Community Services Development Corporation San Benito County
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CSDC Waiting List Application

You can download this form in PDF format, print it out, fill in and mail back to CSDC, or fill it in and submit online.

Please fill in completely. All fields are mandatory.

Date of Request:


First name:


Middle initial:


Last name:


Current Address:


City:


State:


Zip code:


Date when rental unit needed:


Desired number of bedrooms:


Number of prospective tenants to live in unit:


Ideal rent to pay:


Do you have current Section 8 Voucher:
yes    no

If yes, in which county is the voucher for?:


Please type in your current gross monthly rent:


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