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Get CA San Bernardino BOE-267-L 2020-2022

, CA 92415-0311 www.sbcountyarc.org Phone: (909) 387-8307 Toll Free: (877) 885-7654 WELFARE EXEMPTION SUPPLEMENTAL AFFIDAVIT, HOUSING LOWER INCOME HOUSEHOLDS This claim is filed for fiscal year 20 20 This is a Supplemental Affidavit filed with BOE-267, Claim for Welfare Exemption (First Filing) BOE-267-A, Claim for Welfare Exemption (Annual Filing) SECTION 1. IDENTIFICATION OF APPLICANT Name of Organization Corporate ID or LLC Number Mailing Address (number and street) Ci.

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