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NH Department of Health and Human Services DHHS Division of Family Assistance DFA RENTAL VERIFICATION REQUEST DFA Form 775 12/13 To be completed by the landlord or Housing Authority if subsidized. TO FROM Centralized Scanning Unit P. House etc. Mobile home lot HUD 236 No Subsidy Other Specify Rent amount charged to tenant How often Weekly This amount has been charged since Twice per month Every two weeks Signature and Title of Landlord Manager or Housing Official Monthly Date Print Name of Landlord Manager or Housing Official Address Telephone PLEASE SEE INSTRUCTIONS ON BACK DFA SR 13-03 4YC How To Complete This Form This form is used by the NH Department of Health Human Services to collect rental verification information. Please complete the entire form beginning with the section titled PLEASE COMPLETE THE FOLLOWING INFORMATION and return it by the date requested in the first section. Thank you. O. Box 181 Concord NH 03301 Tenant s name Tenant s mailing address Street Apt City State Z....

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232