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CoinintinityVIII° ds S IIIIP° <br />Instructions: Please read the questions below and circle the answer that applies. <br />1. Did your residential property receive fled damage? <br />B. No <br />2m If yced fled damage — are you able to live in your horse? <br />Yes <br />B. No <br />C, If no, I have relocated to <br />3. If your ` ed residential property damage — did you rent or own? <br />C3wn <br />B. Rent <br />4. If you received residential property damage —which agencies have you received assistance from? <br />(Choose all that apply) <br />A. FEMA <br />Ba Insurance <br />Ca Blanco River Regional Recovery Team (BR3T) <br />D. Social Service Agencies (Red Cross® United Way, Community Action, Southside Community <br />Center or other) <br />E. Religious Organizations <br />F. Other _ <br />5, If you r r <br />fled damage - did you have fled insurance during the fled? <br />ye <br />o <br />Did you receive damage to your commercial property? <br />A. Yes._, <br />7. If you received commercial property damage -- did you rent or own? <br />A. Rent <br />B. Own <br />A. Repair homes (this may require elevation of the home) <br />4 ies <br />