Dfa form 775 2026

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the tenant’s name and mailing address, including street, apartment number, city, state, and zip code.
Complete the section titled 'PLEASE COMPLETE THE FOLLOWING INFORMATION' by entering the names of those responsible for paying rent, the rental unit's street address, apartment number, date occupancy began, and the number of adults and children living in the unit.
Indicate whether the rent is current. If not, specify the amount of arrearage. Also, check if heat and utilities are included in the rent.
If applicable, complete the subsidized housing section by selecting the type of subsidy and providing gross and net family contributions along with their effective dates.
For non-subsidized housing, indicate the type of housing and fill in the rent amount charged to the tenant along with how often it is due.
Finally, sign and date the form. Print your name, address, and telephone number before returning it to the Central Scanning Unit.

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