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HART Adoption Application
Do you own or rent your home?
Own
Rent -
(Provide landlord contact information below)
How long have you lived at this address?
less than 1 year
1 year
2 years
3 years
4 years
5 years
6 year
7 years
8 years
9 years
10 or more years
Number of Adults in home?
1
2
3
4
5
6
7
8 or more
Number of Children in home?
1
2
3
4
5
6
7
8 or more