Form w 146e 2007-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date, case number, and case name at the top of the form. This information is crucial for identifying your request.
3. In the first section, provide your name where indicated. Clearly state that you are requesting assistance to pay rent arrears to avoid eviction.
4. Acknowledge your understanding of the requirements by checking the appropriate boxes regarding documentation for future rent payments and potential recoupment of funds.
5. Sign and date the application in the designated area to confirm your request.
6. For third-party agreements, have them fill in their name, Social Security number, and affirm their commitment to pay excess rent. Ensure they provide their income details and proof of income.
7. Finally, both parties should sign and date their respective sections to validate the agreement.

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