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We Serve Ministry Help Request
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* Indicates required question
Name
*
Your answer
Address
*
Your answer
Phone #
*
Your answer
Do you own and live in the home?
*
Yes
No
Required
Do you plan to live in your home for the next 2 years?
*
Yes
No
Required
How many people live in the home?
*
Your answer
What yearly household income?
*
0-20,000
20,000-40,000
40,000 and up
Required
Is the home single story?
*
Yes
No
Required
Is it a mobile home?
*
Yes
No
Required
Does it leak?
*
Yes
No
Required
Do you currently have a lien on the home?
*
Yes
No
Required
Are the taxes paid up to date?
*
Yes
No
Required
Is the home in Sanilac County?
*
Yes
No
Required
Have you been helped by WeServe in the past?
*
Yes
No
Required
Have you recieved help from other agencies?
*
Yes
No
Required
Please list agengcies where you have received help.
*
Your answer
Please describe the repairs you are requesting
*
Your answer
Are you able to provide the materials needed for the repair?
*
Yes
No
Required
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