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:
- 2009 Letter 1722 from IRS for non-income adults 1-800-829-1040
- 2009 Verification of Social Security Benefits (SSA) 1-800-772-1213
- 2009 Verification of Supplemental Security Income (SSI) 1-800-772-1213
- 2009 Welfare or General Assistance eligibility (Notice of Action / Income Verification)
- 2009 Documentation of Unemployment from Employment Development Department (EDD) 408-436-5600
GENERAL QUALIFICATIONS:
Business Owner: If your gross income
is less than the current year’s poverty level, you may qualify
for advance deposit waiver
Residential Advance Deposit Waiver Guidelines
for 2007:
Total
No. of Dependents |
Annual
Gross Income |
1 |
$10,830 |
2 |
$14,570 |
3 |
$18,310 |
4 |
$22,050 |
5 |
$25,790 |
6 |
$29,530 |
7 |
$33,270 |
8 |
$37,010 |
Each additional
person |
$3,740 |
