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HRA146n (E) 02/10/2022 (page 1 of 2)DHEPS B DEMOGRAPHIC SHEET Clients Information Clients Name: ___ Social Security #: ___ Agency Name: ___CA Case #: ___Staff Contact: ___ Staff Phone #: ___ Staff
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Obtain a copy of form HRA-146N FHEPS B.
02
Fill in your personal information, such as name, address, contact information, and social security number.
03
Provide details about your household members, including their names, relationships to you, and any income they may have.
04
Answer all questions on the form accurately and honestly.
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Sign and date the form to certify that the information provided is true and complete.
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Submit the completed form to the appropriate office or agency as instructed.

Who needs form hra-146n fheps b?

01
Individuals who are eligible for the Family Homelessness and Eviction Prevention Supplement (FHEPS) B program may need to fill out form HRA-146N FHEPS B in order to apply for assistance.
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Form HRA-146n FHEPS B is a form used for the Housing Stability and Tenant Protection Act program in New York City.
Landlords or property owners participating in the FHEPS B program are required to file form HRA-146n FHEPS B.
To fill out form HRA-146n FHEPS B, landlords or property owners need to provide information about the tenant, rental unit, and rental payments.
The purpose of form HRA-146n FHEPS B is to verify rental payments and ensure compliance with the FHEPS B program requirements.
The form requires information such as tenant name, address, rental amount, lease start and end dates, and other details regarding the rental unit.
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