Lead-based paint funding assistance intake form

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Was your home built before 1978?


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Does a child below age 6 live at or frequently visit your home?


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Based on the number of people in your household, is your income at or below these levels?

1-person household: $50,350

2-person household: $57,550

3-person household: $64,750

4-person household: $71,900

5-person household: $77,700

6-person household: $83,450

7-person household: $89,200

8-person household: $94,950

If you have questions about how to fill out this form, call our office at 612-543-4182.

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