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Get Add #1 And #2 Add #3 And #4 - Southern Connecticut State University

D, OR IF THERE ARE MORE THAN 3 PEOPLE INCLUDING ME IN MY HOUSEHOLD, I MUST COMPLETE A DIFFERENT APPLICATION FORM. PLEASE WRITE DOWN THE FOLLOWING INFORMATION: Amount you pay each month for rent or mortgage: #1 Amount you pay each month for utilities: #2 NOTE: If you pay for heat OR you have an air conditioner and pay for electricity OR you received a check from the Energy Assistance Program last year at this address, enter $378. If none of the above apply but you pay for any one of the fo.

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