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Section 3 Employee Household Income Certification Form 5 - New Jersey Economic Development Authority, Office Of Recovery Page 2

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SECTION 3 EMPLOYEE HOUSEHOLD INCOME CERTIFICATION FORM 5

Section 3 Waiver

Clarifying Note on Section 3 Income Documentation Requirements

Section 3 economic activities waiver allows grantees to document the low/moderate national objective based on the income of

an employee (rather than the employee's family)

Pursuant to the U.S. Housing Act of 1937 (42 U.S.C. 1437 a(b)(2)) and 24 CFR 135.5, the Secretary is authorized to establish

income limits to consider an individual to be a Section 3 resident. This Notice authorizes grantees to determine that an

individual is eligible to be considered a Section 3 resident if the annual wages or salary of the person are at, or under, the HUD-

established income limit for a one-person family for jurisdiction.

For NJEDA Use Only

Supporting Documents Received Date _______

Approved Date

Rejected Date

NJEDA Section 3 Coordinator Name (Print)

NJEDA Section 3 Coordinator Signature

Today's Date

Reason for Rejection:

NJEDA BIDDERS S3 FORM 5

Section 3 Employee Household Income Certification Form 5 - New Jersey Economic Development Authority, Office Of Recovery Page 2