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APPLICATION FOR HOUSING ASSISTANCE AND PERSONAL DECLARATION OF INFORMATION
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Today's Date:
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MM
/
DD
/
YYYY
My family desires to apply for housing with the:
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Atchison Housing Authority in Atchison, Kansas
Holton Housing Authority in Holton, Kansas
Linn Housing Authority in Linn, Kansas
Wamego Housing Authority in Wamego, Kansas
Section 8 / Housing Choice Voucher Program
Head of Household Marital Status
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Single
Married
Separated
Divorced
Widowed
Current Street Address
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Your answer
Current City
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Your answer
Current State
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Your answer
Current Zip Code
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Your answer
Email Address that is checked regularly:
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Your answer
Best Number to Contact the Household ###-###-####
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Your answer
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