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Family Report

OMB Approval Number 2577-0083 (expires 05/31/2020) Previous editions are obsolete form HUD-50058 (11/2013) Department of Housing and Urban Development Office of Public and Indian Housing Family Report Form HUD-50058, Family Report , applies to Public Housing, Housing Choice Voucher, and Section 8 Moderate Rehabilitation programs. Additional instructions are contained in the Form HUD-50058 Instruction Booklet. Copies of the Instruction Booklet can be found on the PIC Web Site at Previous editions are obsolete form HUD-50058 (11/2013) iPublic reporting burden for this collection o

Head of household name Social Security Number Date modified (mm/dd/yyyy) Previous editions are obsolete 2 form HUD-50058 (11/2013) Family Report U.S. Department of Housing and Urban Development O MB Approval Number 2577-0083 Office of Public and Indian Housing

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