Nyc Housing Development Corporation Application For Apartment (Page 5 of 8) in pdf

Nyc Housing Development Corporation Application For Apartment Page 5

HPD EMPLOYEES ONLY: If you are an HPD employee, please read the Commissioner's Order regarding conflicts of interest

and consult with the agency's Office of Legal Affairs before you submit your application.

Income from Employment

List all full and/or part time employment income for ALL HOUSEHOLD MEMBERS including yourself, WHO WILL BE

LIVING WITH YOU in the residence for which you are applying. Include self-employment earnings:

Household Member

Employer Name &

Length of

Earning

Period

(weekly,

Annual

every other week,

Address

Employment

Gross

twice a month,

Income

monthly, annually)

Years

Months

Head of Household

Income from Other Sources

List all other income sources for each household member, for example, welfare (including housing allowance), AFDC, Social Security,

SSI, pension, workers’ compensation, unemployment compensation, interest income, babysitting, care-taking, alimony, child support,

annuities, dividends, income from rental property, Armed Forces Reserves, scholarships and/or grants, gift income, etc.