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Get Landlord Statement Erie County

INFORMATION VERIFIED PERT.e. TO LL: TEAM YES NO PER ERIE COUNTY TAX RECORDS CASE NAME YES NO CURRENT ADDRESS CAT/CASE NO. LANDLORD STATEMENT LANDLORD: PLEASE COMPLETE ENTIRE FORM IN INK AND SIGN BELOW: TENANT'S NAME ADDRESS RENTED No. AMOUNT OF RENT CHARGED$ Street Apt. No. Per Month Week Twice Monthly City State DATE RENT PAID UP TO Zip Code DATE TENANT MOVED IN DOES TENANT RECEIVE RENTAL ASSISTANCE FROM SEC. 8, HUD, ET.

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