Form Hud-40118 - Annual Progress Report Page 13

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Persons Served Worksheet
(continued)
Do not submit this worksheet to HUD
No.
Veterans Status
Ethnicity
Race
Special Needs
Prior Living
Monthly
Monthly Income
Income Sources
Income Sources
(Y/N)
(code)
(code)
(code)
Situation
Income At
At Project Exit
At Entry
A
t Exit
6
7
8
9
(code)
Project Entry
11b
(code)
(Code)
10
11a
11c
11d
16
HUD-40118 (11/00)

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