I request a budget-based rent increase for capital repairs, not to exceed market.
The ownership entity is an eligible nonprofit and meets all of the requirements outlined in
Chapter 15 of the Section 8 Renewal Guide.
The ownership entity agrees to accept a 20-year recorded Use Agreement. For example,
if the owner has a 20-year agreement; the term must be extended for an additional 20
years.
My Rent Comparability Study is five years old. I request a budget-based rent adjustment.
I am submitting a new Rent Comparability Study.
I am submitting an attached budget, which reflects the projected costs for the first 12
months.
I have abided by the requirements in 24 CFR 245 regarding tenant notification of a
proposed rent increase
The attached budget and rent schedule was available to tenants upon their request.
I am submitting the OCAF Adjustment Worksheet (Form HUD 9625).
I hereby certify that:
Neither I, nor any of my affiliates, are suspended or debarred OR
I, or my affiliates, are suspended or debarred and are requesting a contract renewal subject to HUD
approval: AND
This information is true and complete.
Project Name ___________________________________________________________
Owner’s Name___________________________________________________________
Owner’s Signature_________________________________________Date________________
Warning: Any person who knowingly presents a false, fictitious, or fraudulent statement or claim in a matter within
the jurisdiction of the U.S. Department of Housing and Urban Development is subject to criminal penalties, civil
liability, and administrative sanctions, including but not limited to: (i) fines and imprisonment under 18 U.S.C. §§
287, 1001, 1010 and 1012; (ii) civil penalties and damages under 31 U.S.C. § 3729; and (iii) administrative
sanctions, claims, and penalties under 24 C.F.R parts 24, 28 and 30.
7
form HUD-9624 (7/2008)