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Awardee: ____________________________________Site Name, if applicable: ________________________________________________________Reporting Period for Rental Report OR Current information as of (this is the date of NHTF inspection): _____________________________ABCDEFGHIJKLMNHTF Contract #Unit # / Address Bdrm Size Tenant NameMove-In Date or Date unit became NHTFHH Size Gross Annual Income Date of Last Income Certification Total Unit Rent (lease rent)Utility Allowance Gross Rent (I+J)Move-Out Date Comments ................
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