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4. 60-80 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 , 3 , 4 , 5 , 6 , 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 )