Rental Application - Usda/hud Properties Only Page 10

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USDA/HUD HOUSING APPLICATION 
 
DO NOT WRITE BELOW THIS LINE.  FOR MANAGEMENT USE ONLY 
 
 
APPLICATION DISPOSITION: 
 
Approved:  ________________          Approved by:  _______________________________ 
                       (Date)                                                                          (Signature) 
 
 
 
 
                          Title:  ______________________________________ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Disapproved:  ________________        Disapproved by:  ____________________________ 
                        (Date)                                                                          (Signature) 
 
                                                               Title:  ______________________________________   
 
 
 
 
 
 
 
 
 
 
 
 
Reason(s) for Disapproval:   
____________________________________________________________________________________ 
 
____________________________________________________________________________________ 
 
____________________________________________________________________________________ 
 
 
 
Applicant Notified in Writing on:  _______________________________________________________ 
Applicant Appealed Decision on:  ______________________________(Written notification attached) 
Applicant Appeal Reviewed by:  ____________________________________  Date:  ______________ 
                                                                (Signature)                  (Title) 
 
Appeal Decision:           
Approved __________                         Disapproved  __________ 
Applicant Notified in Writing on:  _________________________________________________ 
 
Driver’s License or State‐issued ID  __________                    Social Security Card  __________ 
Birth Certificate  __________                                                   Citizenship  __________ 
Credit, Criminal, and Sex Offender Registry Check    __________   
 
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