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Resident Request for Interim Recertification SK …

Resident Request for Interim Recertification SK management company , LLC. Tenant Name: _____ Unit #: _____. Tenant's Phone Number: _____. Property Name: _____. Please carefully read the instructions and provide all requested information. IF YOU HAVE ANY QUESTIONS. REGARDING ANYTHING ON THIS FORM, PLEASE ASK THE MANAGER FOR CLARIFICATION. 1. I am requesting a change in my household composition. Yes No If no, skip to question 2. A. HOUSEHOLD COMPOSITION (Removing Household Member(s)). Household member(s) have moved out of my unit. Name of household member(s) moving out: _____. Move-out date: _____. If move-out member was the Head of Household, please provide the name of the NEW Head of Household: _____.

Resident Request for Interim Recertification SK Management Company, LLC. SK-160 (Rev. 8/18/2016) 3 B. LOSS OF INCOME Household member lost his/her employment.

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