Contact Us 864.366.4549

Request for Interim Rent Change

508 Haigler Street Abbeville, SC 29620
Monday - Thursday: 7:30 a.m. EST - 4:30 p.m. EST
Friday: 7:30 a.m. EST - Noon
Tel: 864.366.4549
Fax: 864.366.4341

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Government.</b>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"I certify that the above circumstances are true and correct, and that the change(s) listed above are the only items, which have changed since my last recertification. I further grant Abbeville Housing Authority permission to verify all the above information in order to determine the correct rent in accordance with HUD guidelines and policy. This consent for the release of information is limited to 15 months from the date signed.","name":"I-certify-that-the-above-circumstances-are-true-and-correct-and-that-the-changes-listed-above-are-the-only-items-which-have-changed-since-my-last-recertification-I-further-grant-Abbeville-Housing-Authority-permission-to-verify-all-the-above-information-in-order-to-determine-the-correct-rent-in-accordance-with-HUD-guidelines-and-policy-This-consent-for-the-release-of-information-is-limited-to-15-months-from-the-date-signed","className":"d-block","values":[{"label":"I Certify","value":"I Certify"}]},{"type":"text","required":true,"label":"Resident Signature","placeholder":"Disclaimer: By typing your name, you are signing this document.","name":"Resident-Signature","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Date of Resident Signature","name":"Date-of-Resident-Signature","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<b>AHA Use Only:</b>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<b>WARNING: Use of the information collected based on this release form is restricted to the purposes cited above. Any person who knowingly or willingly requests, obtains or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than $5,000. Penalty provisions for misusing the social security number are contained in the Social Security Act at 42 U.S.C. 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