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Mortgage
Rent
Utility Deposit
Security Deposit
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White
Black
Hispanic
Native American Indian
Asian
Other
Single
Married
Separated
Divorced
Widowed
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Retail Sales
Building Trade
ActiveMilitary
First Responder
Military Veteran
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Service Industry
I have experienced a reduction in salary as a result of coronavirus COVID 19
I have hadmy hours reduced as a result of coronavirus COVID 19
I have been furloughed as a result of coronavirus COVID 19
I have been laid off as a result of coronavirus COVID 19
I have been terminated as a result of coronavirus COVID 19
Other
I have experienced a reduction in salary as a result of coronavirus COVID 19
I have hadmy hours reduced as a result of coronavirus COVID 19
I have been furloughed as a result of coronavirus COVID 19
I have been laid off as a result of coronavirus COVID 19
I have been terminated as a result of coronavirus COVID 19
Other
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Copies of filed tax returns fromthe previous two years
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Most recent tax return
Copy of Valid Identification for every householdmember 18 years and older Florida Driver s
Paystubs showing employment status as of February 29 2020 or statement fromemployer
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Mortgage Statement showing the breakdown of the payment and arrearage
Current Lease showingmonthly rent
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W 9 for landlord ormortgage company Attachment C
NO
Documentation for a Utility Deposit showing the amount needed
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Applicant
HouseholdMember
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Self Declaration Form Click Here to Upload
Bank Statements Click Here to Upload
Social Security Waiver Click Here to Upload