City Of Berkeley - Notice Of Right To Object To Rent Increase Petition Page 4

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***IMPORTANT***
I
,
F YOU OBJECT TO THE PETITION
YOU MUST PROVIDE A COPY OF YOUR OBJECTION FORM TO YOUR LANDLORD
R
B
.
AND COMPLETE AND RETURN THIS PROOF OF SERVICE TO THE
ENT
OARD WITH YOUR OBJECTION FORM
Y
.
OUR OBJECTIONS WILL NOT BE CONSIDERED UNLESS THIS PROOF OF SERVICE IS CORRECTLY COMPLETED
PROOF OF SERVICE
I
__________________________C
,
,
AM A RESIDENT OF
OUNTY AND WAS
AT THE TIME OF SERVICE
OVER AGE
. O
____________________ (
), I
:
ONE COPY OF THE TENANT OBJECTION FORM BY
EIGHTEEN
N
DATE
SERVED
(C
)
HECK APPROPRIATE BOX
┌──┐
└──┘ D
:
ELIVERING THE OBJECTION FORM IN PERSON TO THE FOLLOWING INDIVIDUAL
[
'
:]
PRINT NAME OF LANDLORD OR LANDLORD
S REPRESENTATIVE
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
OR
┌──┐
└──┘ P
,
-
LACING THE OBJECTION FORM
ENCLOSED IN A SEALED ENVELOPE WITH FIRST
CLASS POSTAGE
,
U.S. P
S
,
:
FULLY PAID
INTO A
OSTAL
ERVICE MAILBOX
ADDRESSED AS FOLLOWS
[
'
:]
PRINT NAME AND ADDRESS OF LANDLORD OR LANDLORD
S REPRESENTATIVE AS SHOWN ON ENVELOPE
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I
S
C
DECLARE UNDER PENALTY OF PERJURY OF THE LAWS OF THE
TATE OF
ALIFORNIA THAT THE FOREGOING
.
IS TRUE AND CORRECT
Signature __________________________________________________ Date
______________________
Printed Name
______________________________________________________________________________________

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