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SELF HELP, INC. 1362 Main Street, Brockton MA 02301LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIH EAP)FINANCIAL ASSISTANCE STATEMENT Applicant Name: ___ Application #: ___ To Be Completed By the Person
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How to fill out financial assistance statement

01
Gather all necessary financial documents such as income statements, tax returns, and bank statements.
02
Carefully review the financial assistance statement form and make note of any specific requirements or instructions.
03
Fill out the form accurately and completely, providing all requested information about your financial situation.
04
Double check your work to ensure there are no mistakes or missing information before submitting the form.
05
Submit the completed financial assistance statement form by the specified deadline to the appropriate organization or agency.

Who needs financial assistance statement?

01
Individuals or families who are facing financial hardship and require assistance with covering expenses such as medical bills, housing costs, or educational fees.
02
People who are unemployed or underemployed and struggling to make ends meet may also need to fill out a financial assistance statement.
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Financial assistance statement is a document that provides information on any financial aid or support received by an individual or organization.
Individuals or organizations who have received financial assistance or aid are required to file a financial assistance statement.
To fill out a financial assistance statement, one must gather all relevant information regarding the financial aid received and accurately report it on the designated form.
The purpose of a financial assistance statement is to provide transparency and accountability regarding the receipt of financial aid or support.
Information that must be reported on a financial assistance statement includes details of the financial aid received, the source of the aid, and any conditions attached to it.
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2019 brockton liheap undersigned signer fy certify notarized applicant preceding notary penalties expires continuous acknowledged voluntarily

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