Rent Calculation

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TENANT NAME: _______________________    UNIT:  ______

INCOME:

YEAR (          )  NET INCOME FROM T- 4  $____________

We verify the above net income is shown on the T- 4

Tenant Initial:  _____    Masonic Housing Initial:  ____

RENT CALCULATION:

NET INCOME  X  30%  =  $_________ DIVIDE BY 12 =  $_________

 LESS $ 83 HEAT ASSISTANCE  =  $________

 ADD $40 SATELLITE TV  =  MONTHLY TENANT RENT   $ _______

 Tenant or Family Member

 ______________________   Date:  ____________

 Woodstock Masonic Housing Inc.

 ______________________   Date:  ____________