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Form Instructions 843 Huntington Beach California: What You Should Know

You should carefully review this document thoroughly and obtain copies of your previous applications for assistance or other information before completing the application. You may also be able to apply for housing assistance, apply for food stamps, apply for Medicaid, and/or apply for cash welfare or government benefits. Furthermore, you can file a claim for housing assistance by submitting an affidavit using Form 843, Application for Housing Assistance. Refer to the CAC Website for more complete filing instructions: 34, PREVIOUS BILL OF LIABILITY-Prohibit certain persons from collecting or using or attempting to collect or use money or property, or from causing damage to any property or business of the City, or to any real or personal property owned in part by the City for the benefit of any city ordinance or law. Form 1095-B — Application for Assistance to Collect or Use the City's Tax-Assisted Payments. Note this form may cause your income to be increased. This is another type of claim/request form for collection. It must be submitted within 60 days of filing your lawsuit. If your income was higher than 200,000 per year, you may qualify for an adjustment. The form may be obtained from: City Clerk. Note: The City of Huntington Beach will accept proof of income from any federal or state program such as Social Security or Railroad Retirement. This may be used to support the lawsuit. It is called “Abandonment Notice” and is attached to the petition. If an affidavit is not signed on this form within 60 days of the filing, the claim/request form will be disqualified. The following is a sample of what the “Abandonment Notice” is: The following is a sample of the “Abandonment Notice” is attached to the petition. We appreciate your cooperation in this matter. If you have any questions, please contact the Property and Liability Management Division at or Property and Liability Management Division — Property Law. If you need more information, please give us a call at or. Please return this form to the County Clerk's Office, City Hall, 5th floor. The person on the left will be able to help you fill out your form. For more information about this form, see our webpage on the County Clerk's website ().

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