House Washing Program Application

Complete the application only if you have purchased a home in Cuyler/Brownville, Savannah Gardens, or West Savannah through the DreamMaker program more than five years ago.

WARNING: Section 1001 of Title 18 U.S. Code makes it a criminal offense to willfully falsify a material fact or make a false statement in any
matter within the jurisdiction of federal agency.
Please list all persons, including yourself, who live in your house and all current sources of income for each.

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