Get AK KTC NAHASDA Low-Income Rental Application
On: _____________________________________ Do you qualify for homeless* preference? [ ] Yes [ ] No Do you require a unit designed for persons with a disability? [ ] Yes [ ] No, or if less than fully designed unit is needed, please indicate specific need (i.e., no stairs, roll-in shower, etc.) __________________________________ Printed Name of Head of Household: ______________________________________________________ Physical Address: ______________________________________________________________.
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