;

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

MonnM<M Mull Hf"*'!J A�ar..-,..,._ SWW111d Fun:t fl\"Slflftntittl I lflt:v.I Copo,<ogll""" lt£Vl8f.D J.1J111.i.'1fl':;tt:ol1

RESIDENTIAL LEASE r..e MINl<ESO�A ATTCf<NeY GeNEAAL:SOFFICE flAS

Cc"fmflED IBAT THS l.EASf COMPUEs W!lliTHE MINN!SO'TAF'LAIH 1.ANGUAGe: CONTRACT flC f

(Minoe<oea Statutes. Sections 325G 29·32>G.36). Certiflcatlon of a contrac1 by lhe Allorney General undef the plain language oontracl ac1 is no\ otherwise an approval ol lhe contract's legality or legal effect.

� �•il.:• I [j > ' • o ''' ''

STREET .O.ODRESS OF PREMISES t'Ap..tmenr) . Jf:"._?-f..-�"'tr°£"1£.�.� ... lf.1'6.,_l!f.tL:tl!�,l. l'tl'(_f;r'fa. .o.P.O.R'OIENT NO . . . )I /..i . -·DURATION OF I.EASE,...., numl)of 91""""'°04 ..,...,.,(..,,..,.hi .• _ _L. Z. �-�!:!J" ;.JS _____ _

STARTING0.0.TE OHEASE .•. P.9'°:-'. .. . 6t-�.ef .. � . . . OATETMIS LEASE ENOSt• Olll"01>1'3lel_ .. �t:'r.........£"' ZD (/ ·-­

NOTICE PERIOD (the NQllCE p���h ••lleM Ille lEASE ...... � difleren< notice penod) ,, __ CJ:!_ _,,,P;. y S.-. ------MONTHLY APARTMENT REN T �-·-·".-.. ·-·-· ____ SERVICE CHARGES. _.Jo<> ·------ ... _ _ _

OTHER MONTllLYR ENT CHARGES(e.g. gotagelS.��.�-�£ ••. -·-- ·--··· -·---···- . . . - . . .. -.. . . ··----·

TOTALMOHTHLYREHT$ . . �--·('.Ofi'.5;_:.�--· SECURITYOEPOSITS ...... ... __ ---------

UTILITIES ntCLUDED IN RENT � � �h"'. -� . . £; .. �/i;;¢.;- _.t; _ _f;#�r;.::---r"';-;;;;---: UTILITIES PAID BY RESIDENT. )teleetuc;(y ')<T� » Oll>e< .Jilf..Jc ( 1.T� Mlf.TS�� _.:::::: p<C>< 1o 1978 : !the !cUowtttg 1$ requt1rtd by Mtnnesota Slatuln_ SeC110t'1 5041:S 181 J CP4L.E� �c, i :J ��= disdosuto l Aull!OftZeo M•nog<1< "'"""'""""' ...... ,L<;ff.1'(£� _ . . £:#..� .f.Z::. . . . .. _____ _::_:_-::==:.:: :.-=:::::=:: Mdr•ss _ .• $.fr.� . . 'J . S.,e,,_�r .. -.. />1��..s_ .... ,.8<;', . . .. .h",.�-.4F?P...£.C-4,, .M� . . �''1' All OWMt '" lllP. ncem'sits Of an agent Ruthodied \t'. :itirr.ePI 'il!t-.H:ft ol prncess ;u'\IJ '�'" ane'f 91Y9 receipts for notius and �ds is

_,Q�l='.�.�.L . .. <di��. ....fO '!&' '/,. . . �If: 7'1 . .S.7'" o .... .S..""-��£� .. _,_t>'tt!:_ __ _

..... S..se.2.�. AdoJ8$$ --- .. ·--·

A.ddOional Agr«ements (if :any) AUac:hwcJ are q9 Addenda which a1e nWQe pwt 1)1 llli� lease �e . . (.> •. V:�9 ...... Ze_-.S6JC :r.otY. % .f?..:>,ff..r JY� .?':. . . .... b.f'.1".P.."!'Y-/1$. _LGe&E.... ...

