Rent Reasonableness Certification

RENT REASONABLENESS CERTIFICATION

Subject Unit Rent Comparable Unit #1 Rent Comparable Unit #2

Address of Unit

Year Constructed

Type of Unit SF MLF 2-PLEX SF MLF 2-PLEX SF MLF 2-PLEX

# of Bedrooms Efficiency Efficiency Efficiency

# of Baths 1/2 Bath 1/2 Bath 1/2 Bath

Quality of Unit MIN MOD MAX MIN MOD MAX MIN MOD MAX

Accessibility SCHOOL MED FAC SCHOOL MED FAC SCHOOL MED FAC to services STORES TRANSP STORES TRANSP STORES TRANSP

Facilities STORAGE LDY RM STORAGE LDY RM STORAGE LDY RM PARKING POOL PARKING POOL PARKING POOL

Amenities FP W/D DISP FP W/D DISP FP W/D DISP DISH REFG STV DISH REFG STV DISH REFG STV

Owner / Tenant ELEC: O GAS: O TRASH: O ELEC: O GAS: O TRASH: O ELEC: O GAS: O TRASH: O Paid Utilities WATER: O SEWER: O WATER: O SEWER: O WATER: O SEWER: O

Rent Amount $ $ $

Current Contract Rent $

Requested Contract Rent $

Additional Comments: In accordance with 24 CRR 882.106, I certify that, based on information available to this office, the contract rent of $ is reasonable.

Inspector: Date: