Housing Assistance Payments Contract (HAP Contract ...

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Housing Assistance Payments Contract (HAP Contract) U.S. Department of Housing Section 8 Tenant-Based Assistance and Urban Development Housing Choice Voucher Program Office of Public and Indian Housing Part A of the HAP Contract: Contract Information VOUCHER NUMBER: (To prepare the contract, fill out all contract information in Part A.) 999999XX 1. Contents of Contract This HAP contract has three parts: Part A: Contract Information Part B: Body of Contract Part C: Tenancy Addendum 1. Tenant JANE DOE Contract Unit 1234 IMAGINARY AVE PHOENIX AZ 85000- 2. Household The following persons may reside in the unit. Other persons may not be added to the household without prior written approval of the owner and the PHA. JANE DOE JOHN DOE 3. Initial Lease Term The initial lease term begins on (mm/dd/yyyy): 04/27/2010 The initial lease term ends on (mm/dd/yyyy): 04/30/2011 4. Initial Rent to Owner The initial rent to the owner is: $663.00 During the initial lease term, the owner may not raise the rent to owner. 5. Initial Housing Assistance Payment The HAP contract term commences on the first day of the initial lease term. At the beginning of the HAP contract term, the amount of the housing assistance payment by the PHA to the owner is $ 513.00 per month. The amount of the monthly housing assistance payment by the PHA to the owner is subject to change during the HAP contract term in accordance with HUD requirements. Page 2 of 10 form HUD 52641 (1/2007) ref Handbook 7420.8

Transcript of Housing Assistance Payments Contract (HAP Contract ...

Housing Assistance Payments Contract

(HAP Contract) U.S. Department of Housing

Section 8 Tenant-Based Assistance and Urban Development

Housing Choice Voucher Program Office of Public and Indian Housing

Part A of the HAP Contract: Contract Information VOUCHER NUMBER: (To prepare the contract, fill out all contract information in Part A.) 999999XX

1. Contents of Contract This HAP contract has three parts: Part A: Contract Information Part B: Body of Contract Part C: Tenancy Addendum

1. Tenant

JANE DOE

Contract Unit

1234 IMAGINARY AVE

PHOENIX AZ 85000-

2. Household

The following persons may reside in the unit. Other persons may not be added to the household without prior written approval of the owner and the PHA.

JANE DOE JOHN DOE

3. Initial Lease Term The initial lease term begins on (mm/dd/yyyy): 04/27/2010 The initial lease term ends on (mm/dd/yyyy): 04/30/2011

4. Initial Rent to Owner The initial rent to the owner is: $663.00 During the initial lease term, the owner may not raise the rent to owner.

5. Initial Housing Assistance Payment The HAP contract term commences on the first day of the initial lease term. At the beginning of the HAP contract term, the amount of the housing assistance payment by the PHA to the owner is $ 513.00 per month. The amount of the monthly housing assistance payment by the PHA to the owner is subject to change during the HAP contract term in accordance with HUD requirements.

Page 2 of 10 form HUD 52641 (1/2007)

ref Handbook 7420.8

6. Utilities and Appliances The owner shall provide or pay for the utilities and appliances as indicated below by an “O” without any additional charge to the tenant. The tenant shall provide or pay for the utilities as appliances as indicated below by a “T”. Heating T Electric

Air Conditioning T

Cooking T Natural Gas

Hot Water Heater T Natural Gas

Refrigerator O

Water Services O

Sewer Services O

Trash Collection O

Range or Stove O

Other Electric T

Evap Cooling N/A

Signatures

CITY OF PHOENIX, a MUNICIPAL CORPORATION 0000000

DAVID CAVAZOS, CITY MANAGER SUPERMAN KENT

0001 S FORTRESS OF SOLITUDE AVE

SMALLVILLE, AZ 85000

BY: ______________________________________ OWNER:__________________________________

DATE: ____________________________________ BY:_______________________________________

_______________________________________

ATTEST: DATE: ____________________________________

__________________________________________ (Deputy City Clerk)

Mail Payments t: __________________________________________ Name __________________________________________ Address (Street, City, State, Zip)

Page 3 of 10 form HUD 52641 (1/2007) ref Handbook 7420.8