.. l-l-.11 .. 0 ;::...r:� . . s.z�Y.l�A. - re,..,,..Al."Y-.J:�,;� . .1.s .... .....e�r-2"1 .. ": ... tl<>::,J. __

"J,,..1!;,J..-., � •. -- . ·-- •. --- ..... . ·--- .... --.... . . . . . _ . ... _ . . _ . . __ ,,

TERMS OF TlilS LEASE

A. RE.NT

Res.ide-nt ac.kMwledges receip' of the Lease by stgnature on 1his document

PAYMENT: FtES)0ENT w.i1,my MANAGEMENl' U\R Cul montht," rt1nt befcwtt mirlNght of \l\e Ors\ day of eflc::h month white hS lease 1s .rt et1ed ,,ncJ r1u11ng ;my P.1C1�t<itYtS Of renewAIS. o! ttus t. ra.� Rtml .,.,.. .. t>e P*<! Hll '�Qu•'ti:Ci b't' MANAGEMENT WHO 13 RESPONStBLE FOR RENT: E1tch Rf.SJOENT is 1ndwtr:h1Blty resnnO'Slhtft t()f 9".\Vll'lg ltlt- fol anlOUnl ()f rent and any otl'ler money oW9'0 IOMANAGEMENT DUTY TO PAY RENT Af"fEFt EVICTION: 11 Hl;SIOENf IS �teleo l>McauSft RESID€N'! >ii<�t�;, 1t1m .;,( ttvs La�se. RESIOENT f1"1USI aiil pity th� lul mo(llhly rem tm111 1J the Apa��� ti r•r��� _ �� .�.�"."-T� ���.-����. �.�Q� .� . �t�. �':M'. ����. �.-���� . . "1e_t)ext.oouce .. rienoa P.Ms 11 the ��ment i�: r'e-rentiid toi re�;; than fM rent di,. l� IM• lft�. RESIOENl wUI be resPo"SlbfP. lc)f t� differ� untl Ir• DATE THIS LEt,SE ENOS°'·� 1nv LeH� '!'l ll!onth·'D·mnnth. Uhl• lh6 P.nd I'll lhl" ''lllt'-! notJC::" �)Cd LATE RENT SERVK:E CHARGE ANO RET\JRHEO CtlECK FEE: RESIDENT wit !iotv trli!. SERVICE CHARGE K�O � 4 RESIOENT rlnes-nolP."'Y !hit ft.ff! monthly 11�ni hy 1tw: Slh r.lay nf lh� ml}nth A:ES10EN'T ililO .W! P.'W � ff>.o <if$�) Int �:w':h 1etumM r.heclt

8. USE Of A.PARTMEHT OCCUPANCY ANO USE: Only rhe pwsons iiihffl � ;1� �ESIOENTS '"iY M "'" lheAUimrneN Person' ool lt!.le<' M RESIDENTS rnay lwe twe tn tttP. Apilrtfnena onl)• wtth thl!' pr IOI wrll:ltm �n1 ,'\f MANAGEME.N'T RESIOEN"!'S m."t\" u�fl: lh.e .o.p1u1n'lenl and utdlhes fOf f'lOfm:tl re�llal r1�t01•s.l� rn1t1

