Transcription of PLEASE PRINT CLEARLY - Northwest MN Multi …
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PLEASE PRINT CLEARLY - Northwest MN Multi …
PLEASE PRINT CLEARLY First Name: _____ Middle Name: _____ Last Name: _____ Address where currently living: _____ Street/PO Box City State Zip Address where you receive mail: _____ Street/PO Box City State Zip If temporary, list last permanent address Or your current lease address: _____ Length of time lived there: _____ Is your name on the lease? _____ Email: _____ Phone:_____~_____~_____$_____ Home Telephone Number Cell Telephone Number Contact Person Name and Telephone Present Rent Family Composition: (List all household members who will be living in the unit, including yourself as the head of household.)
Paperwork Reduction Notice: Public reporting burden for this collection of information is estimated to average 7 minutes per response. This includes the time for respondents to read the document and certify, and any recordkeeping burden.
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