Housing Authority of Mingo County PO Box 120 Delbarton WV 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name, address (including apartment number), city, state, zip code, and telephone number in the designated fields. If you lack a phone number, provide the contact information of a nearby relative or friend.
3. List all family members who will reside with you. Fill in their names, social security numbers, relationships to you, dates of birth, gender (male/female), and race for each member.
4. Detail all sources of income by indicating the gross monthly amount received for each family member. Include any assets such as checking and savings account balances, stocks/bonds/CDs, and other properties.
5. Check any applicable boxes regarding your status (e.g., disabled, homeless) as this information will require verification during processing.
6. Finally, certify the accuracy of your information by signing and dating where indicated for both the head of household and spouse/co-head.

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