Kingston, NY · Ulster County
Tenant Income Certification
This certification records household composition, income, and assets for tenants whose income eligibility is reviewed for a City of Kingston housing unit.
What this form is
Tenants complete the household and income sections so their information can be used to determine maximum income eligibility. The form asks for household members, income from wages and other sources, assets, and supporting income documentation; the owner completes the eligibility and rent sections. Tenants also certify the information and agree to notify the landlord about household changes.
Who needs it
Tenants in a City of Kingston housing unit whose household income eligibility is being determined or recertified need to complete the tenant sections.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the tenant certification is made under penalties of perjury, and the form does not identify a notarized attachment.
How to submit this form
- 1
Download The Form
Download the Tenant Income Certification PDF.
- 2
Complete Tenant Sections
Fill in household composition, income, and asset information in the tenant sections.
- 3
Gather Income Documentation
Provide acceptable verification or copies of documentation of current anticipated annual income for each household member.
- 4
Sign And Date
Sign and date the household certification, then submit the form to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Tenant Income Certification?
- No. The document is signed and dated without a notary; tenants certify the information under penalties of perjury, and no notarized attachment is identified.
- What information does the Tenant Income Certification ask for?
- It asks for household members, income from wages and other sources, income from assets, and supporting income documentation. The owner completes the eligibility and rent sections.
- How do I submit the Tenant Income Certification?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Tenant Income Certification doesn’t need a notary — but if you have another Kingston form that does, a commissioned online notary can help.