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  1. Click ‘Get Form’ to open the csd 43b form in the editor.
  2. Begin by entering your name and address at the top of the form. This information is essential for identifying your application.
  3. In Section 1, answer questions regarding your sources of income. For each question, select 'YES' or 'NO' based on your situation. If you have received gifts or other forms of income, be sure to provide details as requested.
  4. Proceed to Section 2, where you will indicate if you are using savings or borrowing money for expenses. Fill in the amounts where applicable.
  5. In Section 3, list your monthly expenses such as rent, utilities, and food. Specify how these expenses have been paid and provide details if someone else is covering costs.
  6. If none of the previous sections apply, use Section 4 to explain how you manage your monthly expenses.
  7. Finally, sign and date the form at the bottom to affirm that all information provided is accurate.

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The document is a certification form from the Department of Community Services and Development in California, designed for individuals seeking assistance who cannot provide proof of income.

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form 43b

SURVEY OF INCOME AND EXPENSES

CSD 43B (08/19/2011). SURVEY OF INCOME AND EXPENSES. You are being asked to complete this form because you (or someone in your household) requested utilityRead more

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