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-CRP 2021 Certification of Rent Paid Spouse s Social Security Number 1. Social Security Number - - - - Select this box if related to your landlord. If so, explain. 2. Name (First, Last) Physical Address of Rental Unit (P.O. Box Not Allowed) Apartment Number City State ZIP Code 3. Landlord s Name (First, Last) Landlord s Street Address (Must be completed) Apartment Number City State 4. Landlord s Phone Number (Must be completed) From: 5. Rental Period During Year (.

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