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Application: 123 Main St.

  1. You
  2. Household
  3. Preferences
  4. Income
  5. Review

Take a moment to review your information before submitting your application.

You

Edit

Name

Laura Smith

Date of Birth

12/02/1980

Phone

415-123-1234

Cell

Additional Phone

415-123-1234

Home

Email

lara.smith@gmail.com

Address

649 Avalon St
San Francisco, CA 94117

Mailing Address

456 Mission St
San Francisco, CA 94117

Alternate Contact

Edit

Name

Michael Smith

Counselor MEDA

Email

michael.smith@gmail.com

Phone

415-876-5432

Mailing Address

456 Mission St
San Francisco, CA 94117

Household Members

Edit

Name

Michael Smith

Child

Date of Birth

12/2/1980

Name

Michael Johnson

Family Member

Date of Birth

12/2/1970

Address

700 Avalon St
San Francisco, CA 94117

Preferences

Edit

Based on the information you have entered, your household has not claimed any housing lottery preferences. you will be in the general lottery.

Income

Edit

Vouchers and Subsidies

No

Household Income

$32,000 per year

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