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DHS-1514, Application for State Emergency Relief
DHS-1514 (Rev. 9-18) Previous edition obsolete. 2 Case Name Case Number Specialist HOUSEHOLD VEHICLE(S)-Does your household have any vehicles? No Yes ATTACH PROOF OF CURRENT VALUE Car Truck Boat Camper/trailer Motorcycle RV Other vehicle Name(s) on Title or Registration Make and Model Year Fair Market Value Amount Owed
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