SUSLETTING: RESIOENl' tn.ty '"•I lt-it.� 1m:-A.p,anmen1 \I.• Olt\ef �s;()ttlt ;:,,:1Jt.1&ti .tS.Jlt9t1 � i.tiaP! ,,, �· � le:tse without priOf -wrJl\en r.�encol WNAGEMENl. R.ESIOEtH PROMISES: \I KOC 10 � "' .. "'""' »sil•ro�. Ul'UU))' ()( lhOt.�111lfes.f. 111-tt•lnitl nt cJislurl) the rights al dle oiler residents 'O peeca lo!UtJ quiet n: ;1llow hi.Iii/Mt guR:S.11- k> do so 21 \n ose lhtl Apanrnern ('lni)' A5 a L.lf'iv�e- 1ei;.1dffnc:.ft ;md not tc. ef'\039e in any activd)' or &low any .:ondtlir>f1 Iha? 1s i&legllll 0t rtMigerous or wht<;li. -.,v1o1 � a caoccuation r1:51ncnon Of manse .,, premlurn n MANAGEMem·s Snwrantt. 1) �to uSf! ot s\Ol"e ott or neat \heAJWlm\!fll .lny !J;finmable. l('IJOC. NJzarcJous. or exp!OSrvQ S.UU�lanr.e. 4\ nol to lntertefe it\ U,e management .'.11\d njJo:>t$\lt.)t\ ()( N Apw\fn4rit b\llk>n11i S1 w:>1 10 C:\t'WOP. WI haflllSSmg llVt111At...ni111.1 ow ,1,�n•i·un:.tOfy conducl dart:c:tGd at MANAGEMENT Of �'11he< RESIDENTS. G) that th• Apvrtme-n\ • .;ommon a1ns. or area surrounding 1he building win nol b• used by lh• Rt:SrDENT, arry m•mb9-f or the RESlOENT'S houtr•hold, 11� qtt••' ... th� FttiliJOlliNT, °' oy nnr"ru:· .. cttng uncs..- his/Mr conuol to manufacture. oil. fjt�'- �flliy, btUff, dtli�IU'. !• '�· lfl\ilnb1tt�. OOflHit• 01 Ul�O lllW ill�Qfll d" .. ,, or lo .,,gag• in pro�titution. Of 11tny .,.;��\lil.llit<K u1\ill"11 i'•:n'fll\f' Jfi 1.:.. .i:,...-,_tlly l•"" 111 A'11t•••• .,\H'p fltlo.anu. V• to ••· eoy •ttO•en CH'OPeny on tn• pr•mi•o�.

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Filed 07/25/12 Page 2 of 37

3. WATERBEDS: R�SlO�NT on;iy 1•n1 •- 4 w"4"'1><.><I a< 4lll<fr ""IM•IUlod futnlll ... K\ II"' � wttll<M� lhe l"\ot wrino.n l>JnliQnt <If hll\NAGEMENT

PETS: RESIDENT may nol s>low anitnsls or pets ol any k6nd io the Aparlment 0< il"I aov common areat wUhOot tho wrillt"ln CCn$eO! Qf MANAGEMENT

C CONDITION OF APARTMENT

10 MANAGEMENT PROMISES: l)ThollheApaltment and all common°"'"' ant Iii loruse &$ -ttarprvmises; 2) IO kftP lheApanmero 1n - ..,, .. - make ......-y tepairs �. , .. - ,_ aft.,. Wfll\etl nouco by RESIDENT except when domage;. caused by Ille int°"'""'"' °' nogllgent conclJct o1 the RESIDENT °' Ills/her guoats: 3) 10 mainlaln Iha Apat1men1 In .omplieflca wilh applbb!e healOl and safety <Odes ••<•P' wl\etl • lliOlalion ol lhe -h and .. re1y codH ha< been cauted by 111e i>lenlional or negllgent CQn\M:I or lho RESIDENT ot Nslhel � •! "'keep 111e common iweas clean and in good condition

