CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 1 of 37

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tmImmImytntnyih5tn4ay m|n mm0 AES10EN' ilO wN pme oIS1Io mreunncm
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OCCUPANCY AN0 U5E Oniyme psmswbn ESIOENTS tpyk""8vApanmm Pers' mm6WRbKENT5mw
wm:mQmoywhmp w!?~MHMEMN1 RESIOEN"S mayuP\h(IandvIM18t!0mm|rella
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+]taf smomq\hAJ\.lny !inbe. mwms|qomoxNsms oce 4\mMWeiWemmemgm
mmw;x|( mAfrt bl1 5r| l0eM hafllS llVt1At.i111.1 tW t=tmytdasced| MEN1t
x m RESIDENTS. $j that th Apmn\ commonr. or8ree zunoUnd g :m bu|dngmkl noI b used byIhRN p
mmb m the RESlOENT'S onom. equv .. h m0H1 W oy nyeo . crm umm Iwt conuol to m.
WB, I N0y, 6Hl 0I6r. tltO0tt, 0v9M Pl \I n II|\ 0: . or to ena ln rliIuIion f =y
nIt|B i vllwtl ;nvlv` : \ :: H ffI WN mT1 #wVM, W . W IWM one~y T TM ormio.
CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 2 of 37
, WAIERBED8: H8IUNT lHn IlMawM0wo WIMlW futnlll Itv\ II"' m|M MmWP0tn QNN
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PbTS. HbS|DbN mar nol 8 a\INs or pts oW z m8 Aprlment O 8n/ common areat wNM 0wR0n om| M
MN%EMEN!
C CONDITION OFAPARTMENT
tv MANAGEMEN1 PROMSES: l)ThollheAnt aa|IwessaNlmWas m.Z)mMm^
mm arwmm 6maemmby RESIDENT e Ww< m
WmNmepoMWHoMgW3)l0 mWem0WMNW
saty <es <P WMPmN UMmwQmb 11 in or nlMWRSIDNT
wN IkMlMOM0in god codtin
\1 RESIDENT PROM8ES. 1) N0Il00g0m0{mImwRtn MMNAGEMNToWNglo 0
9.Z)no1 Io pWO wlte Apaf, omale My sImmm lnmApwhmpwtIl6 osa-.D| M-
MN.3)| keep Allel W0. and in uwth all hallh asy Q.4!lo gv< W1en notice KMANAGEMET ma y
mt0b8mc.0)ovmyMomy008mlh0[NO9mgkheahh 0t
oy, or my080WApn0me mpMANAGbMbNT.[\hMw00RESIDENT,out 0w
Iretc0\g <1io. e<capl koroloar w t,7) pmyk0| lmMANAGEMENT wW
-iieaoawa:NMANAGMENr 8} O awMANAGEMNT"$ mpH wm. TNmm,Ms
RES!Nrs eqw~O.OMm$,plne mwwuww6WWH0k6NH&ueM
^
IZ 8CURTYDEPOSIT: MGEMbNTmMOpMWmqt;kdoma l0th Al bCwat -
Nb) l0r8toWmy ml0 MNAGENT.
13,DESTROYEOOR UMLIVABLEAPARTMENHlheApan ;adodosol$ulIoWindl0awMMWNm
gtml!0 IBim01eskre the Amt NMtermate WLeas& Wed3tfty no KlMkRESKNT Il Wm
oce v nRb5|DbNT5!au0 M.NAGEMENT terr"es ls Lease. rent wbe r mblance wkreto
RNT
D 0URUOL
I FARETOGIVE POSSESSION: MNAMENTgmwkHEIDNT aImslolleas. RESIN18
MANAGEENT k &n' !thlling dam mt RESIDEN1 wil not slart yi tenl unl hshe geb p$Mion of the "a1
15. MOI OUT BEFRELEASE ENDS: If RESIDET" omm boMDATE TH LEEEREKENT u:W
m m yumks w m oa camaucs k>.
16 TERMINATION OFLEASE WSPECl1EDENOINGDATE: 8RESIDENT wkmol1elmenlon ImDATE THIS LEASE ENO
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9.-mMN MRbSlOENT8MNAGEENT have mne ttaLease oeDkdmKmLeas. thi Lse WU
mamut mog0msexc)the duration skU\agm mm0h-kmh, amb}MNAGEMENT my r0|80Mrent
l7 TEINATAND ALTERATION OlNTH-NTH LEASES:WRlease nm. MANAEMT a RESIDENmy
\6wRLcwg~!hpym0mwmNTPERIO. ANka L4W
lMtdyMIN+. MANAGEENT myOmth m6Mamo-n L,m0UmRESDNT
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E HIGHTS OFMNAGEMENT
19, EICTIO: ll RESIDNT wMRn}' o| ImIwof l04l0860.MNPOEMNT may termintte mLimyand wkhOl pot notic.
lf INLoa "t"""at""b4 RESIDENT 0wmwmQ@, MANAbMcH1m,m0mkoc|b hc5DNWWqJtm
oC mbLMANAGEMENT dsnot ImWLe;se. orb an ek.ose RESlDEN.MNAGEMENJ0$nwW
tNkvao8Mlm.,vWaknoaytrrmoI lmLeese. U0 wlw.awI0lmNy AMM
pw6m8.0.mwwetmwM0FmkHb5KENngtmkan
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20 EWCON PfFARTMPAYMEMT OF RENT: lluellsly@rmmMANAGEMENT MRESIDENT lhOl 0mM.6
dW1.su1{c) a.ep byMANAGEMENT mwmn1mlUamoten 0mRESIDENT owt `v8MHADLMcNTS
gkropww0IWpcmknonpa by RES|ENTo| b1ie ommMANAGEMENT.
?1 ATORNEY'SFEESAlENFORCEMENTCOSS:KMAAGEMENonylalfIRESIDENT,REENmJINT'S
&tvv|Ktny . mmWN ksmpcnses including fecs pIo W ma. &Jpenes. amctsmBwp
alIM+eN8UisMm0
Z? MAWAGEMEMT'SRtGKT TO ENTER: Inacmwi app , MNAUONTwibaWpmwwtAat any
reaso11nc to i in. mM1ai o kW%m,0r00Mm8wwwO6%k0k
RESIEtTS0 m8
23 MANAGEMENT'S LEGAL RIGHTSANDREMEDIES: MANAGEMENT mmmIgl1@mMOM 8yuw0
n'e othe rlh! 0|mMNAGEMENIdmgive up any om:gor 1eedit mw. Dm0mwm
MNAGEMENTS tig|wlRESIDENT mw&toxIWvWatkoIylerm o0\.0aM.
?4 LEA6ElS 6UBJECTTOMORTGAGE: lhe Amenl C.rikUng may be mgaged o may be slbjea to a ctrafr de. RESJOENT gr
th the :qsu|h0MMqpemMure mgage oOlfI kdeed are superior I0RESIDE N5qtts rexan\e. a mge
onWmaiai7foed. lhep wh !ored$es w lhe Apt budin may. at thef o. 11ftnin11e RESIDEN'S!08
F LIABILITY OF RESIDENT AND MANAGbMbNT
25 DAMAGE OR NJUHTORESIDENT OR HtslHER ROR7Y:MNAGEMENT |smtc8mkN0mo=uOk
RESIOENT oMgoWpQmlwmmQMNAGEMENT. MANAGEMENT MmlRE5DEN
mesImm8om0O%0N
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n o|hcr .Qs. 1 WmamumMNOEMEN1`S ro.
.
?7 RESIOENT SHALL lEIMBURSE MANAGEWNT FOR: \)Agk p,pcpUm 0g.MQ$|0I08IV|v~el~|~vcmtj
08umg 0WrmRLSKENT.hwmagenIs,!8mguess; 2) any loss or dt w480w
kmn 3)Weost.<MANAGEMENThesbeseoi <inent DI1he/enIDtGhviotalions o|!h0Lby HS|UNT,setasosts
kwtQ\AprImt\l.4)alctmcost amamsiaesMAN..GEMENT asin any slOr avk unparenl. or any other debM
C."Ne
?8 WHEN PAYME>f S ARE DUE; Any"' oR8IDHT;ouewnMANAGMENT MlOil MMENT dmQMrt
WynxmRESIDNT buofMANAGMENrsIWreoday mawkweL MANGEM m!0am
mFbSINT mmoWeHESIDENT mooIha Apment.
G. MlSCELANEDU
29 FAEO_MIS:EADING RENTALAPPUCATION: RMANAWMENTdetenrnes tat anyO orne.atents mby REStOENT xW
tental app[m)o olherw1st are o:lrue or eomolele in any w). mn HElONT nas voI80 m L8a88 a0 may be evicled
.SUDING RULES ANO ATTACHMENTS AAE PRorLEASE; NOORAL AGREEMENTS: My attacmel'ts to lh' Lease are aWlmW
Lee89. IJ a .e
^
olMattant 0n0swhagymmmlease. lhe 3Uacent mmwb0mm MNAGMNT5opm88
w8aM!hLeas0.8MANAGEMENT 0mcke reasonabe changes in 0ma13ny1i b gM RESIDENT wrillen nice N
_... --....and |s ment qnq g other wrilen @qw the o|te QmenIMm
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 3 of 37
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CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Filed 07/25/12 Page 4 of 37
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PR|NNAMEL OWNER AO PAOJ>GRT aANAGR

IF APfUCABLE
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CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12
Par llA Receiving Iformaton and Cerifcation
lnstions: The mmQP 0alay clete Par II-A
Page 5 of 37
\.HeMdHtmNN
ALLSN-2RRS5 P b
2.mdm8s8Nm
VZ^J1
3.Vt8pmqH'tpcesj

Cerfcation Statment
1~Dm(1ej
JJZ
I c that the infon cntained Par II of t for and, if applibe, te at kmHD-55 is 0an Oand !at
my agenc wil promp remf any oyment t yur aec.
^P' !DNKM~lO

Minneapolis Public Housing Authority
ea|u|e

11 Washington Ave N
Rivin PQ(g[g^"TTT CLYSN

tNm
l1Z( 4Z14V
Minneapolis

Fm5ebtm|
1/J1 1 dJ1
H b b 9 J l043
Par DB Family Status, Inial HAP Contract Execution and Billing Changes HAP Contrac Execution
|awes. P|0=pw0] mmlws10 vwd8hmcmd emJ,
0wmdecNnwwJmobm WmFKN 80 w M w o = u m
MB0do@Ww0HqtcMrrM Igme6oIe0rea|m8Mheub|I|qww
Chec Osmnt blow lal aq

'
|
1. The abe fmily has filed to w1areque for lease avIkan eli unit win the ttme perod. Yo may
1erefore reissue yotvoucher t anoter famil y and, tappible, mlf any @||prfren usage and
ince targetg M|N. Do not cmplte rmaine of W
2. We have exectd a Hbehalf of the fmiy and are absolbing te family into on prorm efectve
'
(mdyyy).Y ou my rs e yor voucher to 0WW|I.Do not cmplet rmainder of form.
3. We 8a HAP neffe =11Z (mmddyyyy) on bhal of Wfamily ad are bilin yol agency.
A cpy N Mnew form HUD-50058 is aached to this form. No other documentation is required. (Receig F
are requid wcmplte and submi a form HU[SD58 for farTis ming into their jurisdiclion under porabii.
The reeiing PHA my elect to conduct a special recertfcation of m family confrm the dates of th unit
ispecon and rcerfcatin, but is not required kdo so by HUD in order kcomplete the for HU05058 ka
porbiri move-in.)
Go to line 90N.
4.Th HAP Ihas changed effece (mldy) Wte famy buse or: (0mapble
ilem. A current cpy of lhe form HU0.50058 must atched mthis form. No other documentatin is requied.)
Go to f1e 9belw.
annual recerlin
interim/spl 00
mnge|0jmIsma
Wfamily mved to another 00Ii1te receivig PHA jurisdin.
other:( specif)
OmeeOsqpY _ N0 _
!kmRtq0K0m Zd3
bH0R l
td.mZ
CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 6 of 37
L

