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Get Westhab Housing Application

household over the past two years. Person Working Employer Employer Address Employer Tel. # Dates Employed (From/To) Yearly income (before taxes) $ $ Rate of Pay & # Hours worked $_____ per hour #____hours/week $_____ per hour #____hours/week 14) HOUSEHOLD INCOME: Head of Household Co-Head and/ or Other members Type of Income Circle One Amount Frequency Circle One Amount Frequency 1. Salary or pay from job? YES NO $ YES NO 2. Overtime or shift pay? YES NO YES NO 3. Bonus/ commission/ et.

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