BLANK

Document Sample
BLANK Powered By Docstoc
					                                                            REQUEST FOR RENT INCREASE
                                                                    Anoka County HOME Program

Project:                                                                          Owner:
City:
Type:
Property Contact:                                                                Phone #

List only the HOME assisted units that you are requesting an increase in rent. Amount should reflect the contract rent, NOT
including the amount provided for utility allowance.
                  HOME




                                                                                             HOME
                  High




                                                                                             Low
Unit Size                          # units            Unit # (s)           Current Rent                 # units              Unit # (s)      Current Rent
Efficiency
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
Other (    )
Bedrooms

                                                      REQUESTED date of increase
                  HOME




                                                                                             HOME
                  High *




                                                                                             Low *
                                                                            NEW Rent                                                          NEW Rent
Unit Size                          # units            Unit # (s)            Requested                   # units              Unit # (s)       Requested
Efficiency        $ 600                                                                       $ 600

1 Bedroom         $ 707                                                                       $ 707

2 Bedrooms        $ 858                                                                       $ 858

3 Bedrooms        $ 1,123                                                                     $ 1,020

4 Bedrooms        $ 1,262                                                                     $ 1,138

Other (    )      $1,451 -                                                                   $1,255 -
                   1,641                                                                      1,373
Bedrooms
                                                                   * based on 04/28/2007 HOME rent limits
                                         Propane
                        Electric
                  Gas


                                   Oil




Utility Type                                       Owner Provided           (leave blank)       Tenant Provided               Current Utility Allowance is:
Heating                                                                                                                       Efficiency
Cooking                                                                                                                       1 Bedroom
Other Electric                                                                                                                2 Bedrooms
Hot Water                                                                                                                     3 Bedrooms
Trash Collection                                                                                                              4 Bedrooms
Refrigerator                                                                                                                  Other (    )
Range


Return form to:         Anoka County Community Development                                                        County use only:
                        Attention: Merry Kemp                            PH: 763.323.5708                                     Approved           Denied
                        Government Center, 7th Floor                     FAX: 763.323.5682
                        2100 Third Avenue                                merry.kemp@co.anoka.mn.us                Initials
                        Anoka, MN 55303                                                                           Date:

Form Revised:           4/12/2007
    HOME Rent Limits self-
          Audit                                This area will not print-out and
  HIGH (rent $) -        LOW (rent $) -        is for administrative purposes
(utilities) = cannot   (utilities) = cannot
        exceed                 exceed
                                                  only. When you enter your
                                              Current Utility Allowances in the
$            600       $            600           form, it will modify the HUD
$            707       $            707          HOME Rent Limits in red to
$            858       $            858         reflect what the maximum rents
$          1,123       $          1,020          can be for the new requested
                                                      High and Low units
$          1,262       $          1,138

$          1,451       $          1,255

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:14
posted:11/16/2012
language:Latin
pages:4