11 RESIDENT PROMISES: 1) Not lo damage ot mis\Jse l}ieApo"menl or woste Ille .. illlle< PftMded by MANAGEMENT 0< ollow hi$1her gufflS lo do so; 2} no1 io paln( Of wallpaper the Apaf'tmeO(, or malile My ttrucJural change:r. in the Apartrt'l8flt wltt)cM the- prior writletl conssnl or MANAGE­i.tt:NT. 3) to keep lhe Al)ll<lfnel\I ctoon. and in COt111J1iMCe with all hoallh and safely COllH: 4) 10 gtv<1 Wl111en notice lo MANAGEMENT or 111\y �repairs 10 be made: 5) �o i\OW'y MANAGEMENT lf'nmedtal.ety of afly oondNons in the. Apenment it'8l •• C•ngerotJS lQ t'Mnan heahh Of oafely, et INNch moy domage the Apanrnent 0t waste uti1ties pmlllded by MANAGEMENT: 6) 1hat wllon RESIDENT,..,..,. out the Ap.- will l>6 left "' goc4 <:On<111ion. e<capl lot oroloary .....,, and leaf; 7) not 10 ramove any fl>nures or lumi"11n9 suppOed by MANAGEMENT Wolhout lho prior Vlfilten consen1 or MANAGEMENr. 8} '° COOS)ef8fe wilh MANAGEMENT"$ elfor1s at pell control. This may include, among other �s. RES!OENrs emp1'pn<J and C!eMin<J cobinel•. dr...,.,, alld elooets. pulll� lutn!lute '1Nl'aY �om wall& and -� edermln11or to on1er and uut 11\eApa-

tl SECURITY DEPOSIT: MANAGEMENT may "-all Of po<!"'""' -.vrny dopoti1' •I tor domage IO tho Apanmenl beyood C)td;lwyweat ar.d -·

MO b) fOf rant or othof money owed 10 MANAGEMENT. 13. DESTROYEOOR UMLIVABLEAPARTMEN� HlheAparlmOnl ;ade<lroyedocdomagedsol$unlil lo!NelnduelO orrycause. MANAGEM!!NT •nay r.hoos� no1 to rftbuild or 1esk>re the Apanment and/of may terminate lbs Leas& Wnmedi3tftty with no further fiabilHy to RES10ENT 11 lll'I CS9Ml\ICtlon

oc cl�e ...,.....,. nt>t RESfOE.NT"S lauft � M.t.NAGEMENT terrnil\"'es lhis Lease. rent will be pro-r•ed and lhe balance wilt ba refunded to RESIDENT

O DURATION OF LEASE 1• FAILURE TOGIVE POSSESSION: �MANAGEMENT cannolPJO¥Mle lheApanmenl 10 RESIDENT al the slartolllrislease. RESIOENT canool"""

..-ANAGE�EN1 !'.Of &n'J !thlling damages but RESIDENT wilt not slart p�yiog tenl until he/she geb po$MSSion of the "Par11Rent

15. MOVING OUT BEFORE LEASE ENDS: If RESIDENT"""'"" out o1 Ille� beia<• lhe DATE THIS LEASE ENOS. RESIDENT ii te<f'O"'l>le let mtl• fU"ICI �,,. o\hOf ios.ws or coses including court cuct1 and auomcy·s fees..

16 TERMINATION OF LEASE WITH SPECl1'1EDENOING DATE: H RESIDENT wishes to move out ol1hel\pal1menlon Iha DATE THIS LEASE ENOS. RESIDENT mUSI give MANAGEMENT prio<- ,_., equBI oolhe NOllCE PERIOD If RESIOENT f•S. togW<I p<oper nolice. MANAGEllAENT may ., ••loM Ille�"" one NOTICE PERICO - b)toisa""' '""'· u RESIOENT stays In lheApat!mont allerll!e DAlE THIS LEASE ENOS. -'.hO apj)l°O'ffll o1 MANAGEMENT. and RESSOENT and MANAGEMENT have not tenewed this Lease or enteted io to a Ah Lease. this Luse WU bf!' &V1Httded u�r its otiginat 1anns e::..r.e-¢ a) the duration .shal bt' changed IO month-lO-tnOnth. and b) MANAGEMENT may raise ltie rent

11 TER.MINATIOll AND ALTERATION OF lllONTH-TO-MONTH LEASES: \Nhe" Ille lease is montl>-lo-monlh. MANAGEMENT and RES IDENT may termintlUt the Lt-ltff onty by Qt'ltng the� parly wriihm noUce equal 10 the NOTrcE PERIOD. A notice lo� a Leese tS ��on fht Jas1 day of a rnoc"2'1. MANAGEMENT inay ch3nge fnY ot the �rms ol '9 mon1t\.lo-rnonlh lease. lnc:tudlng me amount of rent by 9Mng RESIDENT wtWon notif'JI) R: !Ms' aquat to Uw NOTtCE PERICO

