Housing – Statement of Family Obligations Form


Housing - Statement of Family Obligations

A. The family must follow the rules listed below in order to continue participating in the Section 8 Rental Voucher Program.
B. The family must:

C. Any information the family supplies must be true and complete.
D. The family (including each family member) must not:

Failure of the family to meet the conditions contained in this statement will be a basis for termination of rental assistance under the Section 8 Rental Assistance Program and will result in a 10-year ineligibility period.

Name of PHA: Ark-Tex Council of Governments
Telephone: (903) 832-8636
Address: PO BOX 5307
4808 Elizabeth St.
Texarkana, TX 75505-5307
Full Name
Signature of Family Representative
Full Name
Signature of Family Representative
Sending