5.The Hpymt: (Check oe}

have been abatd effece (mmd/y}.
Plase suspend WHAP 1o oner p Wyp0 jmwjuti frer .
0wee abat bginnin (mdy} have ben N
efive
(mmddlyyyy).
. We will no l b bilfmg yagency becuse we are tinang WmJsparciation in the program UWfamiy voluntrily
leaving te program.
Bilarangement lminat efe .
I"l
R for tnatin:(speif)
7.We are absorbing te |a0TInto our progrm and terminat WMarngement H
l"~|

8. The HOwben tnnintd H

U Mof te family.
(mmd)
and no HAP cont has y 8O
Tfamily:
wiD nNremaiin in or jursdi and bee r0|cmkyour agenc.
itends Krmin In our jurtn. The fmis voucher expies
(
mm
/dy
y
}.
_ 9. b|lli0g Infatin
K@0N|MM0qbWA0M
a. M1ly HAP amunt due
Olne 12OW12af 0|f HUD-50058)
b. Ongoin admi fee (80% of inital PHA lor amout
otefse agred t(a (lne 10 o Part I of this frm)
c.Total regula montly bilg amount (sm o lies a an b}
At|aet|Amount Due, Appriable
d. Prorted HAP to owner from
l / /ZJ
e. Hard-t-house fee
f. OW(explain}
|JO1BTEO Adn Fee
g. Total adal amnt (stmof l d, e and I)
BII0gAmaaat
_ J1J/Z1J
h. Payment Du This Bi Submis ion (sum of line Cag.J
V3.
4.b
1J.4
J3. 1
.
L4. Z
J.
^ .
(Afer tis submissin, billing amount oamont mmon fine C, unless otere Neby te rg PHA.)
Ih|twmqokwm 3d3
=W05W5 |M
l.H& 4Z8
0l;z0}z0I0

CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 7 of 37
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odI KUbbcLLPVC N. P0C D| yDU| U0.
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D| C| O1o~II 0l D|C 00|D0 D0 Dg| |U|C 0C |DCU|C5
When will the unt be i nspected?
TDU W| DCD0OCCW| 0 05CCDD0CB0B 0 C 0CX Ib Cy5
1DU 0U5 DB |C5C0C|DB 05CCD0, D|u5CB5g0B 0 gB0U DC |C5C0
1U MUb LN1KM I0C 05COD0 CBJC0| \B05BCD0 W 0D0CCU|
|C U0 U5 UCVC0 0C DVC0 |BCy

KC05550CBW DB CRC DC IDf IbD|B DH| lD|CW0g 0C 55BC 05OD0

What portion of the rent will the tnant pay?
1DU|B00LW|| DgVC0 0C\BC IC0 DlD0 (KB0 OU|CC0 WD|K5CC)
`LNPTUKLNPNWD 0yQUB5D05 |Bg|C0g \|B| D|D0
When will the rent assistance payment come?

P DD5 H0g,|C 0KC |DB55lD|yDU|CH0 5 actcc|ete. PCDB5 00 gU|0BB eveq

C00W 5UCO55Uy CDBB DC 0KC|DCCS5
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bCU|0 dOm0DGDy C~0, D5D@@5@D.D_, Dy X, OI~Oodo, D| W0DC0CD5BC |BU|0 B0VB|Dp

MPHA MUST REtEIVE

BACKBY 9/30/10:
1. Pages Zthrough Zof tis
o completely flled
out and sined
<. Proof of a current rentl
license for te proper
(or rt for fee)
AFTER THE PASED
INSPECTION:
Send a signed cpy of te 1
year lease H Dleas
amount, utlit rensibilit
and efecve dates (1s or
J5 depnding on passd
insption dat)
`

Sincere|y,

MINNEAPOLS PULIC HOU5INUAUTHOR

O|C|By oCD
C|gD\yCCD0C0
|DU5Dg LDOCBVDUC0BffDg|
OI~O~Ib
bscod@m_|s_ha.or_
WHEN YOU RECEIVE THE
HAP CONTRCT (APPROX
4 DAYS AFER LEASE
UP), YOU MUST SIGNAND
RETURN J BEFORE
PAYMElTS L BE
RELESED.
1 001 WASHINGTON AVENUE NORTH MIN .OLIS, MN bb401-1|I43 PHONE: {12}J42-1400F `12)3J4427 WWW.MPHAONLINE.ORG . .
EQUAL H, .ING OPPORTUNITY - EQUAL EMPLOYMENT OPI FUNHY
'
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 8 of 37
J~ t
+- ., ,
|RbRAN LbbLMAL R WMLR
JIw
Attached is a pack minforll tion for you to complete If you oe planning to lea a unit to a Sction d Houin CO
Voucher Participant. For further Information an Ownrs Mis avilable on our website, WWW.N^LC.bor
you ma cntact us at 0c-c~to hae maild to y.

followin esential programmtic information is also contand in th OWNER MANUAL We thught Gimpotat to
hghgtsome of Mbasic ps ing procedure hee. Tsdocumen also povide cerificaion, when yu sign lT,m
Ownr, you are nt the prent, child, grcm,gandchild, sister, or broher of mMWof th Section d
Particips famil. This m b rurn with the re mthe complete m|gpaprs.
Oemm
Cit of Minneapolis requires tht all rntal properties b licened. MPHA Sion d will nt aprove a l areement or
sign a Huin Assistace Pament Contract (HAP) unles the unit mrental licene until ymmapplied to the Cit for a
provisional lic {5intions within this packet)
MPHA Section b Rental Assistae canot begi n until the unit pase a Housin Qulity Stndads (HQS) inpection Rental
mHsbsidy bgins on the or mof mmonth. If a eicip into your unit bore the u
inon an the subid bnsthe pawill mribl _mpinthe full rent ofth unit.
The Hoin Choic Vouch Prora require that th Section d Prora detenine the affordability of the rental unit. It
is possibl WSection dwill contact yo to neia the contract rent Hit doe't MHUD's affordalit pon for
th participant;

A cop of a 1 yeJpoposed lee mut be submitted with the atached movin paps. A proposd leae m cmpletd
minlude: all occupas' unit adess, contact rent, secrity deposit 11 nt, M lee tems. It must also identify
wht utilitis Ce paid b you, the ownr, and wha utilities will b pid b th prticipa (your ptential tenGt). Incled in
the moving ppers is a cop of HUl's Tenac Addendm. Ple read H. This Add will beome a pat of your Le
with the pacipant.
The utilities wcntc rent written in the lease mbe the a th utilities and contract Mamount you fill mon
th for Tform (RTA).
.
When the unit pase Inspction ad rent calculaions mdetermined, the Lease ond th Housing P Sm Pas
Conrac (HAP) will execued. Pamnt can t b reled until MHA Section d has a execute Land signd HAP
Contract.
Sction d Participnts p the same secrity dpsit amonts tha ywould charg to non-Scion dPaticipat. (Dama
o anpidM1 the rpnibilit of th paticipat/tenant.)
,.
6 is an intial _s_de_of the first checsent to ownrs on. DWW leae. Te subsequent Housing Assist
Pas to Ownrs maled timely. Usuall paymes ae POon the 1$ of Mmonth; there ae occaionl
occtre when the 1s of the rnth dliver is not pssible. We will Mever effort to deliver quickly.
Jmm
Fw_sign mrn these

-*..',, , , , ,,, , .

P < Rental Ucene - RETURN YOU LCL

. L~bePaint Disclosure
P.6: Staement of Propert Ownership
P.7: Tenncy Addendum Certification
CemD4ofIon
@thee for mrecords:

@.b-c Tenancy Addendum

,
Pp:115: HQS Inforrion
,

Pp. 16-17: Lad Paint Information

protecting yfamily from <nyour hme"

EA pamphlet
b H W c( 1mT the Owr m the rnl p~pm J O m a pn1, mM, gdpen1, gmhiId, ,
m1mr o1m member of the =mM b FmcIpz family.

,- .
Signer [ate
1001 WASHINGTON AVNUE NHMIN!'POUS, MN 5401-103 PHONE: (612) 32-1400 FA (612) 3Z W .MPNINE.ORG
EQUAL H ING OPPORlUNIT -EQAL EMPLOYMEN oppr-T\NllY
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 9 of 37
\-\ l _
.

' -
n 0 1 u o r : 1 Y

WARNING: SO I03OF TE OF TE U.S. CE ME IA CMINA OFFENSE MAE WUW

FALE SATEMENT OR MIRPRNATONS TO AN DEPARMENT OR AGENC Of TE UNID SATATO
ANY MATER WIN JURSDICION.
mMpeHOnempJAumodUon
Rearding WU ,, @@@@
(Name)
Rent Proprty Addres: 4
I/e Delar T R@m@@Wm_
Name:
Adrs:
_a~< C~1
Name:
] c- Ad rs :
Ot, 0 Z _- _ b=P
Hm.
F

HI|.
= ~ J F '
H
L J
f.
EHI|.
OWshuldb Pd M \~S = V
\
If A Os Auzd AetManager/Realtr/P o Atr, et
J
(wMMOH|AWQ
**e flloing Indivul/agen is designatd B my/o authorzd rprentt and is autoz 0ac O my/or U1
wUindudes sgnin kOcntac, and any pertnent dont relatng t te renl o te abe .
X
ut7
` -**Ple compbowifce-mailing addresJs diM-
Name:
Pne:
Addrss:
Qt, St, Zip
I5 kmHmm5u0l0QUC5erpuClOmmlIn0UdHClA mDcef.
A slgnmW~9,WmpgUUeIR, lsupmtUrles 0fbnypamenU

Z-
ignatr ODOf Signature Ooner Dat
1001WANG1CNAUENRTv|NN-OS,vN51-10 PHNE: (012)M2-1400FA(0I2)3 Z w .MMCNN.OG
EQLH INOFFOHTNIT-EUL EPEN CNu
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 10 of 37
CDdD@AOOCDdu0 LCd|hOUOD
J
O HU|BQUlB5Ul |DBQ DW0Bl5 3 D G 5Z64!-AUUB|B5BWU0y DC0
0 0B bO0 NDU0g LDDOVDUCDBfHg|0 {Z4L 98Z.I5Z{){J)).
O MH WLNPY 0 DW0BlWDDRS0ceMD 5Z541AD DBBP UB0 D
UB|BB.
O E5BSglDBOODDDBDW 0|BDH 0lDBbP H DWO.
O ODWD0 HUG 5Z54!-A UB ||nkDBDW
hdQ._w.gaOn||ne. p26Ja.Qdf
LbHfLN
, l DWB|

|
ONE)
DlDBD
| ~
c

WDU00 _~" ^
DAT
101WAINGTON AVENUE NORT MINWOUS. M01-104PH: (1Z)3Z-1+0 FA: (012) WW .MHNUNE.ORG
EQUAL : SING OPPORTUNITY -EQUAL EMPLOYMNT OPF UNITY
. ..... ...
.
\

