Rent Reasonableness Comparison Certification Form Tenant InformationTenant Name(Required) First Last Voucher # / Reference # (Step 1) Property LocationAddress(Required) Unit Number City(Required) State(Required) Zip(Required) County(Required) (Step 2) Property InformationRent Amount(Required) Bed(s)(Required) Bath(s)(Required) Square Footage Year Built Quality and ConditionQuality and ConditionUnknownPoorFairAverageAbove AverageExcellentProperty Type(Required)Property TypeHouseTown House/VillaApartmentCondoMobile HomeRow HouseDuplexTriplex4plexHigh-RiseLow-RiseCondo (APT)Condo (Town House/Villa)Applicable Utility Schedule (Step 3) Amenities and UtilitiesMust Complete for Adjustment AccuracyHeating Fuel: Gas Oil Electric Propane Heating Fuel Paid by: Tenant Owner Cooking Fuel Type: Propane Gas Electric Oil Cooking Paid by: Tenant Owner Hot Water Fuel Type: Gas Propane Electric Oil Hot Water Paid by: Tenant Owner Utilities: Electric Paid by: Tenant Owner Water Type: Well Water City Water Water Paid by: Tenant Owner Sewer Type: Septic Tank Public Sewer Sewer Paid by: Tenant Owner Cooling Type: Window/Wall Swamp Cooler Central None Heat Type: Baseboard Space Central Window/Wall Radiator None Heat Pump Boiler Indoor: Ceiling Fan(s) Cable Included Laundry Type: W/D Hook-ups Washer Onsite Laundry Dryer Washer/Dryer Kitchen: Dishwasher Stove Refrigerator Microwave Garbage Disposal Outdoor: Swimming pool Gated community Balcony Parking: 1 Car Garage 2 Car Garage 3 Car Garage 1 Covered Space 2 Covered Spaces Unassigned Street Assigned Driveway Open Unknown None Maintenance: Pest Control included Lawn Included Trash Included By signing below, I certify that all information given is accurate and complete.Landlord Signature(Required) Reset signature Signature locked. Reset to sign again Date(Required) MM slash DD slash YYYY
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