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Housing Counseling Disclosure Statement

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.

Fields marked with * must be completed or form will not submit.

After completing this form, please complete the next form: www.rm-ha.org/housing-counseling-disclosure-statement-description-of-services