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Dòng 1:
Basilica of the National Shrine of the Immaculate Conception
WOODBRIDGE OFFICE PRINCE WILLIAM DSS
 
Office of the Rector
Case Name:
 
“Rejoice in the Lord always! I say it again, rejoice!”
15941 DONALD CURTIS DR, SUITE 180
 
Holy Mass and Canonization of Blessed Fr. junípero Serra, September 23, 2015 Basilica of the National Shrine of the Immaculate Conception
WOODBRIDGE, VA 22191
 
Dear Friend in Christ,
Case Name:
 
“Rejoice in the Lord always! I say it again, rejoice!”
Case Number:
 
It is with these profound words of Saint Paul’s letter to the Philippians that our Holy Father, Pope Francis, began his homily at the Mass and Canonization of Saint Junípero Serra that he celebrated in September here at the Basilica of the National Shrine of the Immaculate Conception.
Worker #:
 
It was truly a magnificent day for us at Mary’s Shrine, grace-filled in so many ways! The Holy Father was exuberantly welcomed by thousands of people gathered both inside and outside of the Basilica. The excitement and joy reverberating throughout the crowd of pilgrims who had gathered to “rejoyce the Lord" was both humbling and overwhelming.
Caseload #: 6682 Agency Telephone:(703)-792-5110
 
It is because of you, and your support of the National Shrine, that we were able to accomplish this monumental celebration welcoming Pope Francis! Thank you!
Interim Report - Now Due
 
Throughout his pontificate, and especially during his Apostolic Visit to the United States, Pope Francis has frequently requested that the faithful pray for him. I therefore invite you to join me in praying for the Holy Father with this inspirational portrait commemorating his historic visit to the National Shrine and beautiful prayer to Mary Immaculate.
You must complete this report and return it to the address above no later than Sep 05, 2015 in order to continue to receive Supplemental Nutrition Assistance Program (SNAP) benefits.
 
I would also like the opportunity to pray for you, and any special intentions you might have. Prayer is an important part of our ministry here at the Shrine, and I would be honored to include your personal prayer intentions with my own. Please complete the attached Papal Prayer Intentions & Offering Slip and return it to me in the envelope provided.
We will use the information on this form to see if you are still eligible for benefits or to determine the amount of your benefits. If you need help in filling out this form, please cad the telephone number listed above.
 
Please also consider including an offering with your prayer intentions. While no gift is ever required for prayer, maintaining this magnificent Basilica is an expensive undertaking! We rely directly on the grace of God, and the generosity of our benefactors and friends to sustain us. Whatever you might be able to contribute will be greatly appreciated.
Please review the information taken from your application for benefits. Note if there have been any changes.
 
Papal Visits are truly historic events, and ones which are not often repeated. The National Shrine has been privileged to host several popes including Saint John Paul II, Pope Benedict XVI, and now, Pope Francis. In the course of the last several decades, millions of pilgrims have followed in the footsteps of these great popes in making their own faithful pilgrimages to this peaceful haven honoring our Mother Mary, the Patroness of the United States.
Your case will close or your benefits will be delayed if you do not return this form completed. This means all sections must be answered. You must also send in proof for changes reported on Questions 4, 5, and 6.
 
Hopefully you will find the opportunity to visit us here at Mary’s Shrine sometime in the year ahead, however, even if you cannot travel here in person, please know that we are here to pray for you. I encourage you to please complete and return your Papal Prayer Intentions & Offering Slip soon so that the other priests and I may entrust your petitions to the care of the Blessed Mother.
1. Address
 
As we strive to maintain this beautiful Shrine to Mary Immaculate, so that future generations of Catholics might follow in the footsteps of Pope Francis in making their own pilgrimages to the National Shrine, every gift we receive makes a difference. Especially yours! Please consider investing in the future of America’s Catholic Church by sending an offering today.
Mailing:
 
Thank you again for honoring Mary through supporting the National Shrine. It is in large part because of the generous offerings we receive from you and other faithful friends and benefactors that we were able to host this monumental celebration welcoming the Holy Father, during which he celebrated the first ever canonization on American soil. We truly could not have done it without you!
No Change
 
I hope you will enjoy your special commemorative portrait of Pope Francis, and that you will join me in praying for his spiritual welfare, and that he might share in the joy of our faith. May God bless you, and Mary keep you!
New Address:
 
Sincerely yours in Christ,
Physical:
 
Reverend Monsignor Walter R. Rossi Rector
No Change
 
P.S. Please accept this beautiful commemorative prayer and portrait of our Holy Father in heartfelt gratitude for your friendship and support. I hope you enjoy this special gift, and that you will join me in praying for Pope Francis! Please also consider sending an offering today to help maintain this sacred place of prayer, worship, and pilgrimage, so that future generations might follow in Pope Francis’ footsteps in making their own pilgrimages to the National Shrine. To make a secure online donation, please visit www.nationalshrine.com/offering. Thank you again, and May God bless you richly!
New Address:
Telephone Number:
 
No Change
 
New Number:
 
Answer this section only if you have moved and you listed a new address above
 
List your new shelter costs that are a result of the move. If you do not tell us about the expenses of your new home, you will not get a deduction for SNAP benefits.
 
Rent/Mortgage $
 
Electricity $
Gas/Oil $
 
Other $
Are you responsible for expenses for heating or for air conditioning of your new home?
 
Yes No
 
2. Household/Unit Members
 
No Change
 
Date Moved:
 
List information for any new people who have moved into your home.
 
Name:
 
Name.
Date of Birth:
sex: _
 
Relationship:
 
•Social Security Number:
 
(Social Security Numbers are used to check computer systems before new members may be added to the case)
 
 
 
3. Resources
 
Does the total amount of ail the cash, bank accounts, stocks, or bonds of everyone in your household go over $2,000?
 
Yes No
 
If yes, what is the amount?.
 
4. Child Support Obliaatfon
 
Has any household member had a change in the legal requirement to pay child support?
 
Yes No Not Applicable
 
If Yes, send proof.
 
5. Earned Income
 
No reported earned income
 
Have there been any changes in jobs for anyone in the household?
 
Yes No Not Applicable
 
Has anyone started or stopped a job?
 
If Yes, who?
 
New Employer
 
When?
 
What is the new income amount?
 
Yes No Not Applicable
 
If Yes, send proof.
 
Has the amount of Income from a job changed by $100 or more per month for anyone?
 
If Yes, for whom?
 
What is the new amount?
 
When?
 
Yes No Not Applicable
 
If Yes, send proof.
 
6. Unearned Income
 
SSI $733
 
Has the amount of Income from unemployment, pensions, disability, support, or other sources changed by more than $50?
 
Yes No Not Applicable
 
 
If Yes, for whom?
 
If Yes, send proof.
 
What is the new amount? Source
 
Has anyone started or stopped receiving income from unemployment, pensions, disability, support, or other sources?
 
If Yes, who?
 
What is the new amount? Source
 
Yes No Not Applicable
 
If Yes, send proof.
 
Is there any other information you want to share with us? If yes, please explain here.
 
I certify that the information given on this form is correct to the best of my knowledge. I am aware that if I provide false information. I will be breaking the law, and may have to repay any benefits received.
 
Signature of a Household Member or Authorized Representative
 
Date
 
Important Information - Please Read
 
Answer all the questions.
 
Be sure to sign and date the form.
 
Be sure to send proof if you answered "yes" for Questions 4,5, or 6.
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