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Homeless Prevention and Reduction <br /> <br />Applicants must submit completed proposals according to the instructions. Failure to do so <br />may render your application ineligible. Applications must be typed in the format on the <br />application provided. <br /> <br />Project Title: Senior Rent Assistance <br />Project Site Name: <br />Project Site Address: 707 E. Mountain View Ave. Suite #501 <br />Total Project Costs: $61,500 <br />Grant Amount Requested: $61,500 <br />City, Town or Unincorporated Area to be served: Kittitas County <br />Name of Applicant/Agency: Federal Tax ID# 91-081-4544 <br />Address of Applicant/Agency: 700 E. Mountain View Ave. <br />Name of Contact Persons: Malarie Benfield <br />Title: Housing Manager <br />Email address: Mbenfield@hopesource.us <br />Phone: 509-925-1448 Fax: 509-925-1204 <br /> <br />Name and Title of Authorized Representative: Malarie Benfield, Housing Manager and Geoff <br />Crump, Chief Operations Officer <br /> <br />Acceptance of this application may be subject to subsequent compliance reviews, including a <br />review of the latest audit of financial statement. Preparation of an application does not <br />guarantee that applicants will receive funds. By signing this grant application form the <br />undersigned certifies that all information is accurate to the best of his/her knowledge. <br /> <br /> <br />__________________________________ ____________ <br />Signature of Authorized Representative Date