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ADVANCE DEPOSIT HARDSHIP WAIVER QUALIFICATIONS:

Note: THE CITATION DATE AND WEEKENDS ARE INCLUDED IN THE 15 & 30 DAY HEARING REQUEST PERIOD

The information you provide will assist the City in deciding whether you qualify for a waiver of advance deposit for your hearing request.

The waiver program is VOLUNTARY. If you choose to apply, YOU MUST PROVIDE THE INFORMATION REQUESTED. Failure to provide sufficient information will result in a determination of ineligibility for this wavier.

PROOF OF INCOME DOCUMENTATION:

You MUST include the current Federal Income Tax Return (form 1040, 1040A) and copies of all the following that apply for the individual(s) cited.

Additional current proof of income required

Listed below is the income verification we accept:

  1. 2012 Letter 1722 from IRS for non-income adults 1-800-829-1040
  2. 2012 Verification of Social Security Benefits (SSA) 1-800-772-1213
  3. 2012 Verification of Supplemental Security Income (SSI) 1-800-772-1213
  4. 2012 Welfare or General Assistance eligibility (Notice of Action / Income Verification)
  5. 2012 Documentation of Unemployment from Employment Development Department (EDD) 408-436-5600

A business MUST also provide the Schedule C as proof of income


GENERAL QUALIFICATIONS:

Business Owner Deposit Waiver Guidelines for 2012 A business MUST be sole proprietorship, have no employees and the gross receipts from the Schedule C, line 1 will be at or below the poverty level.

2012
$22,340.00

Residential Advance Deposit Waiver Guidelines for 2012: (Income amounts taken from HHS Poverty Guidlines)

Total No. of Dependents
Annual Gross Income
1
$11,170
2
$15,130
3
$19,090
4
$23,050
5
$27,010
6
$30,970
7
$34,930
8
$38,890
Each additional person
$3,960

 

 

Last Modified Date: 10/23/2012

 
 

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