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MSBC Benevolence Financial Assistance Information

ALL BENEVOLENCE APPLICATIONS ARE KEPT IN THE STRICTEST CONFIDENCE

Application Instructions

Please complete all questions as they apply to you and your situation. As led by the Holy Spirit, the Benevolence committee has the authority to approve, modify, or decline your benevolence application. You may be required to provide documentation verifying your financial assets and liabilities. MSBC does not disburse payments-cash to applicants. All disbursements will be made directly to your creditors. Copies of all utility bills are required.

HEAD OF HOUSEHOLD

Marital Status
Single
Married
Divorced
Other
Housing Status
Own
Rent
Buying
Live with Relative
Homeless
Housing Type
House
Apartment
Mobile Home
Duplex

INCOME INFORMATION

Multi-line address
MSBC Member:
Yes
No

Clicking the submit button below confirms that the information given here, by me, is true and correct. Also, by clicking submit, I authorize the release of this information to the Denton County Tracking System, and I understand that this information can and will be shared with other members of the Tracking System.

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