Request For Rent Increase - San Antonio Housing Authority Page 2
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2818 South Flores Street | San Antonio, Texas 78204 | 210-477-6262 |
□ Yes □ No
4. Has the payment responsibility for the utilities changed?
5. Please indicate the amenities included in the unit:
□ Central AC
□ Parking carport
□ Private balcony
□ Window AC
□ Parking garage
□ Private patio
□ Wall-to-wall carpet
□ Parking space
□ Private yard
□ Wood floors
□ Fireplace
□ Ceiling fan
□ Elevator
□ Security system
□ Parking security
□ Recreation room
□ Gym
□ Pool / spa
6. What is the current rent for the unit?
$
per month
7. What is the requested rent for the unit?
$
per month
BY EXECUTING THIS REQUEST, I CERTIFY THAT THE UNIT IS IN DECENT, SAFE AND SANITARY
CONDITION AND THAT THE TENANT IS IN COMPLIANCE WITH THE TERMS AND CONDITIONS
OF THE LEASE AGREEMENT.
_______________________________ _______________________________
_____________________
Landlord/ Payee’s Signature
Tenant’s Signature
Date
FOR SAHA USE ONLY
□ RENT INCREASED.
Approved new rent: $
per month
Notes:
□ RENT DECREASED. SAHA has determined that the current contract is not reasonable in comparison
to the rent for comparable private market units.
New contract rent : $
per month
Notes:
□ RENT DENIED.
Notes:
Any individual with a disability or other medical need who requires an accommodation should contact the San Antonio Housing
. Si usted no comprende este documento porque está escrito en inglés, por favor llame al
Authority at (210) 477-6262
(210) 477-6262 para asistencia.
Rev. 3/18/2013
AHP.RC.F03
Page 2 of 2
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