J
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 11 of 37
0I/! !/20JI
TAMIK S AEN-ZERWS
3821 RUSSEIAVN H
MINEPOLIS, N 554!2
Re: Rent Change Notcaton
Te processig of your Secton paperork has bee completed. Te changes show below m
efect 10/06/2010.
Te flowg uW brekdown of te rent amout:
LOntract Bcnt: $I0b0.00
MAOmt : $6.00
cmtAOmt: $8I.00
Hyou have questons conce te deteton of your porton, please feel cto contact me at
te number listed below.
Sinceely,
mJ1LL15FLUL1L1L151GA1L8
Kst Clayson
Elbit Techn
Se8Prog

(612)342-1409
cc: Pacpant Fie
DENNIS L CHIST
1 001 WASHINGTON AVENUE NORTH MINNEAPOLIS, MN 55401-1 043 PHONE: (612) 342-1400 FA: (612) 335-4427 W.MPHAONLINE.ORG
LQUPL HOUSING OPPORTUNIT - EQUAL EMPLOYMENT OPPORTUNITY
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 12 of 37
Housing Assistance Payments ContraOt
(HAP Contract)
U.B. OepaMment of Hou5ng
and UOan DeVelupment
Ofce OlPublic and Indian Housing Section Tenant-Based Assistance
HousingChoice Voucber Program
M
PaftAOfte HAP COntfaOt! COnt|aOt I nfOfmat|On
1 . Contents of Contract
Z.
3.
This HAP contract has three pars:
Part A: Contract Information
Part . Body of Contract
Part C: Tenancy Addendum
Tenant:
Contract Unit:
TAMI KA ALLEN-ZERWES
ZJ RUSSELL AVE N P
MINNEAPOLIS MN bb4JZ
4. Household
.
.
1.
The following persons may reside in the unit. Other persons may not be added to the
household wihout prior written approval of the owner and the PHA.
TAMIKA ALLEN-ZERWES, DARREN D ISAACSON, ZOE U ALLEN-ZERWlS, JACY C
REYES
Initial Lease Term:
The initial lease term begins on (mm/dd/yyyy): J bZJ
The initial lease term ends on (mm/dd/yyyy): 8ZJ T

7
Initial Rent to Owner
p //

The initial rent to owner is $ J b.

During the initial lease term, the owner may O\ raise the rent to the tenant.
Initial Housing Assistance Payment
The- HAP CDD|06RCD0PC0SD0the firstday ot the initial SSS 10R. Atthe-beginning
Othe HAP contract term, the amount of the housing assistance payment by the PHA to the
owner is $ 88. month. The amount of the monthly housing assistance payment by the
PHA to the owner is subject to change during the HAP contract term in accordance with HUD
requirements. TENANT RENT IS $ J.
Previous editions are obsolete Page 1 of 1 0 VU HU-bZb41 (3/2000)
tc!HdbookT420.&
CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 13 of 37
TENANT: TAMIKA ALLENZERWES
d. Utilities and Appliances
The owner shall provide or pay fr the utilities and appliances indicated below by an "O". The
tenant shall provide or pay fr the appliances indicated below by an "T". Unless otherwise
specifed below, the owner shall pay for all utilities and appliances provided by the owner.
Item
Heating
Cookng
Water Heating
Other cctIc
Water
Sewer
Trash Collection
Air Conditioning
Refigerator
Range/icrowave
Other (specif)
5gu8tutc8
Public Housing Agency:
Natural Gas
Natural Gm
Natural Gas
Electric
Other
Other
Other
Minnepolis Public Housing Authorit
. )
SECTION 8 ADMINISTRATION
Frmtcr@^mf ciSigator _
|
' _
U
Dcg
H|OV|OuSOd|t|ODSa|O OOSO|OIO
Speify fuel qpr Provided by
Owner
DENNJS CHIST
Sigtue
Pt0I @^0e 0b@MoQ
/ l -_
Dc (m//Y !
Uuct D8me
DENNIS CHIST
228TH STN
SCANDIA bb1
Paid by
T

