Signature s of Tenant s See definitions on reverse side of this form RA-23. 5 9/11 INTERNET Date Disabled Person Family Member s Renewal Lease and Eviction Protection Rights 1. Gertz Plaza 92-31 Union Hall St* Jamaica NY 11433 718 739-6400 State of New York Division of Housing and Community Renewal Office of Rent Administration Notice To Owner Of Family Members Residing With The Named Tenant In The Apartment Who May Be Entitled To Succession Rights/Protection From Eviction Please check appropriate box below Notice Requested By Owner Notice Submitted By Tenant Mailing Address of Tenant Tenant s Name Owner s/Agent s Name Number/Street Apt. No* City State Zip Code Subject Building if different from tenant s mailing address For the purpose of determining the right of a family member to a renewal lease or protection from eviction pursuant to rent regulations as described on the reverse side of this form the information below may be requested by owners or provided by tenants as follows by ow....
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How to fill out the NY DHCR RA-23.5 online
Filling out the NY DHCR RA-23.5 form can be an essential step for tenants and owners regarding succession rights and eviction protection. This guide provides a step-by-step approach to assist you in completing the form accurately and efficiently in an online format.
Follow the steps to successfully fill out the NY DHCR RA-23.5 form online.
- Click the ‘Get Form’ button to obtain the NY DHCR RA-23.5 form and open it in your online document editor.
- Begin by providing the mailing address of the tenant. Ensure to include their full name, number, street, apartment number (if applicable), city, state, and zip code.
- Next, complete the section with the mailing address of the owner or agent. Fill in their name, number, street, apartment number (if applicable), city, state, and zip code.
- If the subject building differs from the tenant’s mailing address, provide the relevant address information in the designated section.
- Indicate the names of any additional persons residing in the apartment other than the tenant. Include their date of commencement of primary residence and family relationship, if applicable.
- Check the appropriate boxes if any of the additional persons are senior citizens or persons with disabilities.
- Ensure all signatures of the tenant(s) are included at the bottom of the form, along with the date.
- Review the completed form for accuracy, then proceed to save changes, download, print, or share the form as needed.
Complete your NY DHCR RA-23.5 form online with confidence today!
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RA-23.5 (9/11) INTERNET ... York City or in DHCR Fact Sheets. ... For rent-stabilized and...
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