VIRGINIA RRP LANDLORD AND TENANT HOUSEHOLD AGREEMENT
This agreement details the rights and responsibilities of both Landlord and Tenant under the Virginia
Rent Relief Program (RRP). By accepting payment of rent relief, I hereby agree to the following:
Landlord Agreement
I,
____________________________(Landlord name), acknowledge and agree to the requirement
that I must not evict the renter for non-payment of rent associated with any of the months for which the
rent relief payment is made. Furthermore, I understand that RRP funds cannot be used to pay past due
rent prior to April 1, 2020. I understand that if the renter owes past due rent prior to April 1, 2020, I
must work with the Tenant to develop an appropriate payment plan. If the Tenant cannot adhere to the
conditions within the payment plan, either the Tenant or I, may return to the Rent Relief Program to
apply for further assistance, provided the Tenant remains eligible and funds are still available.
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andlords will notify tenant by email or mail of the amount of rent paid by RRP and steps to take if
Tenant finds they are unable to pay rent in the future.
Landlord hereby authorizes DHCD and its Grantees and Contractors to disclose to the Tenant that this
RRP application has been filed, as well as the amount of the application, and its current status.
Furthermore, I acknowledge and agree to reimburse RRP funds if it is: a) determined at a later date that
I or my Authorized Agent(s) (identified below) recorded inaccurate information contained in the Tenant
Application Packet that resulted in determining the Tenant eligible for RRP financial assistance when
Tenant was actually ineligible for said assistance, b) if RRP assistance is determined to be duplicative of
other assistance.
Furthermore, I shall hold harmless the Commonwealth of Virginia, DHCD, its grantees/agents and
employees from all claims and demands based upon or arising out of any action by me, my employees,
agents or contractors.
I shall maintain all contractual and household records for at a minimum of five years, and shall provide
access to such records by the Commonwealth of Virginia, DHCD, its grantees/agents and employees as
may be requested.
I confirm that, in processing Tenant’s application, I have complied with all applicable fair housing laws,
including but not limited to, Virginia's Fair Housing Law which makes it illegal to discriminate in
residential housing on the basis of race, color, religion, national origin, sex, elderliness, familial status,
source of funds, sexual orientation, gender identity, status as a veteran, or disability.
I understand that any misrepresentation of information or failure to disclose information requested on
this form may disqualify me from participation in RRP, and may be grounds for termination of
assistance. WARNING: It is unlawful to provide false information to the government when applying for
federal public benefit programs per the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. §§ 3801-
3812.
Tenant Agreement
I,
__________________(Tenant name), acknowledge and understand the terms of this agreement
and have provided true and accurate information. I have been given the opportunity to ask questions and
understand that I should seek legal counsel if Landlord is in breach of this agreement.
Tenant Authorization
Tenant hereby authorizes DHCD and its Grantees and Contractors to disclose to its landlord that this RRP
application has been filed and the current status of the application.
Tenant Certification
I certify that the information I have provided in applying for RRP assistance is true, accurate, and
complete. Additionally, I certify that I have not received any other form of federal, state, or local subsidy
or financial assistance for rent during the same time period with the requested RRP and that I will repay
any RRP assistance determined to be duplicative.
I understand that any misrepresentation of information or failure to disclose information requested on
this form may disqualify me from participation in RRP, and may be grounds for termination of
assistance. WARNING: It is unlawful to provide false information to the government when applying for
federal public benefit programs per the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. §§ 3801-
3812.
___________________________ ___________________________ ___________________
Print name of Tenant Tenant Signature Date
LANDLORD / AUTHORIZED AGENT CERTIFICATION AND SIGNATURE
I certify the information I have recorded in the application and all attachments is accurate and complete
based on the information provided by the Tenant in applying for RRP.
If this application is completed by an Authorized Agent on behalf of Landlord, Authorized Agent hereby
certifies that it is duly authorized to act on behalf of Landlord as its agent with respect to this
Application, including, but not limited to, the Landlord Agreement set forth above.
The Landlord / Authorized Agent’s agreement with the certifications, terms, and conditions set forth
herein is evidenced by the following signature.
Determination of eligibility completed by:
____________________________________ ____________________________________
Print name of Landlord/Authorized Agent
Landlord/Authorized Agent Signature
___________________
Date