Transcription of RESIDENT ELIGIBILITY APPLICATION (REA)
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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. Yes No ** Have you in this calendar year or will you in the next calendar year, be a fulltime student for five months or more? Household Member's Name: Contact Phone: Contact E-mail: Income Source or Employer: Phone: Address: Position: Hire Date: Supervisor: Income/Salary: $.
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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