(Individuals under 18 must apply in person or by mail)
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NOTE: If you do not have a Social Security Number (SSN), select your EIN, or ITIN.
NOTE: At least one phone number is required.
NOTE: P.O. Boxes will not be accepted.
NOTE: If you do not pay rent or own, please select "Other".
NOTE: If your house is paid in full, please enter the total monthly tax & insurance payment.
NOTE: If you are an investor, self employed, or retired, enter "Investor", "Self Employed" or "Retired" under Employer.