Form Hacfl-001 - Request For Rent Increase Decrease
ADVERTISEMENT
1
2REQUEST FOR RENT INCREASE/DECREASE
TO BE COMPLETED BY PROPERTY OWNER (PLEASE PRINT OR TYPE)
Tenant’s Name ________________________________________________________________________
Rental Unit Address ______________________________________________ Unit__________________
City __________________________________________ State ____________ Zip Code ______________
Phone # __________________________________
Owner’s Name _____________________________________________ TIN or SSN __________________
Owner Address ________________________________________________________________________
City __________________________________________ State ____________ Zip Code ______________
Phone # ________________________ Fax # ____________________
Cell ___________________________ Email _________________________________________________
REASON FOR REQUEST (PLEASE CHECK THE APPROPRIATE BOX):
Rent Increase
Rent Decrease
Change in Utility Responsibility
Change # Bedrooms
_________________________
_________________
_________________
_____________________
HAP Contract Anniversary Date
Current Rent
Requested Rent
Proposed Effective Date
GENERAL UNIT INFORMATION
# of Bedrooms________
# of Bathrooms_______Full
1/2 Unit Size_________square feet
BUILDING TYPE
Check here if Condo
Single Family Detached
Duplex/Triplex/Fourplex
Rowhouse/Townhouse
Manufactured
High Rise
Low Rise (including garden/walkup)
Single Room Occupancy
AMENITIES AND SERVICES INCLUDED IN RENT
Garbage Disposal
Stove
Dishwasher
Pool
Pest Control
Refrigerator
Lawn Care
W/D Hookups
Washer/Dryer in Unit
Washer/Dryer in Complex
Ceiling Fans
Microwave
Gated Community
Central Air
Window/Wall A/C Unit
Heat Source
Central Air
Heat Pump
Window/Wall
Space
PARKING
_____Car Carport
Assigned
____Car Garage
Street
Unassigned
None
Driveway
Open
Covered
EXTERIOR
Balcony
Patio
Deck
Porch
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal