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HCV Program Landlord Registration

[{"type":"text","required":true,"label":"First Name","name":"first-name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Last Name","name":"last-name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Company Name (if applicable)","name":"company-name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Social Security Number","name":"ssn","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Home Address","name":"home-address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Home Address City","name":"home-address-city","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","label":"Home Address State","name":"State","className":"col-md-6 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