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Rent Reasonableness Comparison Certification Form

Tenant Information

Tenant Name(Required)

(Step 1) Property Location

(Step 2) Property Information

(Step 3) Amenities and Utilities

Must Complete for Adjustment Accuracy
Heating Fuel:
Heating Fuel Paid by:
Cooking Fuel Type:
Cooking Paid by:
Hot Water Fuel Type:
Hot Water Paid by:
Utilities: Electric Paid by:
Water Type:
Water Paid by:
Sewer Type:
Sewer Paid by:
Cooling Type:
Heat Type:
Indoor:
Laundry Type:
Kitchen:
Outdoor:
Parking:
Maintenance:

By signing below, I certify that all information given is accurate and complete.

MM slash DD slash YYYY