Housing Counseling Disclosure Statement
1065 Pinehurst Drive | PO Box 4717 | Rocky Mount, NC 27803
Emergency After-Hours: 252.977.6223
Office Hours: Monday - Friday | 8:30 am - 5:00 pm
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