Summary
Applicant Information
Name Brandon Overton
Addresses
Home Address
Mailing Address
**** ******* ** **, *******, AL 35055
**** ******* ** **, *******, AL 35055
**********@*****.***
Phone Numbers
Home Phone
Cell Phone
Message Phone
Household Members
Name Social Security Number Date of Birth Sex Relationship Citizen Brandon Overton 9276 05/11/1990 M Head of Household Yes Expenses
SHELTER
Shelter Type
Own/Rent
Mobile Home
Rent Free
UTILITIES
Household billed for Heating or Air Conditioning?
Yes BrandonOverton
Received a LIHEAP Payment?
Yes
Below are the utilities you pay that are not included in your rent: Phone No
Electricity
Gas
Oil
Water
Garbage
Other
No
No
No
No
Yes
Yes
Does anyone pay all or part of this?
No
Other
Accepts Life Line
Completed at
No
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