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FSS Interest Form A (Updated)
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FSS Interest Form A (Updated)
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7/28/2011 9:49:23 AM
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7/28/2011 9:49:19 AM
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William P.Kenoi `' Stephen J.Arnett <br /> Mayor — Housing Administrator <br /> '1Tp OF•M�'� <br /> OFFICE OF HOUSING AND <br /> COMMUNITY DEVELOPMENT <br /> 1990 Kinoole Street,Suite 105•Hilo,Hawai'i 96720-5293 <br /> V/TT(808)959-4642•FAX(808)959-9308 <br /> FAMILY SELF-SUFFICIENCY (FSS) PROGRAM <br /> INTEREST FORM (please write legibly) <br /> All active Section 8 families are eligible, <br /> Applications will be mailed to interested families, <br /> Families shall go on the waiting list, <br /> To receive help with higher education and/or job skills training <br /> To receive help finding a job or increase in pay <br /> To receive help working towards financial independence & self- <br /> sufficiency <br /> To receive tax free money in a secured FSS sponsored escrow account <br /> FOR MORE INFORMATION CONTACT: HOW THE ESCROW ACCOUNT WORKS <br /> Office of Housing and Community Development EXAMPLE CURRENT WITH FSS <br /> Family Self-Sufficiency Program Contract Rent $500 $500 <br /> Attn: Glen Shigehara Tenant Rent $100 $200 <br /> 1990 Kinoole Street, Suite 105 Housing $400 $300 <br /> Hilo, Hawaii 96720 Assistance <br /> Phone: 959-4642 <br /> Fax: 959-9308 A portion of the $100 increase <br /> in tenant' s rent goes into the <br /> Escrow Account. <br /> Detach Here <br /> ❑ Yes, I am a Section 8 tenant and the Head of Household. I am interested <br /> in the FSS Program. <br /> Last Name: <br /> First Name: <br /> Phone number where I can be reached: <br /> Mailing Address: <br /> ❑ Yes, I am interested in the FSS Program but I am not the Head of <br /> Household. <br /> Last Name: <br /> First Name: <br /> Phone number where I can be reached: <br /> Mailing Address: <br /> IF YOU ARE INTERESTED - RETURN DETACHED PORTION TO THE <br /> OFFICE OF HOUSING (address noted above) AND AN <br /> APPLICATION FORM WILL BE MAILED TO YOU. <br /> 038fghs q N <br /> EQUAL HOUSING OPPORTUNITY <br /> "HAWAI'I COUNTY IS AN EQUAL OPPORTUNITY <br /> PROVIDER AND EMPLOYER" <br />
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