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INSTRUCTIONS
LOWER INCOME HOUSEHOLDS
FAMILY HOUSEHOLD INCOME REPORTING WORKSHEET
Section 1. Enter the address or unit number of your household.
Section 2. Enter the names of the persons who comprise your household.
Section 3. Check the applicable box to indicate if your household income for the applicable number of persons in your household during the calendar year did not exceed the lower income limit, or exceeded the lower income limit but does not exceed 140 percent of area median income, or exceeded 140 percent of area median income.
Section 4.
Household Income:
Income includes but is not limited to:
The following items shall not be considered as income:
For a complete listing of income and deductions, see Department of Housing and Community Development Regulations, section 6914 of Title 25 of the California Code of Regulations.
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INSTRUCTIONS
LOWER INCOME HOUSEHOLDS
FAMILY HOUSEHOLD INCOME REPORTING WORKSHEET
Section 1. Enter the address or unit number of your household.
Section 2. Enter the names of the persons who comprise your household.
Section 3. Check the applicable box to indicate if your household income for the applicable number of persons in your household during the calendar year did not exceed the lower income limit, or exceeded the lower income limit but does not exceed 140 percent of area median income, or exceeded 140 percent of area median income.
Section 4.
Household Income:
Income includes but is not limited to:
The following items shall not be considered as income:
For a complete listing of income and deductions, see Department of Housing and Community Development Regulations, section 6914 of Title 25 of the California Code of Regulations.
This site is updated at least annually.
Forms for use in 2022 will be available starting January 1st, 2022.
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Only property tax related forms are available at this site. No individual data or information is maintained at this site or can be accessed through this site.
You can contact your County Assessor by using the counties link. The Assessor in the county where the property is located can provide the best and specific assistance.