HomeMy WebLinkAboutExhibit 3EXHIBIT "B"
INCOME AFFIDAVIT
(Affordable Housing Units)
I (We) , do hereby certify that my (our)
income for last year is either at or below (a) 50%, or (b) 80%, or (c) 120% of the
Miami -Dade County median income. I (We) fully understand that the City of Miami, the
Developer, and the Title Insurance Company are relying on this certification in order to release
Unit of Phase of the Wagner Square Condominium form the Declaration of
Restrictions.
Buyer:.
Buyer
STATE OF FLORIDA
COUNTY OF;
BEFORE ME, the undersigned authority, personally appeared
, who is (are) personally known to me or has
(have) produced satisfactory evidence of identification and did take an oath, and who after first
being duly sworn, did depose and state that the foregoing Income Affidavit is true and correct to
the best of his/her knowledge and belief.
SWORN TO AND SUBSCRIBED before me this
by
My Commission Expires:
day of , 2005
NOTARY PUBLIC
State of Florida at Large
Print Name:
1