Get the free Page 4 - Appendix R - Zero Income Claimant Affidavitdoc - indyeap
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IHCDAEnergyAssistanceProgramZeroIncomeAffidavit I, herebycertifyunderthepenaltiesofperjuryandfraudthefollowing:(1) Ihavenotreceivedanyincome1inthepasttwelve(12)monthspriortothisdate;(2)Idonothaveanyadditionalproof
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