Form Rd 3560 8 PDF Details

Navigating the complex terrain of affordable housing and tenant eligibility just got clearer with the introduction of Form RD 3560-8, a crucial document for those involved with the USDA-Rural Housing Service programs. This form serves a dual purpose: it is both a tenant certification and a comprehensive guide for project and unit identification, spearheaded by the rigorous standards set forth by the USDA. At the heart of this document lies the imperative to ensure accuracy and honesty, as underscored by a stern warning against providing false statements, which could lead to penalties including fines or imprisonment. The form intricately details necessary household information, including the delicate handling of social security numbers, income calculations, and the nuanced understanding of tenant subsidies. It meticulously calculates adjusted monthly income, thereby determining the tenant's contribution towards rent. The form's setup facilitates a transparent process to ascertain a household’s eligibility for occupancy and rental assistance, emphasizing the critical role of accurate information provision by applicants. Further, it aligns with federal requirements for verifying the information provided, making the form a pivotal tool in managing tenant certifications, recertifications, and ensuring compliance with federal laws. This form is more than a document; it is a testament to the commitment of ensuring fairness and integrity in the housing sector.

QuestionAnswer
Form NameForm Rd 3560 8
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform 3560, usda form 3560, form 3560 8, rd form 3560 8

Form Preview Example

 

Form RD 3560-8

 

 

 

 

 

 

USDA-RURAL HOUSING SERVICE

 

 

 

 

 

 

 

Form Approved

 

(Rev. 08-11)

 

 

 

 

 

 

TENANT CERTIFICATION

 

 

 

 

 

 

OMB No. 0575-0189

 

 

 

 

 

 

 

PART I-PROJECT AND UNIT IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

1. EFFECTIVE

M M D D Y Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Project Name

 

3. Borrower ID and Project Number

4. Unit Type

 

5. Unit Number

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certification Expired &

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initial Certification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Recertification

Eviction in Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Modify Certification

Designate 60 Day

WARNING STATEMENT: Section 1001 of Title 18, United States Code provides, ''Whoever, in any matter within the

 

Cotenant to Tenant

Absenc

jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals or covers up by any

 

Assign/Remove RA

eEnd 60 Day Absence

trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or

 

Vacate a Unit

Tenant Transfer

uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be

 

 

 

 

 

 

 

fined under this title or imprisoned not more than five years, or both.''

 

 

 

 

 

 

 

 

 

 

 

 

 

PART II-TENANT

 

 

 

 

STATEMENT REQUIRED BY THE PRIVACY ACT: Title V of the Housing Act of 1949 authorizes RHS to collect the

 

 

 

 

 

 

 

 

HOUSEHOLD INFORMATION

information on this form. Your disclosure of the information is voluntary. However, failure to disclose certain information

 

6. Tenant Subsidy Code

 

 

 

 

may delay the processing of your eligibility or rejection. RHS will not deny eligibility if you refuse to disclose your Social

 

(enter code)

 

 

 

 

 

Security Number.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0 - No Deep Tenant Subsidy

 

 

 

 

This information is collected principally to determine eligibility for occupancy and to determine your tenant contribution for

 

1 - Rental Assistance (RA)

 

 

 

 

 

 

 

 

 

rent. However, the information collected may be released to appropriate Federal, State and Local Agencies, credit bureaus

 

2 - Project Based Section 8

 

 

 

 

 

 

 

 

 

and Servicing agents when relevant to civil, criminal or regulatory proceedings or to enforce regulations by manual or

 

4 - Other Public RA

 

 

 

 

 

5 - Private RA

 

 

 

 

 

automated verification procedures.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6 - HUD Voucher

 

 

 

 

 

Round all monetary figures up to the nearest dollar at. 50 and above.

 

13. Minor,

14. Elderly,

 

7 - Other Types at Basic Rent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Subsidy Amount (For Partial) $

 

 

12a. Race

Disabled,

Disabled

 

Other Subsidy Indicator (leave blank if none, P-Partial or F-Full)

 

 

 

 

 

Determina-

Handicapped

or Handi-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Social Security No.

