HOME Program - Annual Rent Approval Form The 2013 HOME Final Rule requires Participating Jurisdictions (PJ’s) to review and approve rents annually for all multi-family HOME assisted properties during their affordability period. To comply with 24 CFR 92.252, you must submit this completed form, along with a copy of the current utility allowance chart within 30 days of the release of the HOME Rent Limits each year. HUD published HOME Rent Limits may be accessed at: or at the NHD website at: You may submit this information by mailing it to: Nevada Housing Division, 1830 E College Parkway, Suite 200, Carson City NV 89706 or by emailing it to Project: Owner: Address: Address: City/St/Zip: City/St/Zip Property Contact: Number: Current Rent Structure: Unit Size # of HOME Current Rent Utility Allowance Tennant Paid Utilities? Proposed Rent Structure: Date of Increase:______________________________________________________________ Unit Size # of HOME units Current Rent Utility Allowance Tennant Paid Utilities? By signing I certify that the information submitted on this form is true and correct and that I am aware of the following: NHD reserves the to request additional information to support the need for rent increases. Any and all rent increases require a forty-five (45) day written notice to tenants. Failure to receive NHD approval and/or provide tenants with proper notice of rental increases may require a reduction in rent and restitution paid to affected tenants. This document is exclusively intended for HOME Investment Partnerships Program use only. Signature: Date: Printed Name: Phone: Email:
HOME Program - Annual Rent Approval Form The 2013 HOME Final Rule requires Participating Jurisdictions (PJ’s) to review and approve rents annually for all multi-family HOME assisted properties during their affordability period. To comply with 24 CFR 92.252, you must submit this completed form, along with a copy of the current utility allowance chart within 30 days of the release of the HOME Rent Limits each year. HUD published HOME Rent Limits may be accessed at: or at the NHD website at: You may submit this information by mailing it to: Nevada Housing Division, 1830 E College Parkway, Suite 200, Carson City NV 89706 or by emailing it to Project: Owner: Address: Address: City/St/Zip: City/St/Zip Property Contact: Number: Current Rent Structure: Unit Size # of HOME Current Rent Utility Allowance Tennant Paid Utilities? Proposed Rent Structure: Date of Increase:______________________________________________________________ Unit Size # of HOME units Current Rent Utility Allowance Tennant Paid Utilities? By signing I certify that the information submitted on this form is true and correct and that I am aware of the following: NHD reserves the to request additional information to support the need for rent increases. Any and all rent increases require a forty-five (45) day written notice to tenants. Failure to receive NHD approval and/or provide tenants with proper notice of rental increases may require a reduction in rent and restitution paid to affected tenants. This document is exclusively intended for HOME Investment Partnerships Program use only. Signature: Date: Printed Name: Phone: Email: