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RESIDENT ELIGIBILITY APPLICATION (REA)

RESIDENT ELIGIBILITY APPLICATION (REA). Property Name: Unit #: Household Name: Certification Type: Current HH Size: Effective Date of Certification: Initial Certification Number of Bedrooms: Original Certification Date: Re-Certification THE FOLLOWING SECTION IS TO BE COMPLETED ENTIRELY BY THE APPLICANT/ RESIDENT . HOUSEHOLD COMPOSITION: SSN. Hshld Date of Birth *See page 4. Fulltime Student Mbr First Name Last Name MI mm-dd-yyyy Last 4 digits Status **. Head Yes No 2. Yes No 3. Yes No 4. Yes No 5. Yes No 6. Yes No 7.

www.wshfc.org/managers/forms-RC.htm Resident Eligibility Application | Rev. January 2014 tonbar Page 1 of 4 RESIDENT ELIGIBILITY APPLICATION (REA) Property Name:

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