07/11/92 07/28/93 03/01/90 03/06/90 12/19/92 09/19/92 04/11/90 990 995 995 900 1000 995 940 995 1010 900 900 11000 980 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD HE ILING 08/11/90 (2) 731 ALDERWOOD CYNTEIIA OORLISS 06/22/91 817 33 (3) 337 BAYWOOD JAION•R: DUNN 11/15/91 845 (4) 742 ALDERWOOD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HAMS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICH UW&/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDEMIOOD MEEMZA 06/14/90 800 (13) 281 BAYWOOD SIROIHERS 08/08/90 817 845 (14) 335 BAYWOOD WENDY MICEIEIL 12/28/91 REMAINING MODERATES (WILL BE M. UPON MOVE -OUT) FEBRUARY 1, 1994 INIT ADDRESS RESIDENT NAMEM• IN DATE MOVE-OUrDATE •y Rr ALDERWOOD • yP N • •yR••• FOREST WYMER CHARl= ROBERTS1 WINIFRED CAMPBEEL 1: :1 . 1 • 1 1. 1• ••-y. -y- •R r i • 1 •• • • •• •y (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 ATDEEdVOOD M. KANDEL & S. NIERErIDURG 10/01/92 995 (3) 223 BAYWOOD SH]= PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) 765 AIDERWOOD JOAN JULIAN 06/11/ 995 (7) 745 ALDEFS- O KRISTEN CAUQHUIN 05/03/91 940 (8) 153 BAYWOOD PETER & PAM SHFMBROOK 07/11/92 995 (9) 346 BAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 BAYWOOD MARY & SHMLY HICKSON 03/01/90 900 (11) 733 AIDERWOOD ROBERTA. HOLM 03/06/90 900 (12) 773 AIDERWOOD R. MOSS AND C. OSIMO 12/19/92 1,000 (13) 766 ALDEM%OOD SITYRREL LEE SPEUINS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-0UP DATE RENT (1) 315 BAYWOOD HEIIM G 08/11/90 817 (2) 731 AIDERWOOD MONICA cZ= 12/O1/93 843 (3) 337 BAYWOOD JALONNA DUNK 11/15/91 845 (4) 742 ALDERAUOD TRACY CUNNINQIAM 04/06/90 801 (5) 323 BAYWOOD S•TUIL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 13AYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD •SISSON 07/06/91 845 (10) 425 BAYWOOD I(imwa/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDERWOOD MUMZA 06/14/90 800 (13) 281 BAYWOOD STROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHEIL 12/28/91 845 MODERATES REMAINING MKT. UPON MOVE -OUT) �Gir ' (WILL BE UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE -OUP DATE RENT (1) 732 ALDERWOOD FOREST WYLDER 08/15/91 980 (2) 738 ALDERWOOD CHARICITTE ROBERTS 06/04/84 940 (3) 763 AIDERWOOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 261 HAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 ALDERWOOD M. KANDEL & S. NIERENBURG 10/01/92 995 (3) 223 HAYWOOD SHELEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) 765 ALDERWOOD JOAN JULIAN 06/11/ 995 (7) 745 AIDERK'OOD KRISTEN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD PETER & PATTI E924BROOK 07/11/92 995 (9) 346 HAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 HAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 ALDERW00D ROBELRTA HOLM 03/06/90 900 (12) 773 ALDERWOOD R. MOSS AND C. OSIM 12/19/92 1,000 (13) 766 AIDERWOOD SITYRREL LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE -OUT DATE RENT (1) 315 HAYWOOD HEILING 08/11/90 817 (2) 731 ALDE14900D MONICA SPIITH 12/01/93 843 (3) 337 HAYWOOD JALONNA. DUNN 11/15/91 845 (4) 742 ALDERWOOD MACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN RABBIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 HAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHIKAWA/WEST 05/18/90 817 (11) 267 HAYWOOD WEST 05/25/90 817 (12) 783 AIDE9gOOD MECGOZA 06/14/90 800 (13) 281 HAYWOOD SIRCIT ERS 08/08/90 817 (14) 335 HAYWOOD WENDY MLCHEIL 12/28/91 845 REMAINING MODERATES (WILL BE M. UPON MDVE—OUr) ADDRESSUNIT RESIDENT r• E MOVE INDATE MOVE—OUrDATE RENT (2) 738 AMERNOOD CHARLOTTE ROBERTS 06/04/84 940 • aE•. • • • •aR ••• ROBERT STERM12/06/84 SHAM FREDERICK••••a• •• 940 900 LA�4 •//'� •a.1•a I• I .• 1 _ill _/• .• • •• vain (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 ALDERWOOD LINDBERG/MCNALLY 03/01/92 995 (3) 223 BAYWOOD SHELL Y PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABEM GRIFF 02/13/90 900 (5) 451 BAYWOOD THERESA GRANT 05/14/91 960 (6) 765 AIDERWOOD JOAN JULIAN 06/11/92 995 (7) 745 AIDEE510M KRISTEN CAUGH2FN 05/03/91 940 (8) 153 BAYWOOD PETER & PATTI SHAMBROOK 07/11/92 995 (9) 346 13AYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 ALDEF5900D ROBERTA HOLM 03/06/90 900 (12) 773 ALDERWOOD IGRAHIM & BRIGITTE BARGiOW 12/08/91 940 (13) -766 ALDERWOOD SITYTUM LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE —OUT DATE RENT (1) 315 BAYWOOD BEILING 08/11/90 817 (2) 731 ALDERWOOD CYNT IIA CORLISS 06/22/91 833 (3) 337 BAYWOOD JALCNNA DUNN 11/15/91 845 (4) 742 AIDERWOOD MACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER —NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHIKAWA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDERWOOD MECGOZA 06/14/90 800 (13) 281 BAYWOOD SrROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHELL 12/28/91 845 0 0 •D ,• ••ni•• a+ 1 UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 732 AIDEI&M FOREST WYLDER 08/15/91 980 (2) 738 AIDE&nM CHARLOTTE ROBERTS 06/04/84 940 (3) 763 AIDEr OOD WINIFRED CAMPBELL 06/04/84 787 VP NOD UNIT ADDRESS RESIDENT NAME NOVE-IN DATE N VE-OUP DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 AIDERWOOD M. KANDEL & S. NIERE9BURG 10/01/92 995 (3) 223 BAYWOOD SHELF PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 333 HAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) 765 AIDEId4OOD JOAN JULIAN 06/11/ 995 (7) 745 AIDERWOOD KRISTEN CADSBREN 05/03/91 940 (8) 153 BAYWOOD PETER & PATTI SHAMBROOK 07/11/92 995 (9) 346 HAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 AIDERWOOD ROBERIA HOLM 03/06/90 900 (12) 773 ALDERWOOD R. MOSS AND C. OSIM 12/19/92 1,000 (13) 766 ALDERWOOD SHZRRE , IRE STEVENS 09/19/92 980 (14) 913 HAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME NM -IN DATE MOVE -OUT DATE RENT (1) 315 HAYWOOD HEI ZNG 