Rent Increase Form

Rent Increase Form
POLICIES:

1. Month to month fees must not be included, or other fees such as a pet fee, garage fee, or separate utility fees.

2. Increases are limited to no more than one per year.

3. Rent increase requests require 60 day written notice to the CIRHA and will be based on the receipt date of the original request.

4. Rent increases will only be processed effective the first of the month.

5. If you have not yet established this rent on unassisted units, this request may not be approved. If there is a reason why you have recently leased a comparable unit at a lesser rate than the proposed rate for this unit, please include detailed explanation in the comment section. For example, the unassisted unit has a smaller floor plan or the assisted unit has more amenities (please specify).
Tenant Full Name*

First NameLast Name
Tenant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
New Rent Amount*
Effective Date*

MonthDayYear
60 day notice is required. Can only select the 1st of the month.
Reason for Increase (short answer)*
Is this unit a tax credit?*

YesNo
Is this unit subsidized under a different type of program?*

YesNo
What type of program?*
Do you have more than 4 rental units?*

YesNo
The program regulation requires CIRHA certify that the rent charged to a Housing Choice Voucher tenant is not more than the rent charged for other unassisted comparable units. Please complete the following section for the most recently leased comparable unassisted units within the premises or elsewhere (at least 3 other units).
Certification:
Comparable Units*
Comments (optional)
If you would like to include the notice that went to the tenant or a newly executed lease regarding this rent increase, you may attach it below.
File Upload

Cancelof
Who is the housing coordinator for this tenant?*

Audrey Craig (Section 8 Last Names A-F, Family Self Sufficiency)Dan Zahn (Section 8 Last Names G-O)Grace Lewis (Section 8 Last Names P-Z)
I, First Name* Last Name* hereby provide my explicit consent to electronically sign and acknowledge this document. I understand that my electronic signature carries the same legal weight and validity as a physical signature in this document.
Date

MonthDayYear
Date
Your Email*
example@example.com
Your Title*
Phone Number*
Please enter a valid phone number.
Should be Empty: