Exhibit A-5 to Subpart E of Part 1944 - Housing Survey Summary

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(SAMPLE) ItemAge—Head of household62 or over50 to 6135 to 49Under 35Handicapped:YesNoHousehold Size (Bedrooms Needed):1 or 2 persons (1 bedroom)3 to 4 persons (2 bedrooms)5 to 6 persons (3 bedrooms)7 to 8 persons (4 bedrooms)Annual Income:

                    
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