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Get PHFA Sample Recurring Cash Contribution Verification

Sing, it is necessary that we obtain verification of his/her recurring cash contributions. The applicant/resident hereby authorizes the release of information regarding his/her recurring cash contributions. NOTE: Please complete the section below and return it in the enclosed self-addressed envelope. (Please mail rather than have the above individual hand deliver.) Thank you in advance for your prompt attention. Printed Name of Applicant/Resident Signature of Applicant/Resident Printed Name o.

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