King of Kings Benevolence Application

King of Kings Benevolence Application

“Be joyful always; pray continually; give thanks in all circumstances, for this is God’s will for you in Christ Jesus.”1 Thessalonians 5:16-18
We know that this is an especially hard time financially on some in our community. King of Kings Church is accepting applications for financial assistance in paying a bill (maybe MUD or OPPD) or rent. We do not pay phone bills or cable bills. Benevolence is based on funding available at the time of request and established need.
Fill out the Benevolence Application completely. Take a clear photo or scan in the following documents to be submited
1. Current Photo ID
2. Copy of the bill you are requesting payment
3. Proof of financial need- this document can be a monthly bank account statement, copy of bank card statement, previous year's tax return, etc.
We will get back to you with an answer within a few days of receiving your applicaiton.
Name *

First Name Last Name

Address

Employment Information

Please fill out employer or unemployed information. One is required.
Employer
How Long?

Employer Address

Payment Information

In order to fulfill the need described, a check should be made payable to:
Pay To: *
Ex. Business Name

Address *

Total Assets:
*List each individual unpaid bill (add additional rows if necessary)
Total Debts:
Please Attach the Following:
Copy of current driver’s license *

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Cancel of
Copy of unpaid bill *

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Cancel of
Proof of financial need *

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This document can be a monthly bank account statement, copy of bank card statement, previous year's tax return, etc. Cancel of
Benevolence Payments will be granted only if King of Kings has available funds in the Good Samaritan Account and if a valid financial need exists.

We will get back to you with an answer within a few days of receiving your application by email or phone. Please DO NOT TO CALL King of Kings Church to see if funds are available.
Term & Conditions *

By submitting this I acknowledge that all information is correct and I lack the resources to meet the need as described in this application.
Should be Empty:

Your Need