08/11/90 817 (2) 731 ALDE&700D C:YNTHTA CMUZSS 06/22/91 833 (3) 337 BAYWOOD JAIANNA DUNN 11/15/91 845 (4) 742 ALDER OOD MACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 HAYWOOD PRIG 04/01/90 818 (8) 345 HAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHIPMA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDFRWOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD SIROIHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICIIHLI, 12/28/91 845 a • REMAJ2W4G MODERATES (WILL BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-0UT DATE RENT (1) 732 ALDEE*7OOD FOREST WYIDER 08/15/91 980 (2) 738 ALDEE*K= CHARLOTTE ROBERTS 06/04/84 940 (3) 763 ATDFT&= WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 AMER6900D M. KANDEL & S. NIERENBURG 10/01/92 995 (3) 223 BAYWOOD SHELLEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABEIH GRIFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAM 05/23/93 1000 (6) 765 AIDEI3VOOD JOAN JULSAN 06/11/ 995 (7) 745 AIDERWOOD KRISTEN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD PETER & PAPTI SHAMBROOK 07/11/92 995 (9) 346 BAYWOOD MR. AND MRS. J NORSEEN 07/28/93 1010 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 ALDERWOOD ROBERTA HOLM 03/06/90 900 (12) 773 ALDE9100D R. MOSS AND C. OSIMO 12/19/92 1,000 (13) 766 ALDERWOOD SITYRREL LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEVMY 04/11/90 910 VP LAW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD HEIEIM 08/11/90 817 (2) 731 AIDERWOOD CYNTHIA CORLSSS 06/22/91 833 (3) 337 BAYWOOD JALONNA DUNN 11/15/91 845 (4) 742 AIDERWOOD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD SIVLL 06/29/91 845 (6) 338 BAYWOOD ANN HAMS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHIICAWA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDERWOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD SIROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHEIL 12/28/91 845 0 0 P119L UM MODERATES 1gC\3 (WILL BE MET. UPON MOVE -OUP) S-ep i ,1 1 U�14 ;�••�• •a.u� P i • t ••_ • • •• a (1) (2) (3) 732 ALDERW00D 738 ALDE75900D 763 AIDERi900D FOREST WYLDER CSARIOTTEE ROBERTS WINIFRED CAMPBELL 08/15/91 06/04/84 06/04/84 980 940 787 VP MCD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) (2) (3) (4) (5) (6) (7) 261 BAYWOOD 667 AIDEF4900D 223 BAYWOOD 225 BAYWOOD 333 BAYWOOD 765 ALDERWOOD 745 ALDERWOOD PATRICK A. BREWER M. KANDEL & S. NIERENBEW SHELEY PARVIN DARRYL & ELIZABETH GP= DHARAM & SUBUDI PUNAYR JOAN JULIAN KRISFFSI CAUGHRFN 10/31/91 10/01/92 04/11/92 02/13/90 05/23/93 06/11/ 05/03/91 990 995 995 900 1000 995 940 (8) (9) 153 BAYWOOD 346 BAYWOOD PETER & PATTI S[ANBROOK MR. AND MRS. J NORSE&SI 07/11/92 07/28/93 995 1010 (10) (11) 615 BAYWOOD 733 AIDEM900D MARY & SHELLY HICKSON ROBERTA HOLM 03/01/90 03/06/90 900 900 (12) 773 AIDEffXOD R. TOSS AND C. OSIMO 12/19/92 1,000 (13) (14) 766 AIDEM 00D 913 BAYWOOD SITYIUM LEE STEVENS RIDGFWAY 09/19/92 04/11/90 980 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD HEILTNG 08/11/90 817 (2) 731 AIDERWOOD CYNTHIA, CORLSSS 06/22/91 833 (3) 337 BAYWOOD JALONNA DUNN 11/15/91 845 (4) 742 AIDERWOOD TRACY CLIRINGtIAM 04/06/90 801 (5) 323 BAYWOOD SI'ULL 06/29/91 845 (6) 338 BAYWOOD ANN HAMS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHIKAWA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDEId900D MEW70ZA 06/14/90 800 (13) 281 BAYWOOD STRUTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHEIL 12/28/91 845 RArIrING MODERATES 1 �3 (WALL BE MKT. UPON MOVE -OUT) UNIT ADDRESS RESIDENT NAME MOVE124 DATE MOVE -OUP DATE RENT (1) (2) (3) 732 ALDERWOOD 738 AIDERWOCD 763 AIDE16X= FOREST WYIDER CHARLOTTE ROBERTS WINIFRED CXTBELL 08/15/91 06/04/84 06/04/84 980 940 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) 261 HAYWOOD 667 AIDEMEOD 223 HAYWOOD 225 HAYWOOD 333 HAYWOOD 765 ALDEF6Q OD 745 ALDERWOOD 153 BAYWOOD 346 HAYWOOD 615 HAYWOOD 733 AIDEM900D 773 ALDERQOOD 766 AIDERWOOD 913 HAYWOOD PATRICK A. BREWER M. 19MEL & S. NIERI NBURG SHELEY PARVIN DARRYL & ELIZABETH GRIFF DHARAM & SUBUDI FUNAIR JOAN JULIAN KRISTEN CAUGHREN PETER & PATTI SHAMBROOK NASRIN AFSHANG MARY & SHELLY HICKSON ROBERTA HOLM R. MOSS AND C. OSIMO SITYIU 'f• LEE STEVENS RIDGEWAY 10/31/91 10/01/92 04/11/92 02/13/90 05/23/93 06/11/ 05/03/91 07/11/92 03/01/90 03/01/90 03/06/90 12/19/92 09/19/92 04/11/90 990 995 995 900 1000 995 940 995 900 900 900 11000 980 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE -OUT DATE Earl• (1) 315 HAYWOOD HEnMiG 08/11/90 817 (2) 731 AIDERWOOD CYNTHIA CORLSSS 06/22/91 833 (3) 337 HAYWOOD JATAHINA, DUNN 11/15/91 845 (4) 742 ALDERWOOD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 HAYWOOD ANN HAMS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 HAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 HAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHIKAWA/WEST 05/18/90 817 (11) 267 HAYWOOD WEST 05/25/90 817 (12) 783 AIDERWOOD M MZA 06/14/90 800 (13) 281 HAYWOOD STROTHERS O8/08/90 817 (14) 335 HAYWOOD WENDY MICHEIL 12/28/91 845 R IULTNING MODERATES (WILL BE MKT. UPON MOVE�7P) - '� d LL UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE-= DATE RENT (1) 732 AIDEE5900D FOREST WYIDER 08/15/91 980 (2) 738 ALDEEM OD CiARIOR.TE ROBERTS 06/04/84 940 (3) 763 ALDERWOOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 AIDERWOOD M. KANDEL & S. NIERENBURG 10/01/92 995 (3) 223 BAYWOOD SHELF'S' PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & EE,IZABEIH GRIFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) 765 AIDERWOOD JOAN JULIAN 06/11/ 995 (7) 745 AIDEMICOD KRISEN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD PEPER & PATTI SHAMBRDDK 07/11/92 995 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 BAYWOOD NARY & SHELLY HICKSON 03/01/90 900 (11) (12) 733 AIDER900D 773 AIDERWOOD