Affordable Housing
Rent Adjustment Request Form
Project Name:
Project Address:
Developer Entity/ Owner:
Effective Date of Proposed Schedule:
Name of Preparer and Agency:
Phone Number of Preparer:
Utility Allowances
Do tenants pay for utilities at the project?
Yes No
Attach the utility schedule for this project.
City Unit Mix
Indicate the number of total City-assisted units by bedroom size for the project.
0 Bed
1 Bed
2 Bed
3 Bed
4 Bed
5 Bed
50%
Units
60%
Units
Proposed Rents for City Units
Indicate the proposed rents for the City-assisted units by bedroom size for the project. Rents are to include any
applicable utility allowance. City's Maximum Rent Limits are found at:
https://www.phoenix.gov/housingsite/Documents/HOME_Fact_Sheet.pdf
0 Bed
1 Bed
2 Bed
3 Bed
4 Bed
5 Bed
50%
Units
60%
Units
Method of Determining Proposed Rents
The two acceptable methods of determining proposed rents:
1) MA
RKET STUDY
Eligible market studies should be completed no more than 6 months from the submittal of this form.
OR
2) COM
PARABLES
Eligible comparables must be submitted to document the proposed rents. Submittal requirements are as follows:
Attach three (3) recent apartment
comparables and complete the required excel form,
Comparables must be no more than 3 square miles from the subject property,
Comparables must include apartment units that are similar in size, amenities, and quality.
Form Authorized By:
*Form must be signed by the signature authority for the property
For City of Phoenix Housing Department Use Only
Program Officer:
By signing, I agree to provide a minimum of 30 days’ notice to all affected tenants prior to the
implementation of a rent increase.
Approved
Denied
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome