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Tion 8 of the U.S. Housing Act of 1937. Name: Home Telephone Number: Unit Address: City, State, ZIP Code: Work Telephone Number: Mailing Address: City, State, ZIP Code: Message Telephone Number: Sex M/F US Citizen? Yes/No Age *Race Code # s Birth Date Hispanic or Latino? Yes/No (if no SS# use Alien Registration Number) Relationship to Head of Household Disabled? Yes/No Name Social Security # Student? Yes/No List yourself and all other persons who will live in the unit: He.

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