ROBERTA HOLM R. MOSS AND C. OSIND 03/06/90 12/19/92 900 1,000 (13) 766 AIDERWOOD SBYRREL LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-OUr DATE RENT (1) 315 BAYWOOD BEILING 08/11/90 817 (2) 731 AIDEI&DOD CYNTHIA CORLISS 06/22/91 833 (3) 337 BAYWOOD JAIONN& DUNN 11/15/91 845 (4) 742 AIDERWOOD TRACY CUPUNGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN BARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICSE[KMWA/WESSP 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDERWOOD M[IC,OZA 06/14/90 800 (13) 281 BAYWOOD SIROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MECHEM 12/28/91 845 0 0 REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 732 AIDE4100D FOREST WYLDER 08/15/91 980 (2) 738 ALDEE&00D CHARLOITE ROBERTS 06/04/84 940 (3) 763 AIDERWOOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 ATDERWOOD M. KANDEL & S. NIERENBURG 10/01/92 995 (3) 223 BAYWOOD SHELLEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH Q2IFF 02/13/90 900 (5) 333 BAYWOOD DHARAM & SUBUDI PUNAIR 05/23/93 1000 (6) (7) (8) 765 ALDEE&OOD 745 ALDEr4OOD 153 BAYWOOD JOAN JULIAN KRISTEN CAUGHREN PETER & PATTI SIPMBROOK 06/11/ 05/03/91 07/11/92 995 940 995 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 AIDER OOD ROBERTA HOLM 03/06/90 900 (12) 773 ALDERWOOD R. MOSS AND C. OSIM3 12/19/92 1,000 (13) 766 ALDEE&= SITYRREL LEE STEVENS 09/19/92 980 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE REND (1) 315 BAYWOOD HEILTNG 08/11/90 817 (2) 731 ALDEE5OOD CYNIHIA CORLISS 06/22/91 833 (3) 337 BAYWOOD JAL/kIIA DUNN 11/15/91 845 (4) 742 AIDERWOOD TRACY CUN INGHA4 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHEMM/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDERht70D MELGOZA 06/14/90 800 (13) 281 BAYWOOD SPROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHELL 12/28/91 845 6 • REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUP) IY)ctl 1) 1995 UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE -OUP DATE RENT (1) (2) (3) 732 ALDERWOOD 738 AIDERA70M 763 ATDER590M FOREST WYLDER CH.RTATI'E ROBEFCS WINIERED CAMPBELL 08/15/91 980 06/04/84 940 06/04/84 787 UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 261 BAYMM PATRICK A. BREWER 10/31/91 990 (2) 667 AIDEE59OOD M. KANDEL & S. NIERE BLM 10/01/92 995 (3) 223 HAYWOOD SHELLEY PARVIN 04/11/92 995 (4) 225 HAYWOOD DARRYL & ELIZABEIH G2IFF 02/13/90 900 (5) 333 BAYWOOD (6) 765 ALDEE5OOD JOAN JULIAN 06/11/92 995 (7) 745 AIDERWOOD KRISTEN CAUGHREN 05/03/91 940 (8) 153 HAYWOOD PETER & PATTI SHAMBROOK 07/11/92 995 (9) 346 HAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 HAYWOOD MARY & SHEILY HICiSON 03/01/90 900 (11) 733 AIDERWOOD ROBERTA. HOLM 03/06/90 900 (12) 773 ALDERWOOD R. MOSS AND C. OSIMO 12/19/92 1,000 (13) 766 ALDEM90M SITYRlM LEE STEVENS 09/19/92 980 (14) 913 HAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 HAYWOOD HEIIlNG 08/11/90 817 (2) 731 AIDERWOOD CYNT IA CDRLSSS 06/22/91 833 (3) 337 HAYWOOD JALONNA DUNN 11/15/91 845 (4) 742 AIDER OOD TRACY CLIRIING'IAM 04/06/90 801 (5) 323 HAYWOOD SIULL 06/29/91 845 (6) 338 HAYWOOD ANN HARRIS 04/26/90 818 (7) 341 HAYWOOD PRICE 04/01/90 818 (8) 345 HAYWOOD BENDER-NOFfi 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 HAYWOOD ICMWA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDERMOD MECGOZA 06/14/90 800 (13) 281 BAYWOOD SEROIHERS 08/08/90 817 (14) 335 HAYWOOD WENDY MICfR i, 12/28/91 845 RE WLINI G MODERATES p (wnL BE MKP. UPON mvE-OUr) �tA C� GLt� ' ) UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE -OUP DATE RENT (1) 732 ALDERWOOD FOREST WVLDER 08/15/91 980 (2) (3) (4) 738 AIDER OOD 772 AIDEEMOD 774 ALDEMOOD CHARLOTTE ROBERTS ROBERT SPESMRT SHAM FREDERICK & ALLAN CDOPER 06/04/84 12/06/84 04/24/87 940 940 900 (5) 763 ALDERWOOD WINIFRED CA4PBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE REND (1) 261 BAYM= PATRICK A. BREWER 10/31/91 990 (2) 667 ALDERWOOD LIIVDBERG/MCNALLY 03/01/92 995 (3) 223 BAYWOOD SHELLEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELSZABEPH GRIFF 02/13/90 900 (5) 451 BAYWOOD THERESA GRANT 05/14/91 960 (6) 765 AIDER OOD JOAN JULIAN 06/11/92 995 (7) 745 AIDES VOOD KRISTEN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD PEPER & PATTI SHANIDROOK 07/11/92 995 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 AIDEM900D ROBERTA HOLM 03/06/90 900 (12) 773 AEDERWOOD IGRAHIM & BRIGITTE BARGHOUP 12/08/91 940 (13) 766 AIDE MOOD ALEX & SHERRI IATIF 04/06/90 900 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 (1) 315 BF.YWOOD BEIlMiG 08/11/90 817 (2) 731 AIDERWOOD CYNTHIA CORISSS 06/22/91 833 (3) 337 BAYWOOD JALONNA DUNN 11/15/91 845 (4) 742 ALDERMOOD TRACY CIIVN NGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HAMS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICMWM/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDEI3VOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD S ROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MEMIL 12/28/91 845 0 0 REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE IN DATE MOVE -OUP DATE RENT (1) 732 AIDERVIOM FOREST WYLDER 08/15/91 980 (2) 738 ALDERWOOD CHARLOTTE ROBERTS 06/04/84 940 (3) 772 AMERWOOD ROBERT STEWART 12/06/84 940 (4) 774 ALDERWOOD SHAWN FREDERICK & ALLM COOPER 04/24/87 900 (5) 763 ALDERWOOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 AMEY60M LTNDBERG/MCNALEY 03/01/92 995 (3) 223 BAYWOOD SHELEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIEF 02/13/90 900 (5) 451 HAYWOOD THERESA GRANT 05/14/91 960 (6) 765 ALDERWOOD JOAN JULIAN 06/11/92 995 (7) 745 AIDERWOOD KRISTEN CAUGHREN 05/03/91 940 (8) / 153 BAYWOOD PETER & PATTI SHIM3ROOK 07/11/92 995 (9) 346 HAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 HAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 AIDERWOOD ROBERTA HOLM 03/06/90 