8. Household Member Name

9. Sex

10. Date of Birth

11. Race

12. Ethnicity

tion Code

or Full-Time

 

cappe

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Student 18

 

d

 

 

 

(Last, First and Middle Initial)

 

MM DD YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or Older

 

 

 

 

 

 

 

 

 

 

 

(Complete

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Complete

 

 

this only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

when

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

this only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

household

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

when

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

member

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

household

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

is a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

member

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tenant or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

is not

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Tenant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the Tenant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or a

 

 

(Check

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Tenant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

when coded

 

Choices for Race are:

8a. Number of Foster Children (if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

above)

 

 

 

 

 

Choices for Race Det. Code:

 

 

 

 

 

 

 

1 - American Indian or

 

 

 

 

 

 

 

 

 

 

Alaskan Native

 

 

 

 

 

 

 

 

 

 

C - Customer Provided

 

 

Total

 

 

Elderly

 

2 - Asian

 

 

 

 

 

 

 

 

 

 

 

E - Employee Observed

 

 

(Line 13)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Status

 

3 - Black or African

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART III- ASSET INCOME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

American

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 - Native Hawaiian or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pacific Islander

15. Net Family Assets (NOTE: If Line 15 is less than $5,000, enter zero on Line 16.)

 

$

 

 

 

 

 

 

 

 

 

 

5 - White

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Choices for Ethnicity are:

16. Imputed Income from Assets (Bank Passbook Savings Rate (*

) x Line 15.)

$

 

 

 

 

 

 

 

 

 

 

 

a - Hispanic/Latino

17. Income from Assets

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

b - Non-Hispanic Latino

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART IV- INCOME CALCULATIONS

18. Income

 

 

a. Wages, Salaries, etc.

$

b. Soc. Sec., Pensions, etc,

$

c. Assistance

$

d. Income Contributed by Assets

 

 

(Greater of Line 16 or Line 17)

$

 

e. Other

$

f. Annual Income

$

g. Household Has Exempt Income

 

 

 

 

19.Adjustments to Income

a.$480 x total of Line 13

b.$400 if elderly status

c.Medical exceeding 3% of Line 18f.

(if elderly, handicapped or disabled)

d. Child Care

e. Total Adjustments

20. Adjusted Annual Income

(Line 18.f. minus Line, 19.e.)

$

$

$

$

$

$

PART V-INCOME LEVELS

21. Number of Household Members

23. Date of Initial Project Entry

MM DD YY

22. Current Eligibility Income Level (Enter Code)

24. Eligibility Income Level at Initial Project Entry (Enter Code)

PART VI- CERTIFICATION BY TENANT

I certify and acknowledge that if the Agency provides unauthorized assistance to the borrower/multi-family housing project owner for my benefit based on erroneous or fraudulent information provided in this tenant certification. I will reimburse the Agency for the unauthorized amount. If I do not, the Agency may use all remedies available to collect it, including those under the Debt Collection Act to recover on the Federal debt directly from me. In accordance with the requirements of the Privacy Act of 1974. which protects my confidential records from unauthorized release. I authorize the Agency to release information collected i this tenant certification to appropriate Agencies for income recertification purpose.

A. DATE:

MM DD YY

b. Tenant Signature

C. DATE:

MM DD YY

d. Co-Tenant Signature

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0189. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

PART VII - PRELIMINARY CALCULATIONS

25.

Adjusted Monthly Income (Line 20 ÷ 12)

a. $

 

 

26.

