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2008 Acknowledgement of Receipt (DOC) by WinstonVenable

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									                                                                          Attachment I


                 Acknowledgement of Application Receipt
 To Be Completed by Applicant:

 Provide Applicant name and address in the box. This form will be mailed to the
 Applicant acknowledging receipt of the application and the receipt or non-receipt of the
 application fee at the time of application submission:


 Organization Name:
 Contact: Name
 Address:
 City, State, Zip:

 Application Fee: $30.00

 Check Amount: $

 Check #:

   Applicant is a nonprofit providing expanded services as stated in the Resolution
 supplied under Tab 5. Application fee is waived.



 To Be Completed by the Department:


 □      An application and application fee was received by the Department and will be
        processed.

 □      The application and/or application fee was not received by the Department by the
        deadline identified in the notification letter sent by the Department and will not be
        processed.



   TDHCA Staff                Application Received              HOME Application Number:
First Initial and
Last Name                  DATE: __________________


                        TIME: ___________________




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