Rad Form 9 - Certificate Of Notice To Rad Of Adjustments In Rent Charged Page 2

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APPENDIX OF NOTICES OF ADJUSTMENT IN RENT CHARGED
(with Continuation Page)
Unit
Tenant(s) Name(s)
Prior
New
Dollar
Percent
Section
Date
Effective
213(a)(2)
Type of
No.
Rent
Rent
($)
(%)
of Act
Tenant
Date of
Rental
Service
Change
Change
Served
Rent
Unit
(No. is
with
Adjustment
No.*
below)
Notice¹
□ [check if additional pages are attached]
Section
Description
Type of
No.
Description
of Act
Service
208(h)(2) Annual Increase of General Applicability (CPI-W
TENANT
1
Personal service on Tenant
based)
210
Capital Improvement
ADULT
2
Personal service on an adult at the Rental Unit,
with instructions to deliver same to the Tenant(s)
211
Change in Services/Facilities
AGENT
3
Personal service on an authorized representative
of the Tenant(s)
212
Hardship Petition
MAIL
4
First class mail
213(a)(1) Vacancy (10%)
CERTIFIED
5
Certified mail
IF APPLICABLE – State in the Appendix the
213(a)(2)
PRIORITY
6
Priority mail with delivery confirmation
*
Substantially Identical Rental Unit used for the
Highest Comparable Vacancy Increase (30% max)
214
Substantial Rehabilitation
¹Housing Provider’s Notice to Tenant of Adjustment in Rent Charged
215
Voluntary Agreement
Page 2 of 3
RAD Form 9 (rev 02/12)

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