900 (12) 773 ALDERWOOD IGRAHIM & BRIGITTE BARGHOUP 12/08/91 940 (13) 766 ALDEMOOD ALEX & SHERRI LATIF 04/06/90 900 (14) 913 HAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD HEILTNG 08/11/90 817 (2) 731 AIDES OOD CYNTHIA CORLSSS 06/22/91 833 (3) 337 HAYWOOD JALONNA. DUNN 11/15/91 845 (4) 742 AIDERWOOD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHLKAWA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDERWOOD DU=ZA 06/14/90 800 (13) 281 HAYWOOD STROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHEIL 12/28/91 845 REMAINING MODERATES (MILL BE MKT. UPON MOVE -OUP) aL ' Maq 1, tcl 1 UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 732 ALDEF OOD FOREST WYLDER O8/15/91 980 (2) 738 AMEE5900D CHAYI '1TE ROBERTS 06/04/84 940 (3) 772 AMERWOOD ROBERT STEWART 12/06/84 940 (4) 774 AIDERWOOD SHAWN FREDERICK & ALTAN COOPER 04/24/87 900 (5) 763 AIDERWOOD WINIFRED C:A4PBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 261 HAYWOOD PATRICC A. BREWER 10/31/91 990 (2) 667 ALDERWOOD LINDBERG/MCKALLY 03/01/92 995 (3) 223 BAYWOOD SHELEY PARVIN 04/11/92 995 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 451 BAYWOOD THERESA GRANT 05/14/91 960 (6) 765 AiDERWOOD TEEGARDEN/SPARR 07/27/91 990 (7) 745 ATDEF690M FRISTEN CAUGREN 05/03/91 940 (8) 153 HAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFEERM 03/01/90 900 (10) 615 HAYWOOD NARY & SHELLY HICKSON 03/01/90 900 (11) 733 ALDERWOOD ROBER'LA HOLM 03/06/90 900 (12) 773 AIDEM?OOD IG2AHIM & BRIGITTE BARGiOUP 12/08/91 940 (13) 766 AIDEEdd00D ALEX & SHERRI IATIF 04/06/90 900 (14) 913 HAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD FtEILING 08/11/90 817 (2) 731 ALDERWOCD CYNTHIA CARLISS 06/22/91 833 (3) 337 HAYWOOD JALONNA DUNN 11/15/91 845 (4) 742 ALDERV= TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 HAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD IC3Mmm/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 AIDERWOOD MECDOZA 06/14/90 800 (13) 281 HAYWOOD STROTHERS 08/08/90 817 (14) 335 BAYWOOD WENDY MICHM 12/28/91 845 REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUT) ANAL M�- UNIT ADDRESS RESIDENT NAME movE-IN DATE MWE-OUr DATE RENT (1) 732 AIDEF&X= FOREST WYIDER 08/15/91 980 (2) 738 AIDEFdMOD CHARIOTTE ROBERTS 06/04/84 940 (3) 772 ALDERWOOD ROBERT STEKW 12/06/84 940 (4) 774 AIDEE5900D SHAM EREDERICK & ALLAN 0OOPE2 04/24/87 900 (5) 763 AIDIId400D WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MMM-OUT DATE RENT (1) 261 BAYWOOD PATRICK A. BREWER 10/31/91 990 (2) 667 AIDEF&7OOD LINDBERG/MCrALLY 03/01/92 995 (3) ,223xBAYWOOD' �,LS1t. PARVIN'— 04'/11%92- °*.95 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 451 BAYWOOD THERESA GRANT 05/14/91 960 (6) 765 ATDE1&7OOD TEDGARDEN/SPARR 07/27/91 990 (7) 745 AIDET67OOD KRISTEN CAUGHREN 05/03/91 940 (8) 153 BAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 AIDERA100D ROBERTA HOLM 03/06/90 900 (12) 773 ATDEb70OD IGRAEIIM & BRIGITTE BARMOUT 12/08/91 940 (13) 766 ALDE[% OOD ALEX & SHERRI LATIF 04/06/90 900 (14) 913 BAYWOOD RIDGEP&Y 04/11/90 910 VP LAW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 315 BAYWOOD HEIL'NGG 08/11/90 817 (2) 731 ALDE14400D CYNTHIA CORLISS 06/22/91 833 (3) 337 BAYWOOD JALONNA DUNN 11/15/91 845 (4) 742 AIDEEMOOD TRAC'Y CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD ANN BARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD Iamwa/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 ALDE13MD MELGOZA 06/14/90 800 (14) 335 BAYWOOD WENDY MICHM 12/28/91 845 = ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 732 ALDERWOCD FOREST WYLDER 08/15/91 980 (2) 738 ALDERWOOD CHARLOTTE ROBERTS 06/04/84 940 (3) 763 ALDBRWOOD WINIFRED CADn'BELL 06/04/84 787 NJ rkp W, al r.• u� r• i • . •• • • .• •a (2) 667 AL MMOD (3) 223 BAYWOOD (4) 225 BAYWOOD (5) 333 BAYWOCD (6) 765 ALDERWOCD (7) 745 ALDERWOOD (a), ,/153 BAYWO , " (9) 346 BAYWOOD (10) 615 BAYWOOD (11) (12) '713_ALVEFyq(a 773 ALDMM (13) 766 ALDERWOOD (14) 913 BAYWOOD VP LOW (HUD) M. KANDEL & S. SHFLLEY PARVIN 04/11/92 DARRYL & ELIZABEIH GRIFF 02/13/90 DHARAM & SUBMI PUNAIR 05/23/93 JOAN JULIAN 06/11/ KRISTEN CAUalREN O5/03/91 M[t.:-&_MRS. A:-SFrII"1RA�.-.-z���. --.11/.06/93�^*=•,��w-- -�- MR. AND MS. J NORSEEN 07/28/93 MARY & SHELLY HICKSON 03/01/90 y R. MOSS AND C. CiSII 12 1979f SITYRREL LEE STEVENS 09/19/92 RIDGEWAY 04/11/90 •t• 1020 995 995 900 1000 995 940 1020' 1010 900 1020 1000 980 910 UNIT ADDRESS RESIDENT NAME NINE -IN DATE myE-OUP DATE REND (1) 315 BAYWOOD HEILING 08/11/90 817 (2) 731 AIDERWOOD CYNTHIA CORLISS 06/22/91 833 (3) 337 BAYWOCD JALCNUk DUNN 11/15/91 845 (4) 742 ALDERWOOD TRACY CSROTM-TAM 04/06/90 801 (5) 323 BAYWOOD STULL 06/29/91 845 (6) 338 BAYWOOD AM HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOCD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD SISSON 07/06/91 845 (10) 425 BAYWOOD ICHIKAWA/WEST O5/18/90 817 (11) 267 BAYWOOD WEST O5/25/90 817 (12) 783 ALDERWOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD STRCITHERS 08/08/90 817 (14) 335-BAYWOOD WMM MICHEIL 12/28/91 845 �- oc+- sec ) �l REMAINING MODERATES (WILL BE MKT. UPON MDW-OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -Our DATE RENT (1) 732 AIDEE590M FOREST WYIDER 08/15/91 980 (2) 738 AIDEWCIOD CSARIARTE ROBERTS 06/04/84 940 (3) 772 AIDERWOOD ROBERT STUUM 12/06/84 940 (4) 774 AIDERWOOD SHAM FREDERICK & All -AN COOPER 04/24/87 900 (5) 763 AIDERWOOD WINIFRPD CAMPBELL 06/04/84 787 (lf �6]-BA�LWGOD _�k� PATRICK A. B;UM 10/31/91 c 990 (2) 667 ALDERWOOD MICHAEL & EONA REYES YWOOD 0 - BANKS & BIACIBLM 02/12/90 09/08/90 t4 900 ,r 945 (4) ." 225 BAYWOOD DARRYL & ELIZABETH G2IF7 02/13/90 �"` 900 ,(5)'• 451 BAYWOODOEL THUU SA GRANT I ,w 05/14/91 960 >FN/SPARK d 4 �y 07/27/91 990 .