Monthly Income (Line 18.f. ÷ 12)

a. $

 

 

x .30

= b. $

x .10

= b. $

27. Designated Monthly Welfare Shelter Payment

$

28. Highest of Line 25.b., Line 26.b., or Line 27,

 

29. Gross Basic Rent

 

a. Basic Rent

$

b. Utility Allowance

$

C. (Line 29.a. + Line 29.b.)

$

30. Gross Note Rate Rent

a . Note Rate Rent

$

 

b. Utility Allowance

$

 

c. (Line 30.a. + Line 30.b)

$

PART VII DETERMINING GROSS TENANT CONTRIBUTION (GTC)

Decision: (check- one)

A. If tenant receives rental assistance (RA) enter Line 28 on Line 31 below. If Line 28 exceeds Line 29. c. , go to Decision B since this Tenant will not receive RA..

B. If tenant does not receive RA and this project receives Plan II Interest Credit, enter the greater of Line 28 or Line 29. c. , (but not to exceed Line 30.c.) on

Line 31 below.

C. If tenant does not receive RA and this project is a Plan 1 , Full Profit or Labor Housing project complete Lines C.1. thru C.3. and enter Line C.3. on Line 31.

1.

Enter Line 30.c.

$

2.

Add Plan I Surcharge (if any)

$

3. Total (enter on Line 31)

$

PART IX-DETERMINING NET TENANT CONTRIBUTION (NTC)

31.

GTC (From PART VIII)

$

 

32.

Utility Allowance (Line 29.b. or Line 30.b.)

$

 

33. Final N'TC (Line 31 minus Line 32)

$

 

 

(Amount Tenant pays Borrower for rent. If Line 33 is negative, Borrower pays the difference to Tenant for utilities.)

 

 

PART X - CERTIFICATION BY BORROWER

I certify that the information on this form has been verified as required by federal law and the tenant household

is eligible to live in the unit, or

has been granted ineligible occupancy by RHS.

a. Date Signed

MM DD YY

b. Signature of Borrower or Borrower's Representative

-2-

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1. Begin completing your form rd 3560 8 with a number of major blank fields. Collect all the important information and be sure not a single thing left out!

Stage number 1 for completing form rd 3560 8 fillable

2. Once your current task is complete, take the next step – fill out all of these fields - Complete this only when household, Check below when coded above, Elderly Status, Complete this only when household, Total Line, Choices for Race are American, Alaskan Native, Asian Black or African, American, Native Hawaiian or, a Number of Foster Children if any, PART III ASSET INCOME, Choices for Race Det Code C, Net Family Assets NOTE If Line, and Imputed Income from Assets Bank with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

The way to fill out form rd 3560 8 fillable step 2

3. Within this stage, take a look at PART VINCOME LEVELS, Number of Household Members, Date of Initial Project Entry, MM DD YY, Current Eligibility Income Level, Eligibility Income Level at, PART VI CERTIFICATION BY TENANT I, a Date, MM DD YY, b Tenant Signature, c Date, MM DD YY, d CoTenant Signature, and According to the Paperwork. All of these will have to be taken care of with utmost awareness of detail.

Filling in section 3 in form rd 3560 8 fillable

It's simple to make a mistake when filling in the MM DD YY, therefore you'll want to look again prior to deciding to submit it.

4. The following part needs your involvement in the following parts: PART VII PRELIMINARY CALCULATIONS, Adjusted Monthly Income Line, Monthly Income Line f, Gross Basic Rent, a Basic Rent, b Utility Allowance, C Line a Line b, Designated Monthly Welfare, Highest of Line b Line b or Line, Gross Note Rate Rent, a Note Rate Rent, b Utility Allowance, c Line a Line b, PART VII DETERMINING GROSS TENANT, and Decision check one. Be sure to provide all of the requested information to go further.

A way to complete form rd 3560 8 fillable part 4

5. To conclude your form, this last part features several extra fields. Typing in Enter Line c Add Plan I, PART IXDETERMINING NET TENANT, GTC From PART VIII Utility, Final NTC Line minus Line, Amount Tenant pays Borrower for, PART X CERTIFICATION BY BORROWER, I certify that the information on, is eligible to live in the unit or, has been granted ineligible, a Date Signed, b Signature of Borrower or, and MM DD YY should conclude everything and you're going to be done very quickly!

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