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Get TX H1801 2010-2024

D Dated? Date Received YES (Do not proceed further until signed and dated.) Interview Type Office Home Date Name of Authorized Representative Are all household members U.S. citizens or eligible aliens? Yes No Telephone Is anyone applying or receiving TANF? Yes No If yes, who? Yes Has residence been verified?..... No Where? When? If yes, how? (Also document out-of-county applications) STEP 1 – Resource Determination TYPE VALUE Countable Value of Resources TYPE $ VALUE TYP.

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