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Ssi rental agreement pdf

L5061 2025

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The document is a form from the Social Security Administration (SSA) requesting information about a property to determine an individual's eligibility for benefits and potential rental subsidies. It outlines the purpose of collecting this information, the legal authority behind it, and how the data may be used or disclosed. The form includes questions for landlords regarding rent charges and responsibilities, emphasizing the importance of accurate information for benefit decisions.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (203 Votes)
2013	4.4 Satisfied (72 Votes)

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