18 MOVING OUT OF THE APARTMENT: RESIOENTwilmo""outohheApaMutnt-lhisl..oo•e endo. UR£SIOENT,,,._oul>ftet!M Lene ends. RESIOENT will be liable to MANAGEMENT for iJr"i resUlting tosses indudlnO tent. court COits and &ltorney's feA

E RIGHTS OF MANAGEMENT

19. EVICTIO�: 1r RESIDE.NT violatei; Rn}' of the llfms of this Lease. MANAGEMENT may termintrte this Lease immedialety and wkhOul pdot notice. tr IM Loa•• "t""""'at"" b<d RESIDENT cJoes nol mo-.Oul vOlonUttlly, MANAGEMENT "'8y bring an OVIC1illn aclion. K RESIDENT viotaleS a tenn oC 1111s L&ll:IQ bu1 MANAGEMENT dQes not *"linate this Le;se. Of b.� an eYiclino action. ot sue RESIDENT. MANAGEMENT OOU nol wai\te lhe n-�nt to !Slb: any o! 11� act.ion$ for *'Yother Yictlation of itf'Y t-t:fm ol lhls leaMt. Undet stale taw. 8 lawtW setzu1e Imm an)' AP811menl oC arrt �GM objec:I or conttQ8e(J substitnte. it1Cludiny df!Jgs. consUWtet unfawtul pc$$8$$ion cc lh6 Aper'tment by !he RESfOENT. •Pd iS grO\Rls for an �(tVic;.lJon3Clion

20 EVICTION AFTER PARTIAL PAYMEMT OF RENT: II $ ellp<Hsly agreed 10 b<lween MANAGEMENT and RESIDENT lhOl pursuonl to t.'iM. Sia! §!i0ol8.2!11. subd 1(C) ar.<eptant;e by MANAGEMENT olleSs ""'"Ille lu• amouni Ol tenl due �otn RESIDENT does no1 .,.;.,., llo!ANAGEMENT'S riqr1t 1.u fi:ICOVei PQ1s.sslt:>n of 1l'M' rental premis� for nonpayment by RESIOENT of b11.ience ol rent owed MANAGEMENT.

21 ATTORNEY'SFEESAlfOENFORCEMENTCOSTS:KMANAGEMENT�onylegalacllonft\l0"'5IRESIDENT,RESIOENTmJSt�IAANAGEMENT'S acivfJI �tiotneys �. � 01hof legli !ee$ ancs �pcnses including fees patd lo lf codeclfon agency. &Jtpenses. and court eo&1' 8Yftn n rm is pntcs :titer \he �"' adiOn i$ Marted

22 MAWAGEMEMT'S RtGKT TO ENTER: tn accordance with apptlcabte ta.¥. MANAGEMENT Of its authori.ted ag9fltS msy enter theApa.rVnent at any reason.able. 11tnc to inspecL ilnpnwre:. mMo1ain or repair lhe Aeartme1'1. or do°"*' necessary wortl.. or to shQw tM Apanrnt:rll to potenNI new RESIDEtlTS0< b\¥1<1

23 MANAGEMENT'S LEGAL RIGHTS ANO REMEDIES: MANAGEMENT may use Rs le9"11;g!U on:I ""ne(l;es in any comblnotion By u•mg one dt n'IOte <t. thHe rlrjh!S. OI remedies MANAGEMENT <toes not give up any other ri9hfs or 1emedJH it may have, �of renl tton not waW. MANAGEMENTS rlghl ll> �/Cl RESIDENT fur arry �'St Ot •xls\lng 'Yiol.31\on of any lerm ot 1M \..eaM.

2A LEASE rs SUBJECT TO MORTGAGE: lhe A.paftmenl Cn.rik:Ung may be mortgaged or may be sl.lbjea to a contract fer deed. RESJOENT ayren th� the rig\llS uf u