Dhcr Application Registration
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1
2
3New York State
Division of Housing and Community Renewal
Office of Community Development
DHCR Applicant Registration Form
DHCR Applicant Registration Form
A. General Applicant Information:
Legal Name of Organization or Individual:
Federal Identification/Social Security Number:
DOS Charitable Organization No.:
Fiscal Year End Date (MM/DD)
/
Acronyms and/or Aliases:
B. Type of Applicant - Check ALL that apply
01 Individual
16 Charitable Organization
02 Neighborhood Preservation Company
17 Financial Institution
03 Rural Preservation Company
18 Mobile Home Resident Association
04 Local Program Administrator
19 Mobile Home Park Cooperation
05 Public Housing Authority
20 Native American Tribal Organization
06 Housing Development Fund Co.
21 Partnership (Not Limited)
07 Town Government
22 NYS Agency
08 Village Government
23 Public Benefit Corporation
09 City Government
24 Limited Partnership
10 County Government
25 Community Housing Development
11 Municipal Designee
26 Tax Exempt Status (501(C)(3)
12 Non-Profit Corporation
27 Limited Liability Corporation
13 Limited Profit Corporation
28 Section 8 Administrator
14 For Profit Corporation
29 Weatherization Subgrantee
15 Unincorporated Association
C. Applicant Phone and Internet Data:
(
)
Ext.:
Phone Number:
-
(
)
Fax Number:
-
EMail Address:
URL:
D. Applicant's Primary Mailing Address
PO Box
Extra Address Info Such As In Care Of, Building Name...
Street Number
Street Name
Street Suffix
City
County
Room Number
State
Zip Code
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