Low-Income Application Form



  • * Louisiana Medicaid Application Form
  • * Louisiana Medicare Savings Program Application
  • * Louisiana Medicaid Renewal Application
  • Low-Income Application Form

    PDF download:

    Energy Assistance Application – Missouri Department of Social …

    Application for Financial Help to Heat or Cool Your Home Date Stamp. Low
    Income Home Energy Assistance Program (LIHEAP). How to apply for LIHEAP. 1.
    …. What primary (main) form of energy heats your home? Natural Gas Tank
    Propane …

    Form RP-467:7/16:Application for Partial Tax Exemption for Real …

    For help completing this application, see Form RP-467-I, Instructions for Form RP
    -467. … Do not file this form with the Office of Real Property Tax Services.

    Form RP-467-I:7/16:Instructions for the Application for the Partial …

    You should file the application Form RP-467: Note: If you submit a self-addressed
    , prepaid envelope with your application for exemption, the assessor must, …

    Lifeline Application – Iowa Utilities Board

    Jan 31, 2017 … the re-certification form. Federal Government. Lifeline Program for. Low-Income
    Telephone or Broadband Internet. Access Service. Assistance.

    Form CP-4 – Mass.Gov

    Application No. Name of City or Town. Parcel Id. LOW INCOME PERSONS – LOW
    OR MODERATE INCOME SENIORS. FISCAL YEAR ______ APPLICATION …

    Low-Income Telephone and Electric Discount Programs (LITE-UP …

    signed Lite-up Texas Certification Form and, if you live with multiple families, you
    must send … If you are certified for the LITE-UP Texas discount an application.

    50-242, Application for Charitable Organizations Improving Property …

    Property Tax. Form 50-242. Application for Charitable Organizations Improving.
    Property for Low-Income Housing Property Tax Exemption. 50-242 • 12-13/10 …

    English- Energy Assistance – Pennsylvania Department of Human …

    To apply for Energy Assistance, you must complete all questions front and …
    APPLICATION FOR THE LOW INCOME HOME ENERGY ASSISTANCE ….. If you
    would like help filling out the voter registration application form, we will help you.

    Form 13424, Low Income Taxpayer Clinic (LITC) Application …

    Form 13424. (April 2016). Department of the Treasury – Internal Revenue Service
    . Low Income Taxpayer Clinic (LITC). Application Information. OMB Number.

    Low Income Application 2016 v2.pub – City of Long Beach

    HOW TO QUALIFY FOR THE LOW INCOME GAS DISCOUNT … A copy of the
    most recent Non-profit Tax ID form 501 (c)(3), current California Adult Residential
     …

    FIN 65, Application for Home Owner Grant Low-Income Supplement …

    The personal information on this form is collected for the purpose of
    administering … of, the Low-Income Grant Supplement Program under the Home
    Owner …

    Teacher Loan Forgiveness Application – IFAP – U.S. Department of …

    READ SECTIONS 7-10 BEFORE COMPLETING THE FORM. …. schools or for
    certain educational service agencies that serve low-income families and meet.

    qmb – California Department of Health Care Services – State of …

    You may apply for QMB, SLMB, or QI-1 by completing and mailing this form to
    your …. Qualified Medicare Beneficiary (QMB)/Specified Low-Income Medicare …

    chapter 6: project occupancy – USDA Rural Development

    The very low-income limit is established at approximately 50 percent of the ……
    Borrowers using application forms must establish a section at the end of the form,
    .

    pre-application form – USDA Rural Development

    may still fill out the form, print it and submit it with your application package to the
    State … Check the percentage of very low-income persons that this application …

    Federal Housing Assistance for Low-Income Households

    Sep 1, 2015 … government provides housing assistance to low-income households, examines
    how … Most of that was in the form of grants to state and local governments. …..
    amounts of income or assets who apply—means-tested housing …

    Low Income Home Energy Assistance Program – IN.gov

    Low Income … The correct timelines for processing appointments, mail
    applications, and …. Agencies doesn't complete form for each person with no
    income …

    Eligible telecommunication carrier low-income universal service form

    Jan 19, 2011 … TELECOMMUNICATIONS SUPPLEMENTAL APPLICATION FORM for … Petition
    for Designation as a Low-Income. ) Competitive Eligible …

    Government Assisted Housing (.pdf)

    Government housing assistance is available to low-income older persons
    through three … Some of the reasons that older people apply for government
    housing …

    Form N-586, Rev 2016, Tax Credit for Low-Income Housing

    TAX. FORM. TAX CREDIT FOR LOW-INCOME HOUSING. YEAR. N-586. Or fiscal
    year beginning ….. The tax credit does not apply to occu- pants of low-income …