T
T

HagOZ OI 10
O|m HU<Zb41 (3/2000)
ref HdbookT4?.B
i
'
.
Housing Assistance Payments Contract
(HAP Contract)
Section Tenant-Based Assistnce
Housing Choice Voucher Program
PartBofHAP Contract.BogofCootract
. Purpose
a. Tis is a HAP cntract bew n te PHA ad the
ower. Te H cntract is enterd to provide
assistace fr the family under te Sion 8 voucher
program (see UU prgrm rglaions at
24 Code of Federal Regulations Part 982).
b. Te HAP contract only applies to the household ad
cntract unit spiDed in Par A of the HAP
contract.
c. Ding the HAP cntract ten, the PHA will pay
housng asistac payment to the ower in
acrdance Wthe H0onm0l.
d. Te family will reside in the contact unit with
assistance under the Section 8 voucher prgam. The
housing assistnc payments by the PHA assist the
tenant to lease the contract unit from the owner fr
occupancy by the faily.
2. Lase of Contract Unit
a. The ower has led te cntract unit to th tenant
fr occupacy by the family with assistance under
the Section 8 vouche program.
b. The PH has appove lasing of the m! in
accordance with requirments of the Section 8
vouN6rpK.
c. Te lease fr the cntract unit must include wr
fr-word all prvisions of the tenanc addndum
requird by HU (Part C of the HAP contract).
d. Te ower m0!
( I ) The ower and the tenant have enteed int a
lea of th contract uit Ml includes all
prvisions of the tenB cy addendum.
(2) The lease is in a standard for that is ued in
the )( lit by the owr and tat is genel
usd fr other unaisted tenat 0 0
prmises.
(3) The lease is cnsistent with Stte and local
law.
e. Te ower is rspnsible fr srening the family's
behavior or suitability fr tenancy. Te PHA is not
responsible fr such screning. PHA has W
liability or respnsibility to W ower or other
persons K1 the family behavior or the faily's
cnduct in tenancy.
J. Maintenance, Utilitie, and Other Srvices
a. Te owner must maintain te cntract unit M
premises in accordance with te housing qualit
mmQS).
b. Te owner must prvide all utilities N d k
comply with the HQS.
c. If the ower dos not mintain the cntact unit in
accrdance with mc HQS, or fails w prvide all
u1ll!8 neded R comply with the HQS, the PHA
may exercise ay avoilabl rmedie. PHA rmedie
||0V0080|0 0M M00I0
U.S. 08O0B of H0W0
800UD80V0000
Ofce of Public and India Housing
fr such brach include rvry of overpayments,
suspension of housing assistanc payment,
abatement or other rduction of housing assistnc
plnls, tenination of housing assistac
payments, and terination of the H cntact. Te
PH may not exercise such rmeies against the
ower becaus of an HQS brh for wich 0
family is Dspnsible@ and that is not caused by the
ower.
d. Te PHA shall n0t mae ay housing asstnce
payments if th contact unit does not meet the HQS,
unless the ower crcts the defet within the
period specife by the PHA ad the PHA verifies
te cr ion. Tf a defct is life threatening, the
ower mus crrct the defect witin no more tan
24hour. For oter defects, the ower must corrct
the 00l0O w0n 00pO0d spcifed by the PHA.
e. Te PHA may inspct te contct unit and prmiss
at such tims the PHA deterines necessar, to
ensure that the uu1 W in accrdanc with the HQS.
L 1 PHA must notif the ower of ay HQS defects
show by the inspion.
g. The owr must provide all housing src d
ag d to in the lea.
4. Term of HAP Contract
Hlal0a to la8c lcrm. Te ter of the HA
contac begins on the frt day of the ini1ial Nm of
te lea, ad terinates on the IM day of te term
of the lease (including te initial lease term and any
exnsions).
b. Wen HAP contct terminae.
agc4 of I 2
( I ) The HA cntact trminaes automatclly
te leae Is terinae by the ower or the
Km!
(7J 1 PHA may tninatc' program asisanc
fr the family fr any grounds autorizd in
accordance with H requirmnts. If the
PHA terinates prgam asistanc fr the
family, the HAP cntract terminas
automatically.
(3) If the family moves fom the contract unit, the
Hcntact teninates automatically.
(4) The HA cntract terminats automatically 1 80
calendar days afr the la housng 1Wistanc
p1yment to the ower.
(5) Te PHA may teminat the HAP cntct if
the PHA determins, in acordanc w H
requirent, that available p fnding is
not mcient w sppr cntinued assistance
'fr fmilies in the pram.
(6) Te HAP cnt terinates automaiclly upn te
death of a single member huhold, including single
member households with a live-in aide.
KmHUDW1 {8
ml NB0004.
(7) Te PHA may 1crmU80 00 HAP cntact if the
PHA detenines 0the contract unit doe not
provide adequate spac in manc wit te
HQS bcause of an incrae in family size or a
change in family composition.
(8) If the Nmily breaks up, the PHA may tenninate
the HAP contract, or may ntinue housing
assistace payments on bhalf of family membrs
who Imain mthe contract unit.
\I
Te PHA may teminate the HAP 0hm if t
PHA detenins that the unit does not meet all
requirements of the HQS, or 0tWi0es that t
owefhas oterwis breached the HAP contract.
3. PrewrIeusadymeutlerUtiIItierzndAppliances
a. 0 I0880 must spcif what utilities W to be provided
or paid by the ower or the tenat.
b. Te lease must specif what appliacs are to be pro
vided or paid by the ower or the tenat
c. Par A of the HAP cntrac spcifD what utilities 8
pl8Rs N lo be provid or paid by the owner or
the tenant. The leas shall b consistent with the HAP
cntct.
0 Rent to Owner: Reasonable Rent
a. Durng the HAP contOc tcnn, the rnt to ower may at
no tim exceed the rsonable rnt fr te contact uit
as most rcntl determine0 or rdeterined by the
PHA in accordac with Hrquirements.
b. PHA must deterine whethr the rnt to owner is
raonable in cmpn to rent for oter cmparable
unassisted units. To mae this determination, the PHA
must cnsider:
( I ) Te locaton, quality, size, unit typ, and age of
the cntraclmand
(2) Any. amenities, housing services, maintenac
and utilitie prvided and paid by the owner.
c. Te PHA must redeteninc the rnable rent when
required in acCrda with H requirements. The
rH may redetermine the rasnable rnt at any time.
d. During 0 HAP contract tr, the rnt to ower may
not elcced t0al charged by 0 owner fr comparabIe
un W u0U n 0 premiss. The ower must give
the PHA ay infrmation rud by the PHA on
rents charged by the ower fr other units in the
prmises or elsewhere.
1. PHAPaycutte Oucr
a. Wmpaid
I!) During the tn of te H cntct, th PHA
must make monthl housing assistace payment
t te owner on bhalf of te family at te
gBBBgoeach month.
(2) PHA must pay housing assistanc payments
promptly when due to the ower.
(3) If housing asistac payments not paid
promptly when due aer the ft tw calendar
monts of the HAP cntrat term, the PHA shall
pay the ower penalties if all of the fllowing
circumstancs apply: (i) Such pnNties B in
acrdanc with generally accepted ptics 8
law, dapplicable i the Io08I housing market,
H|VI0d8 6lIoD8 8l0b80lI
governing penalties fr lW paymCt of rnt by a
tenant; (ii) It is the ower's prctice to charge
such pnaltie fr assisted Wld unasisted tenans;
and (iii) Te ower as charge such pnalties
aginst the tenat for late payment of family rnt
to owner. Howver, the PHA shM not b
obligated to pay any late paymnt pnalty if HUD
deterines that late payment by the PHA is due
to factors byond the PHA's cntrl. Morever,
the PHA shall not be obligated to pay any lat
paymnt pnalty if housing asistance paymnts
by the PHA are delayed or de0ie as a remedy for
ower breach of the HAP contWct (incluing any
of the fllowing PHA rmedies. mWQ o!
0Vcq800 suspnsion of housing MW
payments, abatement or reduction of housig
assistanc payment, termination of housing
assistanc paymnts ad terination of the
contract).
(4) Housing assistanc paymnts shall only be paid
to M ower while lh0 fal is rsiding in the
contract unit during the ter of the HAP contact.
Te PHA shall not pay a housing asisace
pment w te ower fr ay month afer the
month whn the family move out.
b. Owner compliance with RAP contract. Unless the
ower has cmplied with al provisions of the 1A
. contct, m ownr dcs not have a right to rceive
housng asistce payments under the HAP contract.
c. Amoant of PHA payment to owner
(l) Te amount of mnthly PHA houing
asisc pyment to the ower shal b
determine by PHA in accrdance with HUD
requirmnt fr a tnancy under te voucher
progra.
(1) 1 amount of the PHA huing assistance
payment is subject to change during the H
cntract term in 8m80 w HUD
rquirents. The PHA must notif the family
and the ower of ay changes in the amount of
the housing a istanc paynt.
(3) The housing asistanc pyment fr M frt
month of the HAP contact' term shall b pro
rted fr a parial month.
d. Application of payment. monR!y housing
aw8lance pym0nl shall be crdited against the
montly rnt to ower fr te contact unit.
e. Limit of PHA reponsibility.
| I
0 PHA is only rspnible fr making housing
asistanc payment to the owner in acoorance
with the H cntc ad Hruirement fr
a tenancy unde 00 voucher pr.
(7)
Te PHA shall not pay ay prion of the rent k
owner in excess of the housing assistance
pament. The PHA shall nlpQ ay other claim
by the ower agains te family.
l Overpayment to owaer. ! the PHA deterins that
the ower is not entitle to the housing assistance
pament or any par of kthe PHA, in addition to other
remedies, may deduc the aount of the overpayment
fm any amounts due lhe ownr (including amounts
due under ay other Sction 8 assistac cntct).
8. Owner Cerfcation
8gc o l 2
oHDW1 {80}
M MBP0000h 14.
During the term of this contrct, the ower cerifes that:
a. ower is maintaining the cntract unit ad prmis in
acrdance WWte HQS.
b. Te contract unit is leased to te tenant Te leas includes
te tenancy addendum (Part C of te H contract),
and u in accordance with the HAP cntact ad
progra rquirments. ower has prvided te
