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The document is a Recertification Declaration Form from the Bristol Housing Authority, requiring residents to provide detailed information about household composition, income, assets, and expenses. It emphasizes the necessity of accurate completion and submission of supporting documents by a specified deadline to avoid termination of rent subsidies. The form includes sections for listing family members, income sources, assets, unreimbursed medical or childcare expenses, and a checklist to ensure all required information is provided. Additionally, it outlines the legal implications of providing false information.

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