Form Hud-40201 - Youthbuild Program Reports Part 13 Housing Resident Worksheet - U.s. Department Of Housing And Urban Development

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Youthbuild Program Reports
U.S. Department of Housing
and Urban Development
Part 13
Office of Community Planning
and Development
Housing Resident Worksheet
Property Street Address
City
State
Zip Code
Number of Units
Characteristics of Property and Occupants:
Read the Instructions on the back before completing this report.
Income Data
Household Data
Unit Number
Number of
Type
Previously
Total Rent
Monthly Gross
Percent of
Race of Head
Size of
Type of
Rental
Bedrooms
Homeless
Income
Area Median
of Household
Household
Household
Assistance
1
2
3
4
5
6
7
8
9
10
11
Previous editions are obsolete
form HUD-40201 (7/97)

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