(7) 745-AIDE W=o K- KRISTEN CAUGHREN 05/03/91 940 (8) 'J 153 BAYWOOD LYNN CAPRI R 03/01/90 t 900 (9) 346 BAYWOOD NAMUN AFSHANG 03/01/90 900 (10) *` 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 900 (12) �(773-AFDERWIOOD -'),G91 IGRAHM & BRIGITTE BARGHOUP 12/08/ 940 (13) "ti1766 AIDERWOOD� ALEX & SHERRI IATIF 04/06/90 900 (14)N-" 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD)r 4* r ".n? r UNIT ADDRESS RESIDENT NAME MOVE -IN DATE M7VE-0UT DATE RE3 (2)�6T3rALDERW00D <(3) V 337 BAYWOOD (4) " 742 AIDERW 00D � . (5) - -322 BAYWOOD-9K (6) ", 338 BAYWOOD (7) 341 BAYWOOD (8) % 345 BAYWOOD (9) 356 BAYWOOD (10) - . 425 BAYWOOD (11) '.' ,267 BAYWOOD (14) 5 BAYWl7OD SING? '} 08/11/30 CYNTHIA COFTZSS 06/22/91 JAIaM DUNN 11/15/91 ?RACY CCamIl G IAM 04/06/90 STEXZ 06/29/91 AM HARRIS 04/26/90' PRICE 04/01/90 BENDER-HCRTH 04/01/90 SISSCH 07/06/91 ICHUUM/WEST 05/18/90 WEST 05/25/90 MELGOZA 06/14/90 SIRDIRERS 08/08/90 WENDY MICf1EIL 12/28/91 c4 1 .r 817 833 845 C 801 �y �) 845 V : ` 818 818 818 845 817 817 800 817 Dominic 12/21/91 845 •, '' - _ i/:• "'Mtt (OIIJLJ BE MET VC\A\,l-1JVL•1/LIl) _ _ n um ADDRESS ,. RFSIDE?fl' NAME ' '' " '• MVE-1N DATE Nil —UJr DATE 732 ALDE OCID FCRlW WYIDER ;:-•. ,' '' : ? ' ' : ' 08/] 5/91 980 ' 738 AIDERWOOD CHARIOITE ROBERTS :. , 06/04/84 - 940 772 AIDER' OM .;; ROBERT SPEI]P.RT', x r'r. ' .'•,:y`' .. 12/06/84'' •' ' 940 , 774 AIDECdVOOD `.r'-SHASdT FRIDERICR &-7ALL'AN OOOPER' 04/24/87'-,,' "';"'; '900''• 763 AiDIISVgODre1, WIIJIFRID C �BFra: - f' ' 06/04/84 `.' •: 787 1 S,R • .� ,'..'prnmrmp, aMF'.a,:::aa . = ...'r' _ }R•`m'.TIJ 7Tlanw. wium mm r (1) / 261 BAYWOOD_ J PATRIC K A., BREWER 10/31/91 (2) 667 AIDEf3VO0D MICHNEL & -bM REYES 02/12/90' - (3) 223 BAYWOOD:; ',::r,, 'BANES•&'BLACK ;.' ' ' r' ', 09%08/90 r: ''• - (4) 225 BAYWOOD..., DARML & IISZABERH C32IFF � :. 02/13/90 ' hN (5) 451 BAYWOOD THERESA GRAND 05/14/91' ' (6) 765 ALDER OOD, • ,.TEEGARDEN/SPARK 07/27/91 (7) 745 AIDEM900D' KRIST N CAMM 05/03/91 , A ` (8) 153 BAYWOOD, LYNN C APRI ' —; 03/01/90 . n (9) 346 BAYWOOD," WORM AFSFIAM, 03/01/90 ' (11) BAYWOOD-;', •.; MWY EICKSOPi ' _a"+ 03/O1/90, 733 ALDFRWO(D ;_ROBEKPA y 90 t�>'y (]2) 773 ALDERWOOD';;i,,.,;DEBBIE (S 4lEGL.. ,• ry•'' ` :.:': •„' 03/31/90 ; 13 766 04/06/90." (14) ,. 913 BAYWOOD , r . '.• RIDGFSW : " r , 04/11/90," ; 990' 900 900' ", 960 990 _ 940•, 900 00' "9900- 960 ri;• 9/18/91 90Wt�o• i • ' 900 ,`, 910 +t VP US (HUD) I NIT ADDRESS:' RESIDENT 'NAME M7VE--IN DATE NDVE-OUP DATE "RIITP" ' $q O 315 1 BAYWDOD ' ::, HEII risr_ g s ;;t'i.•.:-��rs. - 08/11/90 ,'•817- i•. ' (2) 731 ALDERWOOD'`;;', ='M' NTM''ODi2LISS': w 06(22/91•;;`: ,rt ;- •r 5 833; (3) 337.BAYWOO ,r r.S:l*����r'f''`%,L,,J, ;ct.03/15/90','.�r,'rr' 10/24%91 •1 ''818;:,1�;�. 4 742-'ALDERWOOD rp,',' r., OlM r, ,y' O , . ; �''lRACY�r.C{R,II'IIIQC3'IAM;; , - ' ''04/06/90 �1 `• $ :• 5 323`BAYWCC)D-, ' Y"' i ,,.O „' *r`S'liAL;r ,*s:,r,, '^c.,.'':,:' 06/29/91 ,-, "'845' , t., (6) 338 BAYWUOD•„ _ ';','`ANNfHARRIS""•F, a;, i 04/26/90 :':' 818,' ~?. ' ^ {t BAYWD(D,a`p,, � r{' i'(_ '.1�:4R;,t.!•1ll' {,'�,,_r.lStr,.,;'a.,uM„f,� o:O.'ryr.'C•�.:an t'7;r .' ...t 04 Ol 90.�r.)dy' f;'mr.�• ar"?Y.`, p;;.;jrr5.Ir,ir{;,,',:..;"i;.i^;fh`ik:,y�, ;.'rC•.• Ra3,.;f.,'.Y1. ,.Jk''':.,;',if,..f.cs,•iF818 341 345 BAYWOOD "BENDER-OdIVk.` 04/01/90.818a ' ".356:BAYWOOD`:,,tl x,` iSIS90N07/06/191t ; 10),'' 425',BAYWOOD,,'rt`rFy•,,.rI ai�.ly xx`2 -'.,;r•., yi,9 V ,.,, ajb ��•. ''(11) .267 ;BAYWDOD ':'rWEST.� f%,+rr F`s t.''i?:"_'? ;:;�, :•;,,: •.,_ > .,n'_''r.'4'. r�i .. y'•M_A,'- •^ a3.•^r�•�utat•L,.r :�'x''� �, , b5/25/.9Ur ,•.,_; ''.,rt„`.-„- r.`_�' f817s:... •'L,"i ''i:,r,a,•'<' 'V F,��-'t} ,,I:N �:. •f'r, " t:.,„'t° 1' 0:. (12) , 783 ALDERWDOD- "' I�NIE3AOZA �;d;" . , ^=a• T�• ,r,+''.:at.,,, 06 14 90 a; ' 'cY'".',.;' a� J 00 •r ��t,lu,f' y;; t�• / /. .(13), '281 ,Iv. 'li •. �+ iF "a':�xi`t..`�f.:. Y.', }a., �,:,� 'r•x' y;.r�y'd,,,3:',:'-y5 r,A '+t. :'' •., ;.ps817<.;'I�4. BAY%�170D�e,4yi.i S'I'RO�B�i�S"hNkS'v'„OY•, ' � '%..::,"�I:fr:OB/OB/9O' .(14); '335�BAYWC)O!),%;�t-+. rDCtID1IC•/a+rr ,q.',wu'� 'i��^''+. .,;.:' 08/18/90"'•. :4; 'r,,=,•:`',,"'.it"Y''r:,�a'.r-i$�7�-�:,`->�' / tx. �`' ,J:, r^ r 'V' - .:x.; i •aF 'f.,irj?,r h. ^^ 4 rJ r'-t,"-,. P _ icFi :h ( < ,- n'�� i; .. s't g'''fr "�r:. •r an .S, rr._• t^•;':K y;,+,` 'V'i r n�f':� ^ .J"Ilt 'e i'T-�r•f!': rr` t i'; ^v, .l, yy ,},� c, .Td: f1, �, :.. ;F. ':r: i' v ,f ` N' it+y?r'ry ;1 Yw,�. ,rAi r': NyIPP• ,;�4,.,�.,43�.r,:?$ekhex'✓%. yy ,5- jcS'1. _3,c3!_ S'84i�ae,:hj,1:'-�•udr('ri Lr 1�'"a Kgt:v 'awl �r 'dfi'}fiif,. 'a .,,+ ,.M; ;`x' f, �•y,.d;,r ,r,t { ,n a ,e^`h`� ��; }?j;` c '.a -<.; v.;w'.'r rY,.; yd., 9'1,. f``y i�.,S `!c �{ .�i t �''�' �i ,;}' 1iN .j Cf' i'i.!,-"�:'1 i ': i. t!a , Hk �� r4�' ��: _•r.t1;' ,,,ram v, "t 1, •. ,� r _ ,`� ';'t�' .p' .1 n .� ,,r•v, •, �.� t;'.; ^Ilia, ,. t,.: ,.. 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(^' �-' , �'/,'.., t�,o-q..�Y, Ti 7'�*'".�i%„ Ir Y+, 'c:.,' �+ . \„ •"'d . = `r e' �.I •Jl, G"�fie"•,r�,�,�^'�'I.i'af,�,'0a:,'�tf,�,F.'fr'•.:+�.'4%'-%.ir!1"xwr�..re+A t,, .:�: ',i�,l, iJ1�„','',•:�f .b';:ii 'i',S `'�.r. 'yp, _ T �'� •, id .� �.'t. • �.::.,`,,e.� ,.h `: 1,1,;L,,; ,'` r4F" -f i' .�r,,,` ',;t+%..'.:1 ._Vrw ?t ,• at ,�r,•,, fir,, •{r��,x i� ': ' 1 .n'' -1r�I !ar11 ,SAr l/,` .P.�1. Fl.'j..1 . .�, ,11 ry 1F;�:> �'`F �,f �. :f - Ai.•T,"`- y;,'•.SRH.!'4A+''i r'�r• G,PIi ��;iJ.: �I4 �i �i rMYM�YYYwwe.,Jn'•,sir,:.:;ww'�... , gal..,-•v ••:.1r,''.w:+.ut.:u'."".>r<!� •. �+.::..ta':.wwut;..;.ei.'J:ifatifL:b=t.S::Jr,f�-'r. .s•+�� �+'+n:�•.:a'_d rr�.�:idsi:,:.i,:.-`.1>l:a.::flt:.ouw.u�....{...0,,.:as.r.r::;dir1�':y:.