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Resident Portal

Affidavit Form

Rocky Mount Housing Logo.

1065 Pinehurst Drive | PO Box 4717 | Rocky Mount, NC 27803
Phone: 252.977.3141
Fax: 252.977.2587
Emergency After-Hours: 252.977.6223
Office Hours: Monday - Friday | 8:30 am - 5:00 pm

Equal housing, handicap accessible, and ADA logos.

Complete the form online, print the form, and submit to the Housing Office after Notarization. DO NOT submit this form online.

Take the form to a Notary to be notarized. After Notarization, drop off or mail the form to our office: Rocky Mount Housing Authority - 1065 Pinehurst Drive • PO Box 4717 • Rocky Mount, NC 27803