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Ber: Unit Address: City, State, ZIP Code: Work Telephone Number: Mailing Address: City, State, ZIP Code: Message Telephone Number: Birth Date Age Sex M/F US Citizen? Yes/No Relationship to Head of Household *Race Code # s (if no SS# use Alien Registration Number) Hispanic or Latino? Yes/No Social Security # Disabled? Yes/No Name Student? Yes/No List yourself and all other persons who will live in the unit: Head of Household *Race Code # s (enter one or more): 11 Whit.

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