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Printable Form 4506-A Pembroke Pines Florida: What You Should Know

For assistance with rental assistance payments and/or utilities, complete the form below, print it as a PDF and mail or deliver the completed form to the address provided in the form. (NOTE-Rental assistance and/or utilities is provided for a maximum of 12 months from the date you submit your request). Form 4506. Rent assistance. For assistance, the COVID-19 EMERGENCY RENT ASSISTANCE AND/OR UTILITIES program is available for a variety of rental and utility assistance programs. Rent assistance and utilities can assist individuals who are temporarily without housing, have an emergency, have the inability to maintain their current housing situation, are experiencing an immediate or serious threat of an emergency situation and/or they are experiencing a major breakdown in their housing status, such as foreclosure, rental vacancy, lack of utilities due to the interruption of power, gas, water and sewer, and/or in an emergency eviction. The number of recipients can vary. There are also specific application requirements. Rental Assistance Information about rental assistance is available at your local branch of the Department of Economic Opportunity (DOES). You would need to provide specific information about your household including income, expenses, assets, and expenses on the Affidavit for Rental Assistance form and/or utility bills in order to qualify for financial assistance. Utilities Information about utilities assistance is available at your local branch of the Department of Economic Opportunity (DOES). You would need to provide specific information about your household, such as income, expenses, and/or assets on the Affidavit for Utility Assistance form and/or utility bills in order to qualify for financial assistance. RENTAL ASSISTANCE AND UTILITIES ASSISTANCE APPLICATION ENTRY INSTRUCTIONS (Note: If you are a qualified Florida resident, this form can be also accessed by downloading a PDF, saving to your computer and then viewing in Adobe Acrobat. The online form can be accessed by clicking here.) You may need more information before completing the below form.

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