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Get Housing Catalyst New Personal Declaration Form Packet 2018-2024

Full for any changes or recertification. Please print clearly and be aware all forms must be signed by all adult members of the household. Complete every section; mark N/A if it does not apply to you. U Address City, State, Zip PO Box if applicable U Phone Email address LIST ALL OCCUPANTS OF THE ASSISTED UNIT: For children to be subsidized in this household they must be present in the unit for at least 51% of the time. Legal Name Relation to Head of Household Sex Age Race: White/ Black.

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