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NH Department of Health and Human Services (DHHS) Division of Family Assistance (DFA) DFA Form 768 12/14 rev 1/15 rev2 2/15 SHARED SHELTER ARRANGEMENTS Client Name: Physical Address: Mailing Address:.

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How to fill out the Dfa Form 768 online

Filling out the Dfa Form 768 can be straightforward with the right guidance. This form is essential for individuals seeking assistance with shared shelter arrangements and meal arrangements for food stamps.

Follow the steps to fill out the Dfa Form 768 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information in the 'Client' section, including your name, physical address, mailing address, case number, and telephone number.
  3. In the 'Meal arrangement for food stamps' section, list everyone who lives with you by providing their name, relationship to you, and telephone number. Use the checkboxes to indicate whether their name is on the shelter's lease and if they buy their own food and eat separately.
  4. For each person listed, ensure to include their signature if they are over the age of 18 and the date of their signature.
  5. In the 'Shelter arrangement' section, indicate whether your name is on the lease. If yes, note your portion of the rent and select the frequency of payment (monthly, bi-weekly, weekly).
  6. Answer the questions regarding your responsibility for a portion of the heating, telephone, and electricity costs. Mark 'Yes' or 'No' as applicable.
  7. Indicate if you received fuel assistance in the past 12 months and, if applicable, provide a copy of the approval letter.
  8. Finally, sign and date the form as the client before submitting it to the Centralized Scanning Unit using the provided address.

Take action now and complete your Dfa Form 768 online for timely assistance.

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Gifting Your Vehicle General Affidavit (Form 768) or a written statement indicating the vehicle was given as a gift. NOTE: The General Affidavit or statement does not have to be notarized. Lien Release (Form 4809), notarized, if applicable.

To apply for a duplicate title, you must submit: An Application for Missouri Title and License (Form 108) Document, completed in full and signed, including the following: ... If applicable, a notarized Lien Release (Form 4809) is required. Submit an $8.50 duplicate title fee and a $6 processing fee.

General Affidavit Form (DOR-768) Non-Use (notary required): Must be completed when applicant asks to license a vehicle that has not been operated on the highways, and applicant wishes to have registration fee prorated. Submitting an affidavit of non-use does NOT exempt the applicant from applicable renewal penalties.

The seller must complete all applicable information and sign this form. The Bill of Sale or Even-Trade Bill of Sale must be notarized when showing proof of ownership on major component parts of a rebuilt vehicle or when specifically requested to be notarized by the Department of Revenue.

Gifting Your Vehicle General Affidavit (Form 768) or a written statement indicating the vehicle was given as a gift. NOTE: The General Affidavit or statement does not have to be notarized. Lien Release (Form 4809), notarized, if applicable.

A photocopy of the proof of death (such as a death certificate or obituary); A completed, signed and notarized Affidavit to Establish Title to Exempt Property (Form 2305); and. The $8.50 duplicate title fee and a $6 processing fee.

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