Section 8 Waiting List Update Form - Ithaca Housing Authority

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IHA Waiting List Update Form
Please indicate which program’s waiting list you are updating:
Public Housing
Section 8
Applicant Name: _____________________________________________________
Address: _____________________________________________________
_____________________________________________________
Phone #: __________________________ or ________________________
check here if reporting change of address above
The following changes apply to my household and should be amended to
my waiting list application:
Income Changes: _________________________________________________
_________________________________________________
_________________________________________________
* please include details (source of income & monthly average of income)
Household Composition Changes: __________________________________
_________________________________________________
_________________________________________________
* please include details (ie- date of birth, social security number, due date, etc.)
Please remove my name from your waiting list. I am no longer in
need of assistance.
No change, but please keep my name on the waiting list.
X __________________________________________
x _____________________
Applicant Signature
Date

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