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. . <br /> . , � <br /> � , , <br /> . <br /> EXHIBIT D TO HOMEBUYER PROGRAM AGREEMENT <br /> INCOME CERTIFICATION <br /> This form must be completed for all members of the household that presently or plan to <br /> permanently reside in the unit and are 18 years of age or older. <br /> Part I: Summary of family income data <br /> 1. Name 2. Identification: <br /> ANTICIPATED ANNUAL INCOME: <br /> a. b. c. d. e. <br /> Family Member Wages/ Benefits/ Public Other Totals <br /> Salaries Pensions Assistance Income <br /> 6. Totals a. b. c. d. e. <br /> This is Annual Gross Income(enter total from 6e.here) 7. <br /> Part II: CompuNng adjusted gross income <br /> 8. Annual Income(from line 7). 8. <br /> 9. IRA deductions (include spouse) 9. <br /> 10. Moving expenses 10. <br /> 11. One half of self employment tax 11. <br /> 12. Self employed health insurance deduction 12. <br /> 13. Keogh and self-employed SEP plans 13. <br /> 14. Penalty on early withdrawal of savings 14. <br /> 15. Alimony paid 15. <br /> 16. Total deductions(add lines 9-15) 16. <br /> 17. Adjusted Gross income(subtract line 6 from 16) 17. <br /> D-1 <br />