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Step 1 of 4
Failure to declare income or income source will result in termination of assistance.
Failure to declare an expense generated by the household will result in termination of assistance.
Falsifying, altering, or omitting any information or documentation will result in termination of assistance.
All questions must be answered.
If you or anyone in your family is a person with disabilities, and you require a specific accommodation to fully utilize our programs and services, please contact the housing authority.
Title 18, Section 1001 of the U.S. Code, states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the U.S. or the Department of Housing and Urban Development is guilty of a felony and subject to jail, fees, and fines.
Does any member of the household have any of the following income?
I understand that any misrepresentation of information or failure to disclose information requested on this application may disqualify me from consideration for admission or participation to any housing assistance program.
Notice: Any attempt to obtain Public Housing, any rent subsidy or rent reduction by false information, impersonation, failure to disclose or other fraud, and any act or assistance to such attempt is a crime.
Vermilion Housing Authority (HQ)
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