lease to the PHA, including any revisions of the lea.
c. Te rnt to ower does not exced rnts chaged by te
ower fr rental of comparable unassisted units in the
premises.
d. Except r the rent to ower, the owner has not
received and W not receive any payments or other
consideration (fom the family, the PHA, H, or any
other public or private surce) for NW of the contract
unit during the HAP contact ter.
e, Te family does not own or have any Interest in the
contrac unit
! To the bst of the ower' s kowledge, the member of
the family reside in the contract unit, and the unit is te
family's only rsidence.
g. Te ower (including a principal or othr inte
pary) is not the parent, child, gndpat gandchild,
sister, or brter of any membr of the fmily, ules
te PHA ha determined (ad has notifed m ower
and the family of such determination) that aprving
rntal of the unit, notwithnding such rlationship,
would provide rasonable accmmodation fr a family
member who is Uprson with disabilities.
V. Prohibition of Discrimination. In 80008h06 WH
applicable equal opporunity statutes, Executive Oers,
and regulations:
a. The ower must not discriminat against any peron
bcaus of f clor, religion, sex, national origin.
age, familial status, or disability in connection with the
Hcontract
b. Te ower must co prate with the PHA and H in
conducting equal opportunity complianc reviews and
cmplaint investigations m Omcon with the HAP
contract.
!0. Owner's Brech of HAP Contract
a. Any of the fllowing actos by the owner (including a
principal or other inted party) is a brach of the
Hcntct by the ower:
(I) If the ower hu violated any obligtion under the
HAP cntact, including te ower's obligation
to maintain te unit in acrdac with the HQS.
(2)
If the ower ha violatd any obligation unde
any other housing asistance payments cntact
under Section 8.
(3
)
If the owner m cmmited fraud, bribry or any
other or criminal act in cnnection with
any Federl housing 8N prgram.
(4) For projects with morgages insured by HD or
loans mde by H, if t ower has filed to
cmply with te regulations fr the applicble
mortgage insurance or loa g, with the
mortgage or morage note, or with the
rgulatr agre ment; or if the ower has
cmmitted fud, bribr or ay other crpt or
criminal act in connectin w the mortgage or
loa.
Previous editions 0M obsolete
(5) the ower ha engaged in ay drg-related
criminal avi or ay violent criminal acivit.
b. If the PHA determines that a brach has occurd, the
PHA may exercise any 0its rights 8remedis under
te HAP contct, or any other available rigt and
remedies fr such breach. Te PHA shall notif the
ower of such detrination, including a brief
statemnt of 0 rons for the deterination. Te
notic by th PHA to the ownr may ruire the ower
to take crcive ation, a verifed or deterined by
the PH, by a dealine prscribd mnotic.
c. The PHA's rights and rmeies fr ower brach of the
H contract include rcver of overpayments,
suspension of housing assistance payments, abatement
or other rduction of housing assisanc payments,
tennlnation of housing assistnce payments, and
terination of te H cntract
d. The PHA may sek ad obtain additional rlief by
judicial orer or action, including spcifc perforanc,
other injunctive rlief or order fr damage.
e. Even if the fmily continues to live in the cntract unit,
the PHA may exercis ay right and remeies fr
ower breach of the H cntract.
f. Te PHA's exercise or non-ex of any right or
rmdy fr ower brch of the H contract u not a
waiver of the right to exercis tat or ay other rigt or
rmdy at any time.
. PHA and HU Acces WPremise and Owner's Records
a. Te owr must prvide any infrmation perinent to
the H cntact that the PHA or HU may
raonably requir.
b. Te PHA, M and te Comptroller Umm of the
United States shall have hII and m access to the
contact unit M the prmises, M to all accunts and
other recrds of te ower that m rlevant to the H
contact, including te right to examine or audit the
recrds ad to make cpies.
c. Te owner must gnt such accsto omputeriud or
other electrnic rcords, ad to any computer, equip
ment or facilities cntaining such records, and must
provide any infnnation or asistance neded to acss
the rcords. "
!2. Exclusion of Third Party Riht
a. 1fmily bnot a pwor tird bnefciar of
Pa B of the H contact. 1 family may not
enforce any provision of Par B, and may not exeris
any right or rmedy agains the ower or PHA under
Pe B.
b. Te tenat or the PHA may enfor U tenancy
addendum (Pa C of the HAP cntact) against th
ower, ad may exercise any rigt or rmedy aginst
the ower under te tenancy addendum.
c. Te PHA does not assume any rsponsibility !minjury
to, or ay liabilit to, any prson injure as a rult of
te ower's action or failur to 8 in cnneion with
maagement of the cntract unhor the prmise or with
lmlemton of te HAP cntact, or d a rsult of
any othe ation or failur to mthe ower.
d. Te ower is nt the agent of PHA, and the H
contr 0 not crat or afec any rlationship
b n the PHA and any lender to the ower or any
suppliers, employees, contctor or subontctor
usd by the ower in cnnection wmanagement of
ag0 b Ol I 2
l HUD<ZM1 (WO9)
Handbk 4
the contact unit or te prmis or with
implementation of the HAP cntract
!J. ConDict of lnterest
"Coverd individual" meas a person or entity who is a
member of any of the following classs:
(I ) Any present or frmer member or oficer of the
PHA (except a PHA commissionr who is a
paicipant in the program);
(2) Any employe of the PHA, or any contactor,
sub-contactor or agent of te PH. who
frmulates plicy or who influncs decisions
with rspt to te prgram;
(3) Any public ofcia, membr of a goving bdy,
or Stae or 0w legslator, wo exerciss
fnctions or rspnsibilities with rspct to the
program; or
(4) Any member of the Congress of te Unitd
States.
b. A coverd individual may not have any 0H or
indirect interst in the H contract or in any benfits
or payment under the contract (including the interest
of an immediate fmily member of such cvere
individual) while such persn is a covered idividual or
during one year therafer.
c. Immediate fmily membr" means the spus, parent
(including a stepparent), child (including a sepchild),
grdparent, grandchild, sister or brther (including a
stepsister or stpbrther) of any covered individual.
d. The owner crtifes and is respnsible fr asuring that
no pron or entity has or will have a prhibited
interest, at execution of the HAP cntact, or at any
time during the H contract ter.
e. a phbWintrt occurs, owr 8R8l|KBD]
ad flly disclose such interst kthe PHA and H.
f, The cnflict of interest prhibition wider this scion
may be waived by HUfeld ofc for good cus.
g. No membr of or delegate to the Congress of the
Unite Stats or residet cmmissionr shll b
admitted M ay shae or par of t HA cont or to
ay benefts wich may ae fom it
14. Assignment of the BAPContract
a. Te ower may not asign the HAP cntract w a new
ower wthout the prior WBconsnt oftbe PHA.
b. If the owner rquests M consnt to assign the HAP
contract k a new owner, the owner shall supply ay
infrmation a requird by the PHA pertinent to the
prpsed assignment.
c. The HAP contract may not be assigned to a new owner
that is debar d, suspended or subjec to a limited
denial of participation under HU rgulations (see 14
Code of Federal Regulations Part 24).
d. Te H cntact may not b assignd to a new ower
if HUD has prohibited sch a ignment bcus:
(I ) Te Federal govement ha instituted a
administrative or judicial acion aainst te
ower or proposed newower fr violation of te
Fair Housing Act or other Federal equal
opprtunity rquirments, and such action is
pnding; or
(1J A court or administrative agency has determined
tha the ower or prpsed new ower violate
MV|Uu860|l|U08 0M 0MU6l6
the Fair Housing Act or oter Fer equal
opprtunity rquirements.
e. Te H contact may not be assiged to a new ower
if the new ower (including a prncipal or other
interted p) is m parentg child, grandparent,
gdchild, sister or brter of any member of the
family, unless the PHA has deterined (and has
notified the family of such deterination) that
approving the Wsignment, notwiding such
rlationship, wuld prvide rsonable aconodation
fr a family member who is a persn wit disabilitie.
L Te PHA may deny approval to assign th HAP
contract if the ower or propse new ower (including
a prncipal or oter intesd p):
(I) Has violated obligatins undr a housing assistace
payments cntct under Section 8,
(2) Has commited faud, brbr or any other crrupt
or criminal in connection with any Federal
housing prgrm;
(3) Has engaged in any drglate criminal activity
or ay violent criminal acivity;
(4) Has a histor or practice of non-compliac with
the HQS for unit lease under the Section 8
tenant-based prgrams, or non-mpliance with
applicable housing standards fr uit leasd with
project-based Section 8 assistanc or fr m:U
leasd under any other Fedral housing prgram;
|"
Ha a histor or pracice of fi ling to terinate
tenancy of tenants assisted under any Federlly
asiste housing prgram fr activity engaged in
by the tenant, any member of the houshold, a
guest or another person under the control of ay
member of te household that:
(a) Treatns the Dght w pacfl enjoyment
of the premis by other rsident;
(b) Tatens the healt or safet of other
rsidnts, of employees of the PHA, or of
ower emloyes or other prsons engage in
management of the housing;
(c) Tretens te he or sfety oi QI 0
right to pacfl eaoyment wtheir rsidents
by, prsons rsiding in the i0 eiat vicinity of
the prmise; or
(d) Is drg-related criminal activity or
violent criminal activity;
(6) Has a histor or practice of renting unit that fil to
met State or local housing codes; or
(7) Has not paid State or local ral estte taes, fnes or
assssments.

