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2013 Annual Occupancy Declaration

 

I / We, the registered owner(s) of the Property, represent to the Whistler Housing Authority the following for the period from January 1st 2012 to May 1st 2013

 

Resident Restricted Property Information:

 

Unit Number
Street Address
*Other Address  
  * If address is not listed above.  

 

Only the following persons have resided at The Property for the period January 1st 2012 to May 1st 2013 (including suite if applicable):

Name of all Employees and Retirees

Dates (From - To) Name of Employee/Retiree Name of Employer Age  
to
(Add additional employee / retiree)
   

Name of additional Family Members

Dates (From - To) Name of Family Member Age (If Dependent)  
to
(Add additional family member)
 

 

The Property is (mark one or more):

Main Unit Suite (If Applicable)
Owner Occupied Owner Occupied
Room(s) Rented
Monthly Rent:
Rented
Monthly Rent:
Entire Unit Rented
Monthly Rent:
 

 

Owner Contact Information:

Your Name
Mailing Address
State / Province
Postal Code
Phone Number
Email Address

 

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