Sample Model Form Of Notification Of Rent Increase Resulting From Recertification Processing

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4350.3 REV-1
Exhibit 7-6: **Sample** Model Form of Notification of Rent Increase Resulting
from Recertification Processing
(Tenant’s Name)
(Date)
(Address)
Dear Tenant:
This is to notify you that on the basis of our recent review of your income and family composition your rent
has been adjusted to $______. This new rent is effective beginning (month/day/year). This notification
amends Paragraph [3, 4, or 5—indicate the paragraph number that corresponds to the paragraph of the
model lease being used for the tenant.] of your lease agreement, which sets forth the amount of rent you
pay each month.
Please visit the site office within 7 days of receipt of this notice to sign and receive a copy of the **HUD-
50059**. The **HUD-50059** must be signed by the head, co-head, spouse and all other adult members
of the household. The copy of the **HUD-50059**provides the information on your income that we used
to calculate your new rent and the amount of rental assistance, if any, HUD pays monthly on your behalf.
You may call ________________ if you wish to arrange a meeting to discuss this change. Thank you for
your cooperation.
Sincerely,
(Managing Agent,
Resident Manager, etc.)
HUD Multifamily Occupancy Handbook
6/07
Exhibit 7-6

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