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Exhibit 3-4: **Sample** Family Summary Sheet

6/07 HUD Occupancy Handbook Exhibit 3-4 REV-1 Exhibit 3-4: **Sample** Family Summary Sheet Member No. Last Name of Family Member First Name Relationship to Head of Household Sex Date of Birth Head 2 3 4

6/07 HUD Occupancy Handbook Exhibit 3-4 4350.3 REV-1 Exhibit 3-4: **Sample** Family Summary Sheet Member No. Last Name of Family Member First Name

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Transcription of Exhibit 3-4: **Sample** Family Summary Sheet

1 6/07 HUD Occupancy Handbook Exhibit 3-4 REV-1 Exhibit 3-4: **Sample** Family Summary Sheet Member No. Last Name of Family Member First Name Relationship to Head of Household Sex Date of Birth Head 2 3 4 5

2 6 7 8 9 10 11 12 13 14 15

3


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