LIHTC Calculation Tools for Tax Credit Properties

Household Member Name

Unit #

Effective Date *

Current Benefit

Social Security Letter Date

Current monthly benefit amount

Before any deductions

Current annual benefit

COLA Adjustment

Complete this section if a cost-of-living adjustment (COLA) is known for next year. Visit ssa.gov/cola for updates.

COLA effective date

Enter COLA increase %

Current monthly benefit before COLA

Monthly benefit after COLA

Annual benefit after COLA

Total annual benefit for this member

Household Member Name

Unit #

Effective Date *

Pay Stub Entries

How Many Pay Stubs?

List the gross amount and pay date from the most recent pay periods.

Stub 1: Gross Pay

Pay Date

Stub 2: Gross Pay

Pay Date

Pay Stub Details

Average Gross Pay

Pay Frequency

Total annual employment income

Household Member Name

Unit #

Effective Date *

Employment Status

Presently Employed?

Yes No

Date First Employed

Base Wages / Salary

EV Letter Date

Current Wages/Salary

Pay Basis

Average # regular hours per week

Overtime & Shift Differential

Overtime Rate ($ per hour)

Avg # of overtime hours per week

Shift Differential Rate ($ per hour)

Avg # of shift diff. hours per week

Commissions, Tips, Bonuses

Amount

Pay Basis

Anticipated Changes & Other Info

Anticipated rate of pay change (next 12mo)

Pay Basis for Change

Effective Date of Change

If seasonal/sporadic, indicate layoff period(s)

Total annual employment income