GEORGETOWN HOUSING AUTHORITY

SECTION 8 THREE (3) MONTH RENEWAL FORM SSN # Date of Birth Address Telephone (Change of address) (Change of phone)

I, (print name) understand that every three (3) months I must notify the Georgetown Housing Authority that I am still interested in the Section 8.

. I understand that I MUST have a current application for Section 8 to renew my interest and that if I Initial do not have an active application for the program, my name will NOT be added to the waiting list.

I understand that I MUST still notify the Housing Authority ONLY ONCE every three (3) months of Initial my interest to remain on the waiting list and if I do not notify the Housing Authority every three (3) months, my application can be terminated. (Status is online at Georgetownha.org)

. I understand that by signing this notice I am requesting to remain on the waiting list for the Initial Section 8 program ONLY.

I understand that I must submit a SEPARATE Application Renewal Form for Shady Oaks and/or Initial Stonehaven.

I understand that I must UPDATE my address and phone number or my application can be terminated. Initial

Applicant Signature Date

Office use only:

Received by: Date

501 E Janis Dr, Georgetown TX 78628  PO Box 60, Georgetown TX 78627  Phone (512) 869-6918  Fax (512) 869-7348