Affordable Housing Rent Adjustment Request Form - City Of Phoenix

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Affordable Housing
Rent Adjustment Request Form
Project Name:
Project Address:
Developer Entity/ Owner:
Effective Date of Proposed Schedule:
Name of Preparer and Agency:
Phone Number of Preparer:
Utility Allowances
Do tenants pay for utilities at the project?
Yes
No
☐
☐
Attach the utility schedule for this project.
City Unit Mix
Indicate the number of total City-assisted units by bedroom size for the project.
0 Bed
1 Bed
2 Bed
3 Bed
4 Bed
5 Bed
50%
Units
60%
Units
Proposed Rents for City Units
Indicate the proposed rents for the City-assisted units by bedroom size for the project. Rents are to include any
applicable utility allowance. City's Maximum Rent Limits are found at:
https://
0 Bed
1 Bed
2 Bed
3 Bed
4 Bed
5 Bed
50%
Units
60%
Units

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