Tenant Information Disclosure Form printable pdf download

Tenant Information Disclosure Form

APPENDIX A

TENANT INFORMATION DISCLOSURE FORM

This Form is available on-line in Spanish at ___________________

This Form is available on-line in Polish at

___________________

This Form is available on-line in Chinese at ___________________

Your have received this Tenant Information Disclosure Form pursuant to the City of

Chicago’s Protecting Tenants in Foreclosed Rental Properties Ordinance (the “Ordinance”). The

information requested by this Form is needed in order to determine your rights and eligibility

under the Ordinance to receive an offer to renew your current rental agreement or a relocation

assistance fee of $10,600. The tenant should complete Section 2 and return this Form to the

name and address indicated in Section 1.

DATE FORM SENT TO THE TENANT:

_________________

SECTION 1. RETURN INFORMATION-OWNER INFORMATION.

AFTER YOU READ AND COMPLETED THIS FORM, PLEASE RETURN THE COMPLETED

FORM WITHIN 21 DAYS OF RECEIVING IT TO THE NAME AND ADDRESS LISTED BELOW:

Owner’s or Agent’s Name:

___________________________________

Return Address:

___________________________________

Owner’s or Agent’s Phone number: ___________________________________

SECTION 2. TENANT INFORMATION.

1. Name and phone number of the Tenant (the person who entered into the rental

agreement):

___________________________________

2. Address of property and unit number:

___________________________________

3. Were you the mortgagor (owner) of the foreclosed rental property:

Yes_____ No_____

Tenant Information Disclosure Form