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This Lease Addendum shall continue to be in effect until the Lease is terminated. VAWA Protections 1. Purpose of the Addendum The lease for the above referenced unit is being amended to include the provisions of the Violence Against Women and Justice Department Reauthorization Act of 2005 VAWA. OMB Approval No* 2502-0204 LEASE ADDENDUM VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005 TENANT LANDLORD headname mgmtcompany UNIT NO. ADDRESS aptnbr unitaddressline1 city state zip This lease addendum adds the following paragraphs to the Lease between the above referenced Tenant and Landlord. Conflicts with Other Provisions of the Lease In case of any conflict between the provisions of this Addendum and other sections of the Lease the provisions of this Addendum shall prevail* Term of the Lease Addendum The effective date of this Lease Addendum is effectivedate. The Landlord may not consider incidents of domestic violence dating violence or stalking as serious or repeated violations of the lease or other good cause for termination of assistance tenancy or occupancy rights of the victim of abuse. member of a tenant s household or any guest or other person under the tenant s control cause for termination of assistance tenancy or occupancy rights if the tenant or an immediate member of the tenant s family is the victim or threatened victim of that abuse. behalf certify that the individual is a victim of abuse and that the Certification of Domestic Violence Dating Violence or Stalking Form HUD-91066 or other documentation as noted on the certification form be completed and submitted within 14 business days or an agreed upon extension date to receive protection under the VAWA. Failure to provide the certification or other supporting documentation within the specified timeframe may result in eviction* Tenant Date Landlord Form HUD-91067 9/2008. OMB Approval No* 2502-0204 LEASE ADDENDUM VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005 TENANT LANDLORD headname mgmtcompany UNIT NO. ADDRESS aptnbr unitaddressline1 city state zip This lease addendum adds the following paragraphs to the Lease between the above referenced Tenant and Landlord. The Landlord may not consider incidents of domestic violence dating violence or stalking as serious or repeated violations of the lease or other good cause for termination of assistance tenancy or occupancy rights of the victim of abuse. member of a tenant s household or any guest or other person under the tenant s control cause for termination of assistance tenancy or occupancy rights if the tenant or an immediate member of the tenant s family is the victim or threatened victim of that abuse. member of a tenant s household or any guest or other person under the tenant s control cause for termination of assistance tenancy or occupancy rights if the tenant or an immediate member of the tenant s family is the victim or threatened victim of that abuse. behalf certify that the individual is a victim of abuse and that the Certification of Domestic Violence Dating Violence or Stalking Form HUD-91066 or other documentation as noted on the certification form be completed and submitted within 14 business days or an agreed upon extension date to receive protection under the VAWA.

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