�i^.'wL4:.r.. 0 4 - ` REMAINING MODERATES l l 5 ' (WILT, BE MU. UPON MOVE -OUP) 1 UNIT ADDRESS - RESIDENT NAME MOVE3N DATE MOVE -OUP DATE RENT (1) 732 AMM4100D MOLLY BIUNENDAEL & F. WYIDER 05/23/87 975 (2) 738 AMEE5900D CHARLOTTE ROBERTS 06/04/84 940 (3) 772 AMERViO D ROBERT STE3RART 12/06/84 940 (4) 774 ALDEF6400D SHAWN FREDERICK & ALLAN OOOPER 04/24/87 900 (5) 763 AIDER OOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -ON DATE MOVE-0UT DATE RENT (1) 261 BAYWOOD SIEVE CATHETdFiN & STAN TOWNSEND 11/01/90 935 (2) 667 AIDER OOD MIaMEL & EDNA REYES 02/12/90 900 (3) 223 BAYWOOD BANKS & BLACKBURN 09/08/90 945 00 (4) 225 BAYWOOD DAR& EISZABEIH GRIEF' RYL 02/13/90 (5) 451 BAYWOOD CHRISZOPHm & Eim WALLEY 02/18/90 04/01/91 900 (6) 765 ATDERWOOD IMINE & BERUM N 09/15/90 03/10/91 960 (7) 745 AIDEP9@00D ROBERT & BETTY HALL 03/01/90 03/17/91 900 (8) 153 BAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 900 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 AIDER OOD ROBERTA HOLM 03/06/90 900 (12) 773 ATDERNOOD DEBBIE CRUVELL 03/31/90 99000 0 (13) 766 AIDERWOOD ALEX & SHERRI IATIF 04/06/90 (14) 913 BAYWOOD RIDGY 04/11/90 960 (15) 451 BAYWOOD THERESA GRANT 05/14/91 940 (16) 745 AIDERWOOD KRISTIN CAUGHREN 05/03/91 VP IM (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) (2) 315 BAYWOOD 756 AIDER50l00D TELLING CYNTHIA CORLISS 08/11/90 03/06/90 06/22/91 1817 (3) 337 BAYWOOD RENEE DOYLE 03/15/90 8111 (4) 742 AIDEFUOOD TRACY CCRaUN(R-M 04/06/90 801 (5) 323 BAYWOOD MOLLY HAMIL`ION 07/21/90 06/15/91 817 (6) 338 BAYWOOD AM HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER-NORTR 04/01/90 05/09/90 06/01/91 818 817 (9) (10) 356 BAYWOOD 425 BAYWOOD TAHAMI '1CFMW%/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 800 (12) 783 BAYWOOD METDOZA 06/14/90 817 (13) 281 BAYWOOD STRC11HERS 08/08/90 817 (14) 335 BAYWOOD DOMINIC CloreaS 8180 0//9 833 SI��70D ---06j29/91 854 REWLINING NODERATES (WILL BE MKT. UPON MOVE -OUP) (1) 732 AIDERWOOD MOLLY FIINN NDAEL & F. WYLDER 05/23/87 975 (2) 738 AIDERWOOD CHARLOTTE ROBERTS 06/04/84 940 (3) 772 ALDERNOOD ROBERT STERART 12/06/84 940 (4) 774 ALDERWOOD SHAWN FREDERICK & AIS.AN COOPER 04/24/87 900 (5) 763 AIDERK70M WINIFRED CAMPBELL 06/04/84 787 .a- u a r• i • � • • a (1) 261 BAYWOOD SIM CATFMMAN & STAN TOWNSEND 11/01/90 935 (2) 667 AIDERWOOD MICHAEL & EDNA REYES 02/12/90 900 (3) 223 BAYWOOD BANKS & BLAC[03URN 09/08/90 945 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIEF 02/13/90 900 (5) 451 BAYWOOD aiRISTOPHER & ETHEL WALLEY 02/18/90 04/01/91 900 (6) 765 ALDERWOOD KLINE & BERLIM 09/15/90 03/10/91 960 (7) 745 ALDERWOOD ROBERT & BETTY HALL 03/01/90 03/17/91 900 (8) 153 HAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 BAYWOOD MARY & SE=Y HICKSON 03/01/90 900 (11) 733 ALDERWOOD ROBERIA HOLM 03/06/90 900 (12) 773 AIDERWOOD DEBBIE CR MW L 03/31/90 900 (13) 766 ALDERWOOD ALEX & SHERRI LATIF 04/06/90 900 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 (15) 0/ 453, Ai1YF1 - 1i : ( pl?1$ .• ._. " rr• " W/W93, 960 '115.AVC1.6 -�1 ; --•, �;:,;.. .:: p5/p9/,9i 940 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MMT-IN DATE MOVE -CUP DATE RENT (1) 315 BAYWOOD BEILING 08/11/90 817 (2) 756 AIDE WOOD CYNTHIA CORLISS 03/06/90 801 (3) 337 BAYWOOD RENEE DOYLE 03/15/90 818 (4) 742 ALDERWOOD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD MOLLY HAMTLTON 07/21/90 817 (6) 338 BAYWOOD ANN HAMS 04/26/90 818 (7) - 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER NOM 04/01/90 818 (9) 356 HAYWOOD TAHAMI 05/09/90 817, (10) 425 BAYWOOD ICfmwa/WEST 05/18/90 817 (11) 267 HAYWOOD WEST 05/25/90 817 (12) 783 BAYWOOD MECGOZA 06/14/90 800 (13) 281 HAYWOOD STRUTHERS 08/08/90 817 (14) 335 BAYWOOD DOMINIC 08/18/90 817 • • P�V-f lei � 5'i U o v e 1k . • 1 • . • ' B (1) v 732 ALDERWCOOD MOLLY HI NEiDAE[, & F. WYIDER 05/23/87 975 (2) ° 738 ALDERWOOD CARIOTTE ROBERTS 06/04/84 940 (3) - 772 AIDEFU00D ROBERT STEWART 12/06/84 940 (4) ✓ 774 ALDERWOOD SHAWN FREDERICC & ALLAN COOPER 04/24/87 900 (5) 763 AMEM400D WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-OLIr DATE RENT (1) v 261 BAYWOOD SIEVE QMMVAN & SIAN TOWNSEND 11/01/90 935 (2) '667 AIDERWOCD MICHAEL & EM REYES 02/12/90 900 (3) v 223 BAYWOOD BANKS & BLACCBURN 09/08/90 945 (4) v225 BAYWOOD DARRYL & ELIZABEIi GRIFF 02/13/90 900 (5) 451 BAYWOM CMISIDPHER & ETHEI, WALLEY 02/18/90- y G� 900 (6) 765 ALDEMIXW IQSNE & BERUMIN 09/15/90 03/10/91 960 745 ALDERWWD ROBERT & BETTY HALL 03/01/90 03/17/91 900 (8) -153 BAYWOOD LYNN CAPRI 03/01/90 900 (9) v346 BAYWOOD NASRIN AFEE RING 03/01/90 900 (10) v615 BAYWOOD MARY & SHELLY HICCSON 03/01/90 900 (11) ✓133 ALDERWOOD ROBERTA HOLM 03/06/90 900 (12) ✓173 AIDERWCOOD DEBBIE CRa%S ELL 03/31/90 900 (13) 766 AME99CM ALEX & SHERRI LATIF 04/06/90 900 (14) s 913 BAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME M3VE-IN DATE MOVE-OUr DATE RENT (1) ✓315 BAYWOOD HEILTNG 08/11/90 817 (2) 1--756 AIDERWOOD CYNIIIIA CORLISS 03/06/90 801 (3) -337 BAYWOOD RENEE DOYLE 03/15/90 818 (4) L-742 ALDERWCOOD TRACY C(PIIdINGFiAM 04/06/90 801 (5) '-323 BAYWOOD MOLLY HAMIUM 07/21/90 817 (6) •338 BAYWOOD AM HARRIS 04/26/90 818 (7) -341 BAYWOOD PRICE 04/01/90 818 (8) -345 BAYW00D BENDER -NORTH 04/01/90 818 (9) v356 BAYWOOD TAHAMI 05/09/90 817 (10) v425 BAYWOOD ICHnUM/WEST 05/18/90 817 (11) v 267 BAYWOOD WEST 05/25/90 (12) -183 BAYWOOD MELGOZA 06/14/90 817 oo (13) v281 BAYWOOD STROTHERS 08/08/90 817 (14) ✓335 BAYWOOD DOMINIC 08/18/90 817 f REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MVE-OiII' DATE RENT (1) (2) (3) (5) 732 ALDEF&OOD 738 ALDERWOOD 772 AMEM900D 763 AIDERWOOD MOLLY iiIT MOAM & F. WYIDER CHARLOTTE ROBERTS ROBERT STBUM WINIFRED CAMPBELL 05/23/87 06/04/84 12/06/84 06/04/84 975 940 940 787 VP MOD UNIT ADDRESS RESIDENT NAME M7VE-IN DATE MOVE-0UT DATE RENT (1) 261 BAYWOOD STEM CAZS I & STAN TOWNSEND 11/01/90 935 (2) 667 AMERWOOD MIC AEL & EUa REYES 02/12/90 900 (3) 223 BAYWOOD BANKS & BLACKBURN 09/08/90 945 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 451 