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Get HUD-27061-H 2003-2023

Property Name of Owner/Managing Agent Type of Assistance or Program Title: Name of Head of Household Name of Household Member Date (mm/dd/yyyy): Select One Ethnic Categories* Hispanic or Latino Not-Hispanic or Latino Select All that Apply Racial Categories* American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other *Definitions of these categories may be found on the reverse side. There is no penalty for persons who do not c.

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