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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:
- 2012 Letter 1722 from IRS for non-income adults 1-800-829-1040
- 2012 Verification of Social Security Benefits (SSA) 1-800-772-1213
- 2012 Verification of Supplemental Security Income (SSI) 1-800-772-1213
- 2012 Welfare or General Assistance eligibility (Notice of Action / Income Verification)
- 2012 Documentation of Unemployment from Employment Development Department (EDD) 408-436-5600
A business MUST also provide the Schedule C as proof of income
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.
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 |
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