BAYWOOD CHRISTOPHE2 & ETHEL WAILEY 02/18/90 900 (6) 765 ALDERWOOD KLINE & BERLZM 09/15/90 960 (7) 745 ALDEI3900D ROBERT & BETTY HALL 03/01/90 900 (9) 346 BAYWOOD NNASRIN AFSHANC 03/01/90 900 (10) 615 BAYWOOD NARY & SHELLY HICKSON 03/01/90 900 (11) 733 ALDERWOOD ROBERTA. HOLM 03/06/90 900 (12) 773 AIDERWOOD DESBIE CROMWELL 03/31/90 900 (13) 766 ALDERWOOD ALEX & cMM LATIF 04/06/90 900 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD TEILTM 08/11/90 817 (2) 756 ALDERWOOD CYNTH:rA CORLISS 03/06/90 801 (3) 337 BAYWOOD RENEE DOYLE 03/15/90 818 (4) 742 AIDEF&QOOD RRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD MOLLY HAMILTON 07/21/90 817 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDERNORTH 04/01/90 818 (9) 356 BAYWOOD TAHAMI 05/09/90 817 (10) 425 BAYWOOD ICmuM/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 BAYWOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD STROTHER.S O8/08/90 817 (14) 335 BAYWOOD DO IINIC 08/18/90 817 �nT� 1 REMAINING MODERATES (WILT, BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 732 ALDERWOOD MOLDY iIINNENDAEL & F. WYLDER 05/23/87 975 (2) 738 AIDERWOOD CHARLOTTE ROBERTS 06/04/84 940 (3) 748 AMEfd90M JONI & SUSAN DUNN 05/01/86 900 (4) 772 AIDERWOOD ROBERT STEWART 12/06/84 940 (5) 774 ATDERWOOD SHAWN FREDERICK & KIM COOPER 04/24/87 900 (6) 742 ALDERWOOD T. RUNYAN & SIEVE SCHEIF LE 06/01/85 787 (7) 763 ALDERWOOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUT DATE RENT (1) 261 BAYWOOD SIEVE CATHII31N & STAN TONNSEND 11/01/90 935 (2) 667 ATDERWOOD MIC AEL & EM REYES' 02/12/90 900 (3) 223 BAYWOOD BANKS & BLACKBURN 09/08/90 945 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 451 BAYWOOD CHRISTOPHER & ETHE, WALLEY 02/18/90 900 (6) 765 AIDEE590M RLSNE & BERUMEN 09/15/90 960 (7) 745 AIDERWOOD ROBERT & BETTY HALL 03/01/90 900 (8) 153 BAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFSHiM 03/01/90 900 (10) 615 BAYWOOD MARY & S11= HICCSON 03/01/90 900 (11) 733 ALDERWOOD ROBERTA HOLM 03/06/90 900 (12) 773 ALDEM OOD DEBBIE CRONgELL 03/31/90 900 (13) 766 AIDERWCOD ALEK & SHERRI LATIF 04/06/90 900 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LAW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -our DATE RENT (1) 315 BAYWOOD HEILING O8/11/90 817 (2) 756 ALDERWOOD CYNTFIIA CORLISS 03/06/90 801 (3) 337 BAYWOOD REM DOYLE 03/15/90 818 (4) 742 AIDERWOOD TRACY CR9N114a M 04/06/90 801 (5) 323 BAYWOOD MOLLY HAM[aaw 07/21/90 817 (6) 338 BAYWOOD AM HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER-MIU H 04/O1/90 818 (9) 356 BAYWOOD TAHAMI 05/09/90 817 (10) 425 BAYWOOD ICHIKAWA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 BAYWOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD STROTHERS 08/08/90 817 (14) 315 BAYWOOD DOMINIC 08/18/90 817 �C � m1b Id �� RIIFIINING MODERATES (WILL BE MKT. UPON MOVE-013T) UNIT ADDRESS RESIDENT NAME IK)VE-IN DATE IR7VE-0UP DATE RENT (1) 732 ALDERWOOD MOLLY H MMMAEL & F. WYLDER 05/23/87 975' (2) 738 AIDERWOOD CHARLOTTE ROBERTS ' 06/04/84 940 (3) 748 AIDERWOOD JONI & SUSAN DUNN 05/01/86 900 (4) 772 ALDEII*X= ROBERT STEV= 12/06/84 940 (5) 774 AIDERWOOD SHAM FRIDERICK & ALLAN COOPER 04/24/87 900 (6) 742 AIDERWOCD T. RUNYAN & STEVE SCHELFELE 06/01/85 787 (7) 763 ALDERWOOD =FRED CAMPBELL 06/04/84 787 ri, Inv •••uo r• i • • •• • • •• •a (1) 261 BAYWOOD VANIA CHAIM 05/12/90 (2) 667 AIDE4100D MICHAEL & FDNA REYES 02/12/90 935 00 (3) 223 BAYWOOD DAMES TRABAUDO & CYNL�ICF� BURNS 02/07/90 900 (4) 225 BAYWOOD DARRYL & ELIZABET i GRIFF 02/13/90 900 (5) 451 BAYW00D CHRISTOPHER & Emm WALLEY 02/18/90 900 (6) 765 AIDEE590M LYNN PEARCE 02/16/90 07/31/90 (7) 745 AIDEM900D ROBERT & BETTY HALL 03/01/90 99000 (8) 153 BAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFFS-UM 03/01/90 900 (10) 615 BAYWOOD MARY & SHE LY HIC SON 03/01/90 900 (11) 733 AIDER400D ROBERTA HOLM 03/06/90 900 (12) 773 AIDERWOOD DEBBIE CRWELL 03/31/90 900 (13) 766 AIDFRWOOD ALEC & SBERRI LATIF 04/06/90 9000 (14) 913 BAYWOOD P-TWU P.Y 04/11/90 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-OUl DATE RENT (1) 315 BAYWOOD HEINZ/HUFFMAN 03/01/90 07/31/90 817 (2) 756 AIDER00D CYnHm CORLISS 03/06/90 801 (3) 337 BAYWOOD RENEE DOYLE 03/15/90 818 (4) 742 AIDERWOCD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD MOLLY HAMILTON 07/21/90 817 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 � 8 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 81 S 818 05/18/90 (10) 425 BAYWOOD /WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) 783 BAYWOOD MEIGOZA 06/14/90 800 (13) (14) {e It iy1► c) REMAINING MODERATES (WILL BE MKT. UPON MOVE -OUP) UNIT ADDRESS RESIDENT NAME MCVE-IN DATE MOVE -OUP DATE RENT (1) 732 ALDEF&OOD MOLLY i310TENUAEL & F. WYIDER 05/23/87 975 (2) 738 ALDEIdiOOD CHARLOTTE ROBERTS 06/04/84 940 (3) 748 ALDERWOOD JONI & SUSAN DUNN 05/01/86 900 (4) 772 ATDEFWOOD ROBERT STERART 12/06/84 940 (5) 774 ALDERWOOD SHAWN FREDERICK & ALIAN COOPER 04/24/87 900 (6) 742 ALDEWOOD T. RUNYAN & SIT E SCHFIFELE 06/01/85 787 (7) 763 ALDERWOOD WINIFRED CAMPBELL 06/04/84 787 (1) 261 BAYWOOD VANIA CFAKE2 05/12/90 935 (2) 667 ATDERWOOD MICHAEL & EDNA, REYES 02/12/90 900 (3) 223 BAYWOOD JAMES TRABAUDO & CYNTHIA BURNS 02/07/90 08/31/90 900 (4) 225 BAYWOOD DARRYL & ELIZABE H GRIFF 02/13/90 900 (5) 451 BAYWOOD CHRISZIOPHER & ETHEL WAIM 02/18/90 900 (6) 765 ALDEM% D VACANT 960 (7) 745 ALDERWOOD ROBERT & BETTY HALL 03/01/90 900 (8) 153 BAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFSfANG 03/01/90 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 ALDERWOOD ROBERTA HOLM 03/06/90 900 (12) 773 AIDER11001D DEBBIE CROMWELL 03/31/90 900 (13) 766 ALDERWOOD ALEC &'SHERRI LATIF 04/06/90 900 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LAW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE M:)VE-OUP DATE