The new ower must agree t b bund by and cmply

with the UA cntrct4 Te aement mW be in
writing, and m a fr acptale to te PHA. The new
ower must give the PHA a copy of te exected
agrement.
3. Foreclosure. In the ca of ay forclosur, the immediate
successor in interst in te propry pursuat to the freclosur
shall asume such interst subject to the leas between mprior
ower and the tenant 0to the H contract beteen te prior
ower and the PHA fr the ocupied unit. Tis provision dos not
afct ay State or local law that provides longer time periods or
other addilional protections fr tenant. This provision will sunset
on Dember 31, Z0lZ unless extended by laW.
?8gc7 ot I 2
l0H-0W1 (M9)
Rl H0000K14Z.
. . .
:-: :':

: ...
1 6. Written Notice. Any notic by the PHA or the owner
in cnnection with tis contact must b in witing.
1 7. Entire Agreement: Interpretation
a. Te HAP cntract contains the entire agrement b!w
te ower ad te PHA.
b Te HA cntract shall b interpred and implemented
in accordanc with all statutor requirments, and with
all HU rquirments, including the H progra
regulations at 24 Code of Federal Regulations Par 982.
Previous |are obsolet
8gc8 o I 2
kHUU-W1 (N)
ml Handbook 4.
H0uSlngSS|B!ncB PaymBntS0n!fC!
(HAP Contract)
Section Tenant-Based Assistnce
Housing Choice VoUcher rf0@fum
YarlLofHAELontract: 1cnancyAddcndm
, Section Voucher Program
a. Tbe owner is leasing 0 contract unit to the tenant
fr occupancy by M tenant's family wit asistance
for a tenancy under the Section 8 housing choic
voucher program (voucher prgram) of the United
States Dparment of Housing ad Urben
Development (HUD),
b. The owner hos enterd m a Housing Assistanc
Payment Contract (HAP cntct) wth the PHA
under te voucher prgram. Under the H
contract, the PHA will make housing assistanc
payments to the ower to asist te tenant in lesing
the Wit fm the owe.
2. Lase
The owner has given the PHA a copy of the lease,
including any revisions agreed by the ower and the
tenant. 1ower cerifies that te terms of the lease
W m acordanc with an provisions of the HAP
contract and that th lease includes te tenancy
addendum.
b. The tenant shall have 0 right to enforce the
tenancy addendum against the ower. If ther is any
conflict betwen m tenancy addendum and any
other provisions of te leas, te language of 0
tenancy addendum shall control.
J. Use of Contract Unit
a. During the lea ter fmily will ride in the
contact unit wit asistoc under the voucher
progra.
b. The cmpsition of the husehold must be apprve
by the l1. Te family must prmptly infor 0
PHA of te birth, adoption or cu-awarded custody
of a child. Other prsons may not b added to the
houshold withou prior written apprval of the
ower and the PHA.
. The cntract unit may only be used fr residence by
0 Pl--apprved household members. Te unit
must b the faily's only rsidence. Members of the
household may engage in legal proft making
activitie incidental to primary use of the unit fr
rsidenc by membrs of the family.
d. Hctenat may not sublease or let the unit.
e. The tenat nay not assign the lease or tansfer te
unit
4. HMIt Owner
B Te initial rnt to ower may not excee te aount
apprve by the PHA m mmm with HU
requirements.
b. Change m the rent R ower shall be determined by
the prvisions of th l0. Howver, 0ower may
not raise the rnt during the initial term of the leae.
||BVUu8 B0|08 SM0b80MB
U.S. Deparent of Houing
and Uran Dvelopment
Ofice of Public and Indian Houing
c. During the tenn of the le1 (including the initial
term of the lease and any extension ter), the rnt to
ower may at no time exced:
|I) The rasonable rnt fr the unit most
rcntly dtermined or redeterined by the
PHA in accordanc with H rquiremnts,
or
(7J Rent charged by the ower fr cmparable
unassisted units in the premises.
J. Family Payment W Owner
a. The family is rsponsible fr paying the ower any
portion of te rnt to ower that is not coverd by
the l1 housing assistanc payment.
b. Each mnth, the l1 will make a housing
assistac payment to the ower on behalf of the
family in accrdanc with the HAP cntract. The
amount of the montly housing asistanc payment
will b dctnnined by the ll1 in accrdance with
HUD rquirmnts fr a tenancy unde the Section 8
voucher prgram.
c. The mnthly husing assistanc payment shall b
credited against the monthly rnt to owner fr the
contract unit.
d. The tenant is not rponsible for paying the prtion
of rent w ower coverd by the PHA housing
assistnce payment under te HAP contact betwen
the ower and te PHA. A PH filur to py the
housing assistance payment to the ower is not a
violation of te lease. The ower may not terinate
the tenanc for nonpayment of the PHA housing
assistanc pament.
e. The owner may not charge or accept, fom the
family or fm any other surc , any payment fr
nM of th unit m addition to the rnt to ower. Rent
to owner includes all housing seics, maintenance,
utilities and appliances to b ptovided and paid by
the ower in accrdac with te lease.
f. Te ower must immediately rtur any excess rent
payment to the tenant.
6. Other Fees and Charge
a. Rent to ower does not include cst of any meals or
supprtive serics or fritur wich my be
providd by the ower.
b. The 0W0I may not rquir W tnant or family
members to pay chages for any meals or supprtive
srices or furiture which may b prvided by the
ower. Nonpayment of any such chares is not
grounds fr tenination of tenacy.
c. The oWc may not chare the tnant extra amounts
fr itm cutomarily included in rent to ower m
the locality, or prvided a O additional cost to
unsubsidized tenat in the premises.
7. Maintenance, Utilitie, and Other Serice
a. Maintenance
agc of l Z
mm HU5W1 (N )
R Handbok 7420.8
(I) Te ower must maintain the unit and prmises
in accorance with the HQS.
(2) Maintenac and replacment (including
rdecoration) must be in accrdanc with the
stndard pracice for the building conceed as
established by the ower.
b. Utilitie and 1ppliance
( I ) The ower must prvide all utilites needd to
comply with the HQS.
(1I Te owner is not respnsible fr d brach of
the HQS caused by the tenat's failure to:
( Pay for any utlities mW to b paid by
the tenant.
() Prvide 0 min any appliancs
that Wto be provided by the tenant.
c. Family d&m8g8. The owner |8 not respnsible for a
breach of the HQS because of damages byond
normal and tea caused by any membr of the
household or by a guest.
d. Housing serices. c oWct mut provide all
housing Da agred k m0c lese.
8. ttmB0 of Tenanc
y
b
y
Oner
- Reuirements. The owner may only terminate the
d.
tenancy in accordance with 0 lease and HUD
requirments.
b. Grunds. During the ter of the lease (te initial
ter of the lease or ay extension ter), the ower
may only terminate the tenancy bause of:
(l)
Serious or rpated violation of Wlea;
(2) Violation of Federal, State, or local law that
imposs obligations on the tenant in
connection with the occupacy or use of the
unit ad the prmiss;
(3) Criminal activity or alchol abus (as
prvided in paph c); or
(4) Other good cause (as prvided in paaph
d).
c. Criminal activity or 1lcohol 1bu.e.
( I ) Te ower may terinate the tenancy during
te tr of the leas if any member of the
houshold, a guest or another prson under a
resident's cntrol commits any of the
fllowing types of criminal activity:
(a) Any criminal activity that threatens the
helth or sfety of, or te right to
pecfl enjoyment ofthe prmise by,
other rsident (including prprty
maagement staf rsiding on the
premiss);
(b) Any crimnal activity that threatens the
health or sfty of or the right to
pecfl enjoyment of teir rsidnces
by, prsons residing in the immeiate
vicinity of the prmiss;
(c) Any violent cri minal activity on or near
the premiss; or
(d) Any drug-rlated criminal activity on or
ner the premiss.
Prvious editions are obsolete
8gc I o1I 2
.- ----.~~. . ... ....... .., ,,.. ,,., ,._..
(2) The ower may terminate the tenancy during
the ter of the leae if any member of the
houshold is:
(a) Fleing to avoid prsution, or custoy
or confnemnt afer oonviction, fr a
crime, or attempt to commit a crime, tat
is a flony under the laws of the plac
from which 0 individual fes, or MN
mthe W of the State of New Jery, is
a high misder; or
{b) Violating a condition of probation U
pale under Federal or State law.
(3) The ower may terminat the tenancy fr
criminal acivity by a household member in
acc with this sction if the ower
detre that the houshold membr has
comm th criminal activity, rgardless of
whther the houhold member has ben
arsted or cnvicted fr WOactivity.
(1) The ower may trminate te tenancy during
the ter of the lease if any member of the
houshold has engaged in abus of alchol
tha thrtens te halt, safety or right k
peacfl enjoyment of the premises by other
resident.
Other good c1as for termination of tenancy
(I) During 0 initial leas term, other god cuse
fr terination of tenancy must b someting
the family did or failed to 0.
(1)
During the initial le ter or during any
extension k , other good cus may include:
(a) Disturbanc of neighbrs,
(b) Dstrcton of prperty, or
(c) Living or houskeping habits that cause
damage to the uit or prmises.
(3) Afr the initial lea term, such goo cuse
may include:
(a) Te tenant's failur kacept the ower's
ofer of a new k.or revision;
(b) ower's desii K use the unit fr
persnl or family 1se or fr a purose
oter tan us a residential rntal unit;
OI
(c) A busines or economic reason fr
terination of 0 tenanc (such a sale of
the prpery, renovation of the unit, Ih0
ower's desir to rnt the unit fr a higher
rent).
|"J Te eampls of other goo cu in this
pagraph 0not pre mpt any State 0tlocal
law to the contrary.
| 1 0 te case of an ower who is imeiate
Wminteres plt to kr=|
, during the ter of the leas, rquiring the
tenant to vacate the proprt prior to sale shall
not cnstitut other good caus, excpt ta the
owner may trminate tenacy efective on
te dae of transfer of the unit to the owne if
te owner: (a) wll occupy the unit as a
primary rsidenc; and ) ha prvided the
tenat a notic to vacae at least 0days bfre
the efeive date of such ntic. Tis
lOHUD<W1 {N9)
rf Handbook 7420.8
provision shall not afct ay State or locl law
that prvide fr longer time priods or
addition protections fr tenants. This
provision will sunset on December J1, 1J
unles extended by law.
e. Protections rVictims of Abuse.
( I ) An incident or incident of actual or threatened
domestic violenc, dating violence, or stalking will
not b consd a serious or rpted violations of
te lea or other "goo W for termination of
te aistanc, tenacy, or occupacy right of such
a victim.
(I) Lm0N ativity dirtly rlating . to 80BM
engaged in by a membr of a tenat's household or
any guest or other pron under the tenant's
control, shall not b cause for terination of
assistace, tnancy, or occupanc rights I the
tenant or an immediate member of te tenant's
family is the victim or thratened victim of
domestic violenc, dating violenc, or stalking.
(3) Notwithstanding any rctions on amission,
occupancy, or tniatons of occupancy or
assis or any Federal, Stt or locl law to the
cont, a PH ower or maager may
"bifrcate" a leas, or otse rmove a
houshold member fm a leal, without regard to
whether a household member is a signatory to the
leas, in order to evict, rmove, trminate
occupancy right, or teninate assistance to any
individual who is a tenant or lawfl occupant and
who engages in ciminal acts of physicl violence
against family member or others. This action may
b taken without evicting, removing, terinating
assistac to, or oterise penalizing the victim of
the violenc who is also a tenant or lawfl
ocupant Such eviction, rmoval, termination of
occupany rigts, or terination of assistanc shall
b efete in accordance with the prure
prscribd by Federal, State, and local law for the
termination of leases or asistanc under the
housing choice voucher prgram.
(4) Nothing in this secion may b construed to limit
the authrity ofa public housing agency, ower, or
manager, when notifed, k honor Bn orers
addressing rights of ac<ess or cntrl of the
prpy, including civil prtetion orders isued to
protct te victim and isued to adrss te
distibution or pssssion of prprty among the
houshold members in cases where a fmily braks
up.
(5) Nothing in this sction limits any otherwis
available authorit of an ower or maager to evict
or the public housing agenc to terminat
assistace to a tenant fr any violation of a leae
not prmised on the act or acts of violence in
question against the tenant or a member of the
tenant's household, prvided thnt te ower,
maager, or public housing agenc dos nt subject
an individual who is or m ben a victim of
domesic violence, daing violenc, or stlking to a
more demanding standll'd than other tenants in
deterining whether to evict or terinate.
(6) Nothing in this setion ma be cnstrued to limit
the authority of an ower or manager to evict, or
the public housing agency to terminate assistance,
to any tnat if the ower, manager, or public
housing agency can demonstrate an actual and
imminent thrat to other tenats or those employed
at or providing srvice to the propry if the tenant
is not evicted or terinated fm asistanc.
(7) Nothing in this section shall b cnse w
sde any provision of m Feell l, Sor
locl law that prvides grter prtn than this
wO0h fr Y0l0 of domestic violenc, dating
violenc, or stalking.
f. Eviction by court cUon. The ower may only evict the
tenant by a cou action.
g. Owner notie of grunds
(I) At or bfre the bginning of a cour action R
evict tnant, the ower must give the
tenant a notc that speifes the gounds fr
terination of tenacy. The notic may b
included in or combined with ay owner
eviction notice.
(2) The owr must give te PH a copy of any
ower evicion noic at the sae tim te
ower notife the tenant
(3) Eviction notic meas a notic to vacate, or a
complain! or oter initial pleading used to
begin an eviction acon under State or locl
law.
. Lease: Relation to HAP Contract
If the Hcontract terinates fr ay reason, te lease terinates
automaiclly.
10. PHA Ter11ioatlo of A11istance
Te PHA may terinate program assistnce for the family fr ay
grounds authorized in acrdance with mrquirments. !the PHA
terinates prgrm asistane fr the falily, the leas terminates
automaticlly.
1 . Family Move Out
Te tenant must notif the PHA and the ower befre te fily moves
out of unit.
12. Security Depoait
B Te ower may M a M0wQ depsIt fm th
tenant. (Howver, th PH may prohibit te ower
fom cllectig a suity depsit in exces of
private N practic, or in excs of aoits
charged by the ower to unassised tenats. Any
such PHA-rquired rtricion must b spcifed m
the HAP contct.)
b. When the faily moves out of the contract unit, the
ower, subject to State and local law, may use the
security deposit, including any interest on the
deposit, a rimbursement fr ay unpaid rnt
payable by the tenat, any damages to the unit or
any other amounts that the tenat owes under 0
lea.
H|oV0u8 0N08 000Iole
@c l ! o l 2
l0HUD<W1 [N009}
RlBD000 7420.8
c. The ower must give the tenant a list of all ilcms
charged against the security deposit, and the amount
of W itm. Afer deductng te amount if any,
usd K reimburse the owner, m ower must
promptly refnd the fll aount of te unusd
balanc to te tenanl
d. 1the security deposit is not sufcient to cover
amounts the tenant ows under the leas, te owner
may collect the balance from the tenant.
1 3. Prohibition of Discrimination
In acordonc with applicble equal opprtunity statutes, Executive
Orders, and regulations, the ower must not discriminate against any
prson becuse of rac, clor, rligion, sex, national origin, age,
familial status or disability in connection wit the leas.
1 4. Connict with Other Prvisions of Lase
a. The terms of the tenancy addendum a prescribed
by HO in accordanc with Federal law ad
regulation, as a condition fr Federal assistnce R
the tenat and tenant's family under the Section 8
voucher prgram.
b. In of any confict bten the prvisions of the
tenanc addendum as requird by HD, Md any
oter prvisions of the lease or any oter agrement
be n the ower and te tenant, te requirement
of te HUD-rquired tenancy addendum shell
contrl .
1 S. Changes in Lase or Rent
d. Te tenat and the ower may not make any change
in the tenancy addendum. Howver, if the tenant and
the owner agree tO wy other changes in the lease,
such changes must 0 in witing, and te owe must
immediately give the PHA a copy of such changes.
Te lease, Including any changes, must be in
accordanc with the rquirements of the tenacy
addendum.
b. In the fllowing ces, tenant-based assistnc shall
not b cntinued unles the PHA ha approve a
new tenancy in accordance with prgrm
rquirements and ha executed a new H contrac
with the owner.
(I ) If there arc any changes in lease rquirments
govering tnant or ower rspnsibilities for
uti Ii ties or appliancs;
(2) lf ther ar any changes in lease provisions
govering the term of the leaie;
(3) If the faily moves to new unit, even if the
unit is in the 5 buildig or complex.
c. PHA aproval of the tenancy, and execution of a
new HAP cntract, ar not ruired fr ae
changes in the lease other tha as spcifed in
paph b.
d. The ower must notil the PHA of ay change in
the amoun of te rent to ower at least sixty das
befr m such changs go into efec, and the
amunt of the rnt to ower followig any such
agreed change may not exceed the reasonable rent
for te unit as most recntly deterined or
redetennined by the PHA lh accordance wit HD
rquirements.
!6. Notice
Any notic under the lea by te tenat to the ower or by the ower
to te tenant must be in writing.
!7. Defnitions
Contract unit. housing unit rnted by the tenant W
assistace under the pogram.
Family. The persns Wmay rside mte unit with assistanc
under the pg.
l1 contract. The housing asistac payments contract btween 0
PHA and 00ower. The PHA pays housing assistanc payments to the
ower in accordanc with the HAP cnt1 c.
Household. Te prsons wo may reside in the cntct \m0.
houshold consists of the family and any PHA-approved live-in aide.
(A live-in aide is a person who rides in the unit kprovide
neessa spporive seices t a member of 68mywho is
person with disabis.)
Housing quality standards (HQS). Te Uminimum
quality standards fr housing assisted under the Secion 8
tenant-baed prgram.
HUU. Te U.S. Departmet of Housing and Urban Dvlopmet
HUD rcgulrcmrnl#. HUD reuirements fo te Section 8program.
Hrequireents is e by HUD hcadquaners, rQl8u0,
Federal Register notic Orother bmO@progam direcive.
Leae. written age mnt between the ower and the tenat fr te
lea of the contc unit to 0tnant. leas includes the tenancy
addendum prscribd by H.
PHA. Public Housing Agency.
Prem!. 1building or cmplex in which the contract uit is
locted, including common aea and gro\ds.
Prognim. 1Section 8housing choice voucher progm.
Rent to owner. total mnthly rnt pable to 0 ower fr the
cntract unit Te rnt to ower is Msum of the prion of rnt
payable by the tenat plus t PHA housing asistance payment to
the owe.
Section 8. Section 8 of M Unitd Stoles Housing Act of 1937 (42
United States Code 1437f).
Tenant. The family membr (or memb) who leass 0unit !m
the ower.
Voacber program. 1Setion 8housing choice voucher prgm.
Under this prgr, m provides fuds to a PHA fr rent subsidy
on behalf of eligible families. Te tenancy under the leo will b
asisted with rnt subsidy fr a teTlc under the voucher prgra.
Previous editios are obsolete
agc I 2 o I 2
oHUW1 (N)
R Handbok 7420. 8
'

