This government document is issued by Environmental Finance Authority for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://gefa.georgia.gov/sites/gefa.georgia.gov/files/related_files/document/Weatherization-Deferral-Form-Appendix-6.pdf&sa=U&ved=2ahUKEwikkrOUmIaJAxVE_bsIHbvpBTUQFnoECAYQAQ&usg=AOvVaw2Is00ylIPelnY9K0cdwFLx