RENT (1) / 315 BAYWOOD HEILTM 08/11/90 817 (2) 756 ALDERWOOD CYNTFIA. CORLSSS 03/06/90 801 (3) 337 BAYWOOD RENEE DOYLE 03/15/90 818 (4) 742 ALDERWOOD TRACY CUNNINGHAM 04/06/90 801 (5) 323 BAYWOOD MOLLY FAMILTON 07/21/90 817 (6) 338 BAYWOOD ANN HAMS 04/26/90 818 (7) 341 BAYWOOD PRICE 04/01/90 818 (8) 345 BAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD TAHAMI 05/09/90 817 (10) 425 BAYWOOD ICHIKAWA/WEST 05/18/90 817 (11) 267 BAYWOOD WEST 05/25/90 817 (12) /783 BAYWOOD MECGOZA 06/14/90 800 (13) 281 BAYWOOD STRO'1HERS 08/08/90 817 (14) i/31!S BAYWOOD DCd+ MC 08/18/90 817 335, RFSQMM4G MODERATES (WILL BE MKT. UPON MOVE-OVP) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE N13VE-OUP DATE RENT (1) 732 AIDII2NUOD MOLLY HINNENDAEL & F. WYIDER 05/23/87 975 (2) 738 ALDERWOOD CHARLOTTE ROBERTS 06/04/84 940 (3) 748 ALDERWOOD JONI & SUSAN DUNN 05/01/86 900 (4) 772 AIDERWOOD ROBERT STEWART 12/06/84 940 (5) 774 AIDERWOOD SHAWN FREDERICK & ALLAN COOPER 04/24/87 900 (6) 742 ALDF1Si00D T. RUNYAN & STEVE SCHEIFE E 06/01/85 787 (7) 763 ALDE&0OOD WINIFRED CAMPBELL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE -OUP DATE RENT (1) 261 BAYWOOD VANIA CHAKER 05/12/90 935 (2) 667 AMEE5900D MIC U L & EDNA REM 02/12/90 900 (3) k,-223 BAYWOOD BANKS & BLACKBLW 09/08/90 'w 99 (4) 225 HAYWOOD DARRYL & ELSZABETH GRIFF 02/13/90 900 (5) 451 BAYWOOD C ISIOPHER & E= WAILEY 02/18/90 � 900 (6) 765 ALDER900D KLM & BEEU14M 09/15/90 � 960 (7) RW 745 ALDEOOD ROBFRT & BETTY HALL 03/O1/90 � 900 (8) 153 BAYWOOD LYNN CAPRI 03/01/90 y �� 900 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 �,- �. 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 li, 900 (11) 733 ALDERWOOD ROBERTA HOLM 03/06/90 900 (12) 773 ALDERW00D DEBBIE CRCNgELL 03/31/90 900 (13) 766 ALDERW001D ALEX & SHERRI LATIF 04/06/90 900 (14) 913 BAYWOOD RIDGEWAY 04/11/90 910 VP LOW (HUD) UNIT ADDRESS RESIDENT NAME MOVE -IN DATE AOVE-OUP DATE RENT (1) 315 BAYWOOD HEILTNG 08/11/90 817 (2) 756 AIDERQOOD CYNTM CORLSSS 03/06/90 801 (3) 337 BAYWOOD RENEE DOYLE 03/15/90 818 (4) 742 ALDER5900D TRACY COR 2NCE•lAM 04/06/90 801 (5) 323 BAYWOOD MOLLY HAMILTON 07/21/90 817 (6) 338 HAYWOOD ANN HARRIS 04/26/90 �01' 818 (7) 341 HAYWOOD PRIG 04/01/90 rtf-N. 818 (8) 345 HAYWOOD BENDER -NORTH 04/01/90 818 (9) 356 BAYWOOD TAHAMI 05/09/90 817 (10) 425 BAYWOOD IamwQ/WEST 05/18/90 817 (11) 267 HAYWOOD WEST 05/25/90 817 (12) 783 BAYWOOD MELGOZA 06/14/90 800 (13) 281 BAYWOOD SLROTHERS 08/08/90 817 (14) 315 BAYWOOD DOMINIC 08/18/90 817 ��.OAaq RDUMUM MODERATES (WILL BE MIICT. UPON MOVE -OUT) 9D UNIT ADDRESS RESIDENT NAME MOVE -IN DATE MOVE-OiTP DATE RENT (1) 732 AIDE )OD NDLLY HINNEN]AEL &,F. WYLDER 05/23/87 975 (2) 738 AIDE 9CM CUARi027.'E ROBERTS 06/04/84 940 (3) 748 ALDE %lCCD JONI & SUSAN DUNN 05/01/86 900 (4) 772 AIDERWOCD ROBERT STEWART 12/06/84 940 (5) 774 AMEWOOD SHAWN FRIDERICK & ALLAN COOPER 04/24/87 900 (6) 742 AIDERWOCD T. RUNYAN & STEVE SC-tEIFELE 06/01/85 787 (7) 763 ALDERWOOD WINIFRID CAMPBEL 06/04/84 787 VP MOD UNIT ADDRESS RESIDENT NAME HOVE -IN DATE MOVE -OUP DATE REND (1) ✓ 261 BAYWOOD VANIA CTp= 05/12/90 935 (2) 667 ALDEFWOOD MICHAEL & EDNA REYES 02/12/90 900 (3) 223 BAYWOOD JAMES TRABAUDO & CYNTHIA BURNS 02/07/90 900 (4) 225 BAYWOOD DARRYL & ELIZABETH GRIFF 02/13/90 900 (5) 451 BAYWOOD C�22S4OPHER & EIREL WALLEY 02/18/90 900 (6) 765 ATDEWOOD LYNN PEARCE 02/16/90 900 (7) 745 AIDERWOOD ROBERT & HEM HALL 03/01/90 900 (8) 153 BAYWOOD LYNN CAPRI 03/01/90 900 (9) 346 BAYWOOD NASRIN AFSHANG 03/01/90 900 (10) 615 BAYWOOD MARY & SHELLY HICKSON 03/01/90 900 (11) 733 ALDERWOOD ROBERTA HOLM 03/06/90 900 (12) 773 AIDER900D DEBBIE CROKREC1+ 03/31/90 900 (13) �766 ALDERS�OOD ALEX & SHERRI LATIF 04/06/90 900 (14) 913 BAYWOOD RIDGE RAY 04/11/90 900 VP IOW (HUD) UNIT ADDRESS RESIDENT NAME 14CRE-IN DATE MOVE -OUP DATE RENT (1) 315 BAYWOOD HEINZ/HUFFMAN 03/01/90 818 (2) 756 ALDERWOOD CYNTHIA. CORLISS 03/06/90 801 (3) 337 BAYWOOD RENEE DOYLE 03/15/90 818 (4) 742 ALDERS+IOOD TRACY CUNIIIDNGHAM 04/06/90 801 (5) 323 BAYWOOD LUIRICE JOHNSON 04/09/90 818 (6) 338 BAYWOOD ANN HARRIS 04/26/90 818 (7) /3,-�1 BAYWOOD PRICE 04/01190 818 (8) 045 BAYWOOD BENDER/NORTH 04/O1/90 818 (9) ✓356 BAYWOOD TAHAML 05/09/90 818 -� (10) .425 HAYWOOD ICHEKUR/WESP817 (11) -1`67 BAYWOOD WEST O5/25/90 817 0 .0 Unit No. 335 Baywood Drive I/We hereby certify to Western National Property Management Companyt as Agent for The Irvine Company, that: 1. the mdersigned is to be the only income earning occupants) of the Leased Premises, and 2. as of the date specified below, the total annual eligible inccmye* of the undersigned does not exceed dollars. * included in the total annual eligible income are: wages, tips, overtime, bonuses, and commissions, net income f-z a business or rental of real property; interest and dividends; social security, retirement funds or pensions, and disability benefits; workers' compensation and disability pay; severance Pay; alimony; child support; all regular and special pay and allowances of a member of the Armed Forces (to exclude hostile fire allowance). The undersigned acknowledge(s) that Western National Property Management Company, as Agent for The Irvine Company, and the City of Newport Beach are relying on the accuracy of the representation herein in leasing the Leased Premises to the undersigned and in conferring on the undersigned the monetary benefits of the Agreement between them restricting the rents collectible for occupancy of the Leased Premises. The undersigned also consents to the delivery of a copy of this Certification of Continued household Eligibility to the City of Newport Beach. This Certification is made under penalty of perjury in Newport Beach, California. Income earning household ambers: Date dent Deborah Atyf Dominic Resident �� )