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Financial Hardship Letter
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Home
Handyman Assistance
Donate
Applications
Income Survey
Financial Hardship Letter
Contact
Donate
Income Survey
Income Survey
Please fill out the following survey about your income.
First Name
Last Name
What is your annual income? ($)
What is your occupation?
Are you self-employed?
Yes
No
How many sources of income do you have?
Please specify your sources of income
What is the average monthly income from your primary source of income? ($)
Do you receive any government assistance?
Yes
No
If yes, please specify the type of government assistance you receive
attached my most recent tax return
Send
