Housing Authority Indemnity Agreement

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INDEMNITY AGREEMENT
Housing authority
In the event of serious illness or death, the following named person is authorized to
enter the apartment and remove all contents and collect any refundable Security
Deposit.
Name
Address
City,State,Zip
Telephone
Relationship
In case of an emergency, please notify:
Name
Address
City,State,Zip
Telephone
Relationship
Resident Name
Resident Signature
Date
Housing Authority Official
Date

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