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propert, mlu0QNlW cfbomad lt.
-Tese Vlwe 0W00ImmcIcdWony tese: Salt Ndeicig 8wys.
stiys_ e sidk.
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dpublic woympm!|aeWproper le: Ch t0 mmmm
snow roval, law W 0bMyou utilit. bill, is you rsponsibilit. If t
ladlor mWpeay of tese, dseic fe wll aply M0ucm MI].
z.) ReJu8pest cnol smpon|bilIg0!N\. mo!uJc0uoN,qdm
Q, W. Spider webs 0 0U0om mrcBNmw0
1.) Aulies ae I00N8nae m shall b pad on te. Jr0voJW!wIq
gNW deliuet W!Imdlcollec adio ret t lWpa J
m4W !mmamuvmepaymet on OM1%Jldlctdw
dddJhprocessi scnoocof $VuMu fr tar 0Q08
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Cetoitcl bill WYWte fllow equipet: frae, wer =,
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WOB68R, WV6,mormmcnditone, Hs|ics|ie. repar at1ese is

neded, lWC uCmoin!Eg/ce Home Sere Plus KcywFr0

bccNmldor. If rears mabove lid eqpt is neces , 0
vtJ0csn0thsvcVsece on 0Nbi , 8NObill fr ra of 0
equpment wll bVrsonsibilit of mcM
.) bm0K0 ROM m0I10b0dsable. 000mmMMOwll be 0W|y0
ladlord wm0tftion. D rune ispectos of te mhacas
ad oter equpmen on moprpe, HmOOmuxwV1W01
nor wea ad RN cuthe per, wmh%rspon fr Wu
deswtese itomImmemte. Tinclude WOW o, holes 0WN8,
broken mmsad g|s,mecosmec I!N such Wt0iltpape holder, me!
mcW, m1DM, 0v.,@mNdoontrougout ppe, rlfx, eletcal
Meletc item, appliacs, foorng, ceili wNlr,iuHs,teiIotr,vms,
hdwae, wallper, desk, huths, bilt-ins, blinds, MQ8,posts, d,
N0ag atached t te pp. Uoter word, don't destoy or dae
aythn, I 00M0]wpay fit rpai bkwmV0 0conton. AIW0MN
gWametemWCrponible mragcswdI0lee wabove
ad beyond 00WMR. Te 0mWNMNlie 0comon itms
locat on Bprope: Appliaes (1 J yea), caet (7-10 yeas), Llcm
foor (7-10 yeas), hawe, wod t, fxes, door, cabine (0+ ye),
pa (3-5years). you WNpat ay W8efte p,yaamcot !b
:
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1 `- ` .1
w0kr@pmVN,M0yemwork wmDc ispected wsee 0pomp|ew.
lf]0do dage so on e proper. please contact clM00mae
agee rrcprr. uIW8WO 8rpar te Vt h complete wII
RMlt stdd rui b lalor. J0umN0upayg fwmt
wfdone icorectly b yourelf or witout suersion or aof W
wrVoter wrdn't be OMthat yeabnkesemg,jencwM0l
mew,gMrepaed propely te mmr.
0.) \IM0W,video ad phwhavcb00uWO0reamm/etaayam
mcvcmdaIc. Ts Wmbe Wto docent Mgreaeemmaor
you rsid at&opDgep. 0se K00mmimofWdM0fes of te
ppm,0 rgthe movein inecon p Ple 00W ded
m:essWt08Ndamatmbmgoi fr. Do not hesitat k
Mk0ldl0rday question d 8pmeess,buseW muea8
|=|p|=t01 w 0$8M.
7 .j keatsymtuae me0 af mont. Laufee, desigd as a swiee
moloMowl 0888mon 61 da of te mont, w gN8
me, Wwtng, pror t 8Idy. ABwc of non-paymet wiboiss0
1@aVmtWmJ dys Wcomply, Oevicton poced WH beg,
Secut deposis wl be used to pay fr Mlega proceeding, a fr H!tms.
m0D=Ww08, yw0myWmY0Uw:t pad b W0 of W0
s.) sasweaisaeufshed NW0 Wlronsible fr.any daage Ug0m
beapagsmms8. n0l8wvauable. 1Vmmb.
.) 0ntB\mqormpomkd| mWgWWdiscoverd to have caused
M|-@,8$l?0serce cmcWDscssm.
look mmWa g Ntrstory rlatonhp. Rega, LOR.

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CASE 0: 12-cv-01812-DSD-TNL Document 1-1 F
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Sccur|tyDcO8|t
|u|5u60Ito M|0h880MStatutes Section 4.Zthe fllowing shall sere 8 a statement of disposillon Usecur|q
0808|Imonies IU:
_~F : k| ptcm|8c8 |oIed a|. >Kl /s+t t Avr A
0S0B0
0t~4AHF4Q f 4Y
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entr spaces fr ch period at each rale)
UB80dpB on: Aoont:
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Decrption:
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Descrpton:
Intrst:
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Paid by 0ho0k #. 4 Dale: _
(ManagementOwner)
MIN08 Hu|0dwQ9908B0B, 1b0W00l 0Zm000l, 0|lu Z, UK0gI0.MN 4J41d
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CASE 0: 12-cv-01s12-oso-TNL Document 1-1 F

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80.0 80.00
20.90 20.90
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CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 30 of 37
1asQcctoa Lbcck8t
Housing Choice Voucher Program
U.S. Department of Housing
and Urban Development
Ofce of Public and Indian Housing
LN Approval No. 2577-01 69
(exp. 9/30/201 2)
ubOreporting burden for this conection of information is estimated to average 0.25 hours per response, including the time fr ring instrucions,
searhing existing data sourcs, gathering and maintaining the data neede. and completing and reviwingthe collecion of iformation. Tis agency
may not conduct or sponsor, and a person M not required to respond to, a collection of information unless mMcollection displays a valid OMB control
number. Assurnces of cofdentiality are not provided under this cllecion.
This collection of Information is authorized under Section 8 of the U.S. Housing Act of 1937 (42 U.S.C. 1437f. Informaton is used to determine
if a unit meets m housing quality standards of the section 8 rntal assistanc program.
Name OFamily
ZEHWS TAIK
Inspctor
L||9kIJonathan
TyO|nson
_lnitial
[ Move-in Reinspecion )
Special _Relnspection
A - General Infrmation
TenlDNumber
X030318
NeibrbCensvsTrc
3.00
lDate of LIsp (mmddy
1 0/05010
Inspected Unit 013278 Year of Constuction (y ) 1919
FuKAress0ndlngSuee C|q, Ccunq,Se,Z|p)
3821 RUSSELL AVE N
MINNEAPOLIS MN 55412
4 City:
NtxofCbiUteninFUoD
L
0
Owner
NcOner or Agent Authored kLeae Untt Inspected PhNur
,DENNIS LHH|o 612-718-5302
AddrofOr Ol Agent
10984 228TH ST N
SCANDIA MN 55073
B. Summar Decision O Unit (o completed afer fr has been filled out}
_Passed
Number of Bedrooms fr Purposes Number of Sleeping Rooms
_Failed
of the FR or Payment Standard
L
Inconclusive
3.00
inspection Checklist
0dR (mmddy
1 00010
Date DInpection (mm/dd }
1010
PHA
Minneapoli Publi Housing Authority
Housing Type (cec as appropriate)

Single Family Detach

Duplex or Two Family

Row or Ton House

Lo Hb:34Stories
including Garden
L
High Rise: 5 Stories
L
Manufcured Home
L
Congregate

Cooperate
_ IU8ud8u! Group
Residenc
_ Single Rm Ocupancy

Shared Houing
L
Other
Item Living Room
Yes No In- Comments Approval
No.
1 . 1 Living Room Present
1:2 0I0l
. .. . . .. . .

1. 3 Electrical Hazards
1 .5 Window Condiion
1 . 6 COili ng Condi0on
1 .7 Wall Condition
1. 8 Floor Condition
1 .9 Lead-Based Paint
Are all painted surface free of deteriorated paint?
If not, do deteriorated sumOexceed mo square
!O8!per room and/or is more than !0% ofa
Pass Fail
P
P
P
P
P
P
P
P
.

Cone.
. .. ...... , .. ,.. , , ,, - .

. , ..,., .. . .

Dat0
1 0/051201 0
10/05/010
1 0/052010
1 0/05/2010
1 0/05/2010
1 0/05/2010
10/05201 0
10/05/201 0
.oom OoOOs. 1 - Bedroom or any other room used for slOOpnQ{regardless of type of rooH),2 = Dining Room or Dining Area;
J=Second Living Room, Family Room, Den, Playroom, TRoom; 4=Entrance Halls, CorrMors, Halls. Staircses; 5=Additional Bathroom; 6=0th
er
Previous editions are obsolete Page 1 of 8
form HUD-52580 (31001 )
ref Handbook 7420.8

Item
N.
< 1 0
. . ,em
No.
2. 1
2.2
2.3
2.5
2.6
2.7
2.8
2.9
2.1 0
2. 1 1
2. 1 2
2.1 3
2.14
2. 15
=.
.
1

|tem
No.
3.1
3.2
3. 3
3. 5
3.6
3.7
3.8
3.9

3. 10
3. 1 1
3. 13
3. 14
3. 15
3. 16
3. 1 7
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 31 of 37
Living Room
Yes
Pass
cmponent?
Door p
Kitchen Yes
Pass
Kitchen Area Present p
Elecricity P
Elecricl Hazars p
Window Conition p
Ceiling Condition P
Wall Condition P
Floor Cond|tin p
Lead-Based Paint p
Are all painted surce free Od8troMpaint?
If not, do deteriorated sudace exceed Nsquare
fet per room and/or Bmo|e than 10% of a
component?
Stove or Range with Oven p
Refrigerator p
Sik p
Space for Storage, Preparatin, and Sering of p
Food
Door p
Cabinets p
Counter 1op P
Bathroom
Yes
Pass
Bathroom Presents p
Electy p
Elecrial Hazards p
Window Condition F
CeilinQ OOnU|I|OU F
Wall Condition p
FloOCondin P
lead-Based Paint p
Are all pai0|eOsurface fee of deteriorated paint?
If notdo deteriorated surfac exced mOsquarc

feet crroom and/or emorethan 10% of |

component?
Flush Toilet in EnOs0Room In Unit F
Fix Wh Basin OrLava|Oryin Unit F
Ventilation p
Door p
ub l ohOr p
Mirror P
Closet p
No In-
Fail Cone.
No In-
Fail ConC
No In-
Fail Cc.
Commen
Commen!s
Owner Responsiility . : GAS
Oner Responsiilit : :INSTALL HANDLE
REFRIGERATOR/FREEZER
Comments

Approval
Date
10/0512010
Approval
Date
1005/201 0
10051201 0
1 0/05201 0
10/05/010
1 0/05010
10/05010
10/05101 0
10/0512010
1 0/05/201 0
10010
1 00512010
10/052010
10/05010
1 0/05/2010
1 0/0512010
Approval
Dte
1 0/05/2010
10/0512010
10/05/201 0
1 0/05101 0
10/0512010
1 0/0512010
1 0/05/201 0
10/0512010
1 0/0512010
10/05/2010
1 005/2010
1 0/05/2010
10/05/2010
1 0/05/2010
1 0/05/2010
Prev|ouseditions aieobsolete Page 2oI8
form HUD-52580 (3/2001 )
ref Handbook 7420.8
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 32 of 37
Item Bathroom
No.
3.18 Cabinet
em 4. Other Rooms Used For Living and Halls

4.1 Bedroom
1-o.
4.2 Elellumination
4.3 Elecbical Hazards
4.5 Windo Conditin
4.6 Ceiling Condition
4.7 Wall Condiion
4.8 Floor Condition
4.9 lead-Based Paint
Are all painted surface free o!deteriorated paint?
If not, do deteriorated surce exceed msquare
feet | rom and/or is more than 10% of a
component?
4. 1 1 Door
4.12 Cellin H
4. 1 3 Room Dimension
Item 4. Other Rooms Used For Living and Halls
No.
4.1 Bedroom Z
4.2 Electricitflllumination
. .
4.3 Electrical Hazards
4.5 Window Conditin
4.6 Celling Condition
4.7 Wall Condition
-

Floor Condition

+.9 lead-Based Paint

Are all painted surfce free of deteriorated paint?
If not, do deteriorated surace exceed to square
feet per room and/or emore than 10% of a
component?
4. 1 1 Door
4. 1 2 Celling H
4. 1 3 Room Dimension
Item 4. Other Rooms Used For Living and Halls
No.
4.1 Bedroom 3
4.2 Elctrict/Illumination
4.3 Electrical Hazards
^.. Wlf'. Condilion
. . . ,
4.6 Ceiling Condition
4.7 Wall Condition
4.8 Floor Condition
4.9 Lead-Based Paint
Are all painted surfac fre of deteriorated paint?
If not, do deteriorated surfac exced two square
feet per room an0lOr|SmOr0than 1 0% of a
component?
4. 1 1 Door
Previous editions are obsolete
Ye No In-
Pass Fal Cone.
P
Yes No In
Pass Fail Cone.
P
P
P
P
P
P
P
P
P
P
Yes No In-
Pas Fail Cone.
P
p
p
p
P
P
P
p
P
P
Yes No In
Pass Fail Cone.
P
P
P

