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4. 6040 Percent of Area Median means a household 1 . Section 8. Tenants receiving Section 8 assistance whose adjusted income exceeds 60 percent and does through the Section 8 Certificate Program under 24 CFR not exceed 80 percent of the median family income for part 882 or the Section 8 Housing Voucher Program the area , as determined by HUD with adjustments for under 24 CFR part 887, smaller and larger families. 2. HOME Tenant Based Rental Assistance. Tenants receiving HOME tenant-based assistance. Household Data . 3. Other Assistance. Tenants receiving rental assistance Hispanic Y/N : For each occupied residential unit, enter the through other Federal , State or local rental assistance ethnicity for the head of household as either "Y" for Hispanic or programs. Latino or " N" for Not Hispanic or Latino. Hispanic or Latino race is 4. No Assistance. Self-explanatory. defined as a person of Cuban , Mexican , Puerto Rican , South or Central American, other Spanish culture or origin , regardless of race. The term , " Spanish origin , " can be used in addition to " Hispanic or Latino. " Race — Head of Household : For each occupied residential unit, enter one code only based on the following definitions: 11 . White. A person having origins in any of the original peoples of Europe, North Africa or the Middle East, 12. Black or African American. A person having origins in any of the black racial groups of Africa. Terms such as " Haitian" or " Negro" can be used in addition to "Black or African American . " 13. Asian . A person having origins in any of the original peoples of the Far East, Southeast Asia , or the Indian subcontinent including , for example, Cambodia, China, India, Japan , Korea, Malaysia, Pakistan , the Philippine Islands, Thailand and Vietnam . 14. American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America) , and who maintains affiliation or community attachment. 15. Native Hawaiian or Other Pacific Islander. A person having origins in any of the original people of Hawaii , Guam , Samoa or other Pacific Islands, 16. American Indian or Alaska Native & White. A person having these multiple race heritages as defined above. 17. Asian & White. A person having these multiple race heritages as defined above. 18. Black or African American & White. A person having these multiple race heritages as defined above. 19. American Indian or Alaska Native & Black or African American . A person having these multiple race heritages as defined above. 20. Other Multi Racial. For reporting individual responses that are not included in any of the other categories listed above. Size of Household. Enter the appropriate number of persons in the household: 1 , 2 , 31 41 51 61 7, or 8 or more persons (for households or more than 8, enter 8) . Head of Household . For each residential unit, enter one code only based on the following definitions : 1 . Single/Non-Elderly. One-person household in which the person is not elderly. 2. Elderly. One or two person household with a person at least 62 years of age. 3. Related/Single Parent. A single parent household with a dependent child or children ( 18 years old or younger). 4. Related/Two Parent. A two-parent household with a dependent child or children ( 18 years old or younger). 5. Other. Any household not included in the above 4 definitions , including two or more unrelated individuals. Rental Assistance: Enter one code only to indicate the type of assistance, if any, being provided to the tenant. Page 4 of 4 form HUD-40095 (02/2003)