Laserfiche WebLink
Part C : (Con 't .) Household CharaCteristiCS . Enter one code only in each block. <br /> No. Tenant's Last No. Tenant Subsidy Total Rent % o Hisp Race of Size of Head of Type of Is HOME As- <br /> Name or First 5 of Payment Amount (a + b) Area Head of House House Contract sisted Tenant <br /> Letters of Last BRs (a) (b) Median Household hold hold O=Owner in HOME As- <br /> Name Income T=Tenant sisted Project <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> 21 <br /> 22 <br /> 23 <br /> 24 <br /> 25 <br /> 26 <br /> 27 <br /> 28 <br /> 29 <br /> 30 <br /> 31 <br /> 32 <br /> 33 <br /> 34 <br /> 35 <br /> 36 <br /> 37 <br /> 38 <br /> 39 <br /> 40 <br /> 41 <br /> No. of Bedrooms Code Hispanic Race of Head of Household Code Size of Household Code Head of Household Code <br /> 1 — 1 Bedroom y — yes 11 — White 1 — 1 Person 1 — Single/Non Elderly <br /> 2 — 2 Bedrooms n — no 12 — Black or African American 2 — 2 Persons 2 — Elderly <br /> 3 — 3 Bedrooms 13 — Asian 3 - 3 Persons 3 — Related/Single Parent <br /> 4 — 4 Bedrooms 14 — American Indian or Alaska Native 4 — 4 Persons 4 — Related/Two Parent <br /> 5 — 5 or more Bedrooms 15 — Native Hawaiian or Other Pacific Islander 5 — 5 Persons 5 — Other <br /> 16 — American Indian or Alaska Native & White 6 — 6 Persons <br /> % of Area Median Code 17 — Asian & White 7 — 7 Persons <br /> 1 — 0 - 30% 18 — Black or African American & White 8 — 8 or more Persons <br /> 2 - 30 - 50% 19 — American Indian or Alaska Native & <br /> 3 - 50 - 60% Black or African American <br /> Page 2 of 4 form HUD-40095 (02/2003 ) <br />