Fort Wayne Housing

PHA Housing Authority

Housing Authority Address goes here

Phone number here

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Online Application Summary

Profile

Merilee Moore

**** **** **

Fort Wayne, IN 46816

Applied Date: 11/16/2024 12:40:35 PM

Application Status: Submitted

Office:

Home: 386-***-****

FAX:

E-mail: **************@*****.***

Household Information

Name Member SSN DOB Age Gender

Merilee Moore Head of Household XXX-XX-4073 8/7/1968 56 F Income

Annual Income: 11,292.00

Special Needs Access

Displaced

Homeless

X None

Hearing Access

Mobility Access

Sight Access

X None

Other Details

Are you requesting a level unit only?

PHA Housing Authority

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Preferences Waiting list

HCV Mainstream Description Status Reason

Non-Elderly Disabled HCV Maryvale Place Pending

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