PHB Required Forms

Asterisk (*) indicates forms that are for the HOME Program only; all other forms are for use with both the HOME and LIHTC Programs

• HOME Applicant & Tenant Questionnaire*
• HOME Lease Compliance Checklist*
• HOME Lease Compliance Form*
• HOME Asset Verification Form*
• HOME Lead Based Paint Disclosure*
• HOME Self-Certification of Annual Income*
• Assessment of Household Demographics
• Employment Verification
• Verification of Student Status/Financial Assistance
• Unemployed/Zero Income Certification

PHB Recommended Forms

These forms are recommended but not required

• Annuity Verification
• Certification of Child Support/Alimony
• Divestiture of Asset Verification
• Estrangement/Separation Certification
• Live-in Caregiver Affidavit
• Pension Verification
• Periodic Monetary Assistance Verification
• Public Assistance Verification
• Public Housing Authority Statement
• Retirement Account Verification
• Self Employment Affidavit
• Self Employment Affidavit (No Tax Return)
• Social Security Benefits Verification
• Termination of Employment Verification

LIHTC Compliance Manual

Compliance forms and additional information for this tax credit are found on the Oregon Housing and Community Services' website