Образец заявления на получения субсидии на оплату ЖКУ

Заявление на получение субсидии подаётся во многофункциональные центры (МФЦ), в отдел жилищных субсидий своего района или через Портал государственных услуг. В конце статьи скачайте заявление в формате PDF.

Заявление о предоставлении субсидии на оплату жилого помещения и коммунальных услуг

1. Прошу предоставить субсидию на оплату жилого помещения и коммунальных услуг мне и членам моей семьи:

  • Фамилия, имя, отчество
  • Степень родства
  • № паспорта, кем и когда выдан
  • Нали­чие льгот (мер соци­альной под­держ­ки, компен­саций)

в настоящее время зарегистрированных по месту жительства в жилом помещении по адресу:______________________________

и перечислять субсидии на оплату жилого помещения и коммунальных услуг на мой банковский счет___________________________________________________________________.

2. Представленные мною документы и копии документов в количестве — _______ шт., в том числе:

  • о принадлежности к членам семьи — ______ шт.;
  • об основании пользования жилым помещением — ______ шт.;
  • о доходах членов семьи — ______ шт.;
  • о начисленных платежах за жилое помещение и коммунальные услуги и наличии (отсутствии) задолженности по платежам — ______ шт.;
  • о льготах, мерах социальной поддержки и компенсациях по оплате жилого помещения и коммунальных услуг — ______ шт.;
  • о регистрации по месту жительства — ______ шт.;
  • о гражданстве — ______ шт.

3. Обязуюсь использовать субсидии только для оплаты жилого помещения и коммунальных услуг (в том числе на приобретение твердых видов топлива при наличии печного отопления и баллонов со сжиженным газом) и в случае изменения обстоятельств в семье (изменение места постоянного жительства, основания проживания, гражданства, состава семьи) представить подтверждающие документы в течение 1 месяца после наступления этих событий.

4. С установленными Правилами предоставления субсидий, в том числе по проверке в налоговых, таможенных и иных органах (организациях) представленных сведений о доходах, приостановлению и прекращению предоставления субсидий, ознакомлен и обязуюсь их выполнять.

Заявление получение субсидий (270.3 KiB, 1855 downloads)

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