P
P
P
P
P
Page 3 of 8
Comment
Comments
Oner Responsibilit: : REPAIR CEILING
Commnts
Comment
Approval
Date
1 0/052010
Approval
Date
1 0/05/201 0
10/05/2010
1 00512010
10/061201 0
1 0/(10
1 0/0512010
10/05201 0
10/0512010
10/052010
10/05/2010
Approval
Date
1005/2010
1 0/051201 0
10/052010
1 0/051201 0
10/05/201 0
10/05/201 0
1 0/0512010
1 0052010
10/051201 0
1 00512010
Approval
Date
10/0512010
10/05201 0
10/05/2010
10/051201 0
10/05/01 0
1 0/05/2010
1005/201 0
1 0/0512010
form HUD-52580 (3/01 )
ref Handbook 7420.8
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 33 of 37
Item 4. Otr Rooms Used For Living and Halls
No.
4.1 Bedroom 3
4. 1 2 Ceilin Ht
,4. 13 Room Dimension
ter 4. oer Rooms Used For Living and Halls
No.
4.1 Common Hallways
4. 1 1 Common Hal|s
Item 5. All Secondar Rooms (Rooms not used for
No.
living)
5.1 None [ ] Go to Part Basement Area
5.5 Flor
5.6 Walls
5.7 CeiHng
5.8 Dors
5.9 BatNrea
5. 10 Illumination
5.1 1 Defective Paint
5. 12 Unuse Appl
5.13 Uni!ccess
5. 14 Ventilation
5. 1 5 Windows
Item 5. All Secondar Rooms (Roms not used for
No.
living)
5.1 None [] Go to Par 6Busldmg Exteriors
5.5 Fax
5.6 Foundation

3Ia|n Ralls
F-Porch
5.9 R-Porch
5. 10 Roof/Gu er
5.1 1 Chimney
5.12 Defective Paint
5. 13 Concrete Walk
5. 14 RoofGuter
5. 1 5 Deferment
Item 5.All Secondar Rooms (Rooms nOtused Or
No.
l|ving)
5.1 None ( ] Go to Par 6 Bu1ldmg Interior
5.5 SIa|ts& Ha||S
No.
living)
5.1 None [ J Go to Fn 6Contractor
5.5 Licensed Contraco
Item 5. All Secondar Rooms (Rooms not used for
No.
lIving)
5.1 NOne I ] Go to Part 6 Dinning Room
5.3 EleOrl0lHazatds
5.5 Seevio|atiOnSDeIow
PrevIOus edit|Ons are obsO|ete
T No In-
Pass Fail Cone.
P
P
Yes No In-
Pass Fail Cone.
P
Yes No In
Pass Fail Co.
P
P
P
P
P
P
P
P
P
P
p
Yes No In
Pa Fail Cone.
P
P
P
p
P
P
p
P
P
P
P
Yes No ID-
Pass Fail Cone.
P
PasS Fail Cone.
P
Yes No In-
Pass Fail Conc.
P
P
Page 4 of 8
Comment
Comments
Comment
Comments
Comment
Commenb
Comments
Apprval
Dat
1 001 0
10010
Approval
Date
10/05/010
Approval
Date
1001 0
10010
1 0/0/01 0
1010
1 0/051010
10/05/201 0
1 0/052010
1005/010
100512010
1010
1010
Approval
Date
1 005/2010
1 005201 0
10/05201 0
10/052010
100
1 0/051201 0
1010
1 05/2010
1 0/05/2010
1 05/2010
1 0/0512010
Approval
Date
10/05/2010
Approval
Date
1010512010
ApproYl
Date
1 0/05/010
10/0512010
form HUD-52580 (3/2001)
ref Handbok 7420.8
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 34 of 37
Item 5.All Secondar Rooms (Rooms not used for
Yes No In-
No.
living)
Pass Fail Cone.
5.1 None [J Go to Par 5Dinning Room
5.6 Door p
.1 Window p
5.8 Ceiling P
5+9 Walls p
5. 1 0 Floors p
5.1 1 Defecive Pa int p
Item 5. All Secondar Rooms (Rooms not used mr
Yes No In-
No.
living)
Pass Fail Cone.
5.1 None [ J Go Part 5Elc Panel
5. 5 Electric Panel p
Item 5. All Secondary Rooms (Rooms not used for
Yes No In-
No.
living)
Pas Fail Cone.
5.1 None [ | Go Fd5 Elevator
5.5 Elevators p
Item 5. All Secondar Rooms (Rooms not used for
Ye No In-
No.
living)
Pas Fail Cone.
5.1 None [ ] Go to Par 6Garage
5.5 Garage p
Item 5. All Secondar Rooms (Rooms not used for
Y No In-
No.
living)
Pass Fail Cone.
5.1 None [ J Go to Par 6Housekeeping
5.5 T-Housekeeping p
Item 5.All Secondar Rooms (Rooms not ued for Yes No In-
No.
living)
Pass Fail Cone.
5.1 None [ ) Go mPar 5Infesttion Present
: :.5 Provide Proof of a 1-yr Contrac p
Item 5.All Secondary Rooms (Rooms not use for
Yes No In
No.
living)
Pass Fail Cone.
5.1 None [ ] Go to Part 6Otr Rooms
5.3 Elecl Hazars p
5.5 See violations below p
5.6 DOOr P
5.7 Windows p
5.8 Ceiling p
5.9 Walls p
5. 10 Floors p
5. 1 1 Defecive Paint P
Item ASeondaqRoom(Roomsootu seotor y
No In-
No.
living)
Pass Fal Con0.
5.5
Item
No.
5.5
Item
No.
5.1 NOne[ ] Go to Par 5Refuse Disposal
Refuse Disposal
5.All Secondar Rooms (Rooms not used for
living)
a =
5.1 None { ] Go to Part 5Site Condition
Neighborhood Si|eConditions
5.All Secondary Rooms (Rooms not used for
living)
Previous ediioHs are obsolete
p
Yes No In-
Pass Fail ConC.
p
.
Yes No

Pass Fai| COnc.

Page 5 of 8
Comment
Comments
Comments
Comment
Comment
Comments
Comments
Comments
Comment
'
Approval
Date
1 0/05/010
1 0/0501 0
1 0/51010
1 0/0512010
1010
10/05/010
Approval
Dat
1 0/05101 0
Approval
Dat
1 0/05/201 0
Approval
Date
10/05201 0
Approval
Date
10512010
Approval
Date
10/05/201 0
Approval
Date
1 0/05/01 0
1 0/0512010
100512010
1 0/051201 0
10/051201 0
10/512010
1 0/051201 0
1 005/2010
Apm
Dat
10/0512010
Approval
Date
1 0/05/201 0
Approval
Date
form HUD-52580 (312001)
ref Handbook 7420.8
5.5
`M
\
.o.
7.4
7.5
7.7
1.
7.9
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi l ed 07/25/12 Page 35 of 37
5.1 None [) Go OPar 5Smoke DtOtor Comment
Smoke Detecor p 1 00501 0
Heating |Plumbing Y No In- Comment Approval
Pass Fan Cone. Date
Water Heater p Owner Responsibilit . . G 101051201 0
Approvable Water Supply P 10010
Sewer Connection p 10/052010
Heating System P Owner Reponsibility . . U 10/051010
Faucet p 1005101 0
If the owner rquired to correct any lead-based paint hazars at the propery including deteriorated paint or other hazards Identifed by a visual assessor,
or cerifed lad-based paint inspctor, the PHA must obtain ceri flcation that the work has been done in acordance wall applicable requirements of 24
CFR Part 35. The Lead-Based Paint Owner m|8tion must be recived by the PHbefre the execution of the HAP cntract or within th N pU0
8\8l6 by the PH in the OD0|H violation notic. Recipt of the cmplete and signed Lead-Based Paint Onr Cerifction signifies B8! all HQS
lead-based paint requirements hav been met and no re-inspection by the HQS inspector is required.
Prv|ouseditions are obsolete Page 6 of 8
form HUD-52580 (32001)
fHandbook 7420.8
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 36 of 37
C. Special Amenities (Optional)
This Section is for optional use othe H. It is designed to collect additional information about other positive features of the unit that may be present.
Although the fatures listed blow are not included in the Housing Quality Standards, the tenant and HA may wish to take them into conideration in
, --:--iecisions about renting the unit and th reasonablness of te rent. Checklist any psitiv feature found in |e|abn to the unil
'. '
1. Ling Room
_ High quality foors Of wall coverings
_ Worki ng freplac or stove
_ Balcony, patio, deck, porch
_ Specal windows or do
_ Exceptional size relative to needs Ofmmq
_ Other: (Specif)
zK|oeo
_ Dishwasher
_ Separate freezer
_ Garbage disposal

Eating counter/breakt nok

_ Pantqor abundant shelving or cabinets
_ Double oven/slf cleaning oen, mk
_ Double sink
_ High quality cabinets
_ Abundant cunter-top space
_ Modem appliance(s)
_ Excptinal size rlative lo neds of fmily
_ Other {Speci)
J.Or Rooms Used forLIvng
_ Hih quality foors or wall cverings
_ Working freplc OW
_ Balcny, patio, deck. porch
_ Special windows or doors
_ Excptional siZe relative to needs of fmily
_ Other: (Specif)
D. Questions toaskUT8nant(Optional)
1. Does the owner make repairs when asked?
Z How many people currently live in unit?
3. How much money do y0 pay to the owner/agnet for rent?
4 -Oo you pay for anythi
ng
el
se
?- ``` ` ` --- . ,. ,, ,
5. Who owns the range and refrigerator?(insert O=Owner or T=enan!)
6. Is there anything ebeyou want to tell us? (specif)
Previous editions are obsolete FagO 7 of 8
4.Bath
_ Special feature shower had
_ Built-in heat lamp
_ Large mirrors
_ Glass door on shower/tub
_ Separate dressing room
_ Double sink or special lavator
_ Excptional size |Mto 0of |amq
_other: (Spcif)
5. Overall Charcterstics
_ Storm windows and doors
_otherforms of weatherizaton (e.g .. isulation, wather stripping)
_ Screen doors or winows
_ Goo upkeep of grounds (I.e . site cleanliness, landscping,
condition of lawn)
_ Garage or parking fcilities
_ Driey
_ Large yard
_ Good maitenanc of buftding exerior
_ Other: (Specif)
5.Disabled Accesibilit
Unit is accessible to a adicuIardisability.
Disability
_Yes _No
L
Range Refrigerator Microwave
_Yes _No

form HUD-52580 (312001 )

ref Handbook 7420.8
CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 37 of 37
E. |nsptonSummary/Comments (Oponal)
ProvM0 a summar description meach item which resulted |na rating of "Fail" or "Pass wlth CommenlS"
0DBD IDNUDDf spor
'
: X030318
Lipinski Jonathan
TyO|nn
[ Move-in Reinspection ]
0eN
Unlwvhl0h9/810.
0e f lmpm[mdq )
101061201 0
_Initial Specl _Reinson
Rk"F8T"FasswC nh"Rabn
Paricipant w0uM like to move in on 1011110 0r soon as possible.
Conte! Dennis or Kevin ChIhl at 612-7185302 for Inspection.
h|Mt8n und8r6: y
E. Bradley Sctt
.

Previous editions are obsolete Page 8 of 8

mm HUD-52580 (31001)
ref Handbook 7420.8