Paragraph 1: Parties and Dwelling Unit.

A and B - Enter name of the Landlord and the name of the head of household, spouse, co-head (if applicable) and all adult members of the family.

C, D and E - Enter the dwelling Unit Number, address and name of the project.

*Paragraph 2: Length of Time (Term). Refer to Chapter 6, Figure 6-3 for the initial and renewal lease terms by program type.

F and G – fill in the beginning and ending dates of the lease.

The definition of the initial term of the lease is for twelve calendar months beginning January 1 and ending December 31; or 12 calendar months beginning at any point, e.g., beginning May 15, 2008 and ending May 14, 2009. For localities where the practice is to end the date at the end of the month the initial lease term would be beginning May 15, 2008 and ending May 31, 2009.*

H - Fill in the blank for successive terms of the lease. Use either one “month” or one “year”.

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Paragraph 3: . Rent. The blanks in this paragraph apply only to the tenant’s share of the rent, the amount shown as the “Tenant Rent” on the HUD-50059. The first sentence applies only when the tenant occupies the unit on other than the first of the rental period. The last sentence may be deleted for BMIR and Section 236 tenants who are not receiving RAP, Rent Supplement or Section 8 assistance.

I and J - If the tenant will move in on the first day of the monthly rent period, strike the first sentence and the words “after that” in the second sentence. Otherwise, enter the prorated amount of the tenant’s monthly rent. To obtain this amount, divide the “Tenant Rent” from the HUD-50059 by the actual number of days in the month and multiply by the number of days the tenant will occupy the unit during the first rental period. If the Tenant Rent is zero, enter $0. Also enter the month for which partial rent is paid.

K - Enter the “Tenant Rent” from the HUD-50059 prepared for this tenant. If this entry is zero, enter $0.

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Appendix 4-E Handbook 4350.3 REV-1

L - Enter the date the rent is due. Due date is determined by the project owner or management agent.

M - Specify where the rent is to be delivered.