Section 8 Preference Certfication

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Please correct the field(s) marked in red below:

PLEASE PRINT:

 *
I am applying for the following preference(s) and certify that the following conditions exist as of the date this form is signed below. I understand that the following information will be verified before I can be considered eligible for the housing assistance program.

Check all that apply to you and complete the explanation, if applicable.

200 Points


150 Points


100 Points


0 Points

Total Preference Points: Max 450 Points
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Waiting List Preference Definitions

WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentations to any Department or Agency of the United States as to matters within its jurisdiction.

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