Fillable Printable RI Request Form
Fillable Printable RI Request Form
RI Request Form
Oakland Housing Authority
Return Request by E-mail to: RentalIncreas[email protected]rg, or by Fax to (510) 874-1589 or by Mail to
Oakland Housing Authority Leased Housing Department 1619 Harrison St Oakland CA 94612
Rent Increase Request Form
Before proceeding, please answer the questions on the Criteria/Information Sheet.
Incomplete requests will be returned without review. Information provided will be verified.
New Total Contract Rent Requested $ Effective Date
Vendor Information
Requested by: Owner or Agent
Authorized Agent
Legal Owner Primary Phone #
Home/Work
Email Address Cell Phone #
Property & Unit Description
Structure Type: Single Family Townhouse/Condo Multiple Units, # of Units ____________________
Complete the Rent Roll Form on the back if the structure consists of 2+ units, or attach your spreadsheet.
Unit Size
:
# Bedrooms # Bathrooms Sq Ft Yr Built
Amenities ( All That Apply): W/D Hook-Up Coin-Operated On-Site Laundry Disposal Dishwasher
Ceiling Fan Carport 1 Car Garage 2 Car Garage Outdoor Lighting Gated Community
Other Amenities:
Maintenance (Indicate Frequency and Attach Agreement): Lawn/Gardening Pest Control
Utilities & Appliances Provided By:
O for Owner or T for Tenant
List Upgrades & Recent Improvements
(Since Last Contract Rent Determination)
Electricity O or T
Gas O or T
Hot Water O or T
Water O or T
Garbage O or T
Washer Gas or Electric O or T
Dryer Gas or Electric O or T
Refrigerator O or T
Stove Gas or Electric O or T
Microwave O or T
Heating Type: Floor Wall Space Central
Heating Source: Gas Electric A/C Type
Tax Credit Subsidy (Attach Tax Credit Schedule)
Type: Tax Credit HOME Section 202 Section 221(d)(3)BMIR) Section 236
Signature Required
Print Name
Signature Date
Participant / Tenant Information (Attach 60-Day Notice)
Client # Tenant’s Name
Address Unit # Zip Phone #
Oakland Housing Authority
Return Request by E-mail to: RentalIncreas[email protected]rg, or by Fax to (510) 874-1589 or by Mail to
Oakland Housing Authority Leased Housing Department 1619 Harrison St Oakland CA 94612
Rent Increase Request Form
Rent Roll (Required for 2+ Units on Premise)
Property Address Client #
Unit #/
Letter
Number of
Bedrooms
Number of
Bathrooms
Lease Date/
Move-In Date
Monthly
Contract Rent
Section 8
Subsized
Comments
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
$ Yes or No
