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Household
Household Information

Is everyone living in your household a US citizen or legal alien?
 
Does everyone share food?
 
Is anyone in your household disabled or blind?
 
Housing

Tell us about your housing. Do you:



 
If you own a mobile home and also rent your space, please choose "Own your own home".
Utilities

Do you pay for phone service?
 
Monthly water and sewer utility bill:
  
Monthly garbage disposal bill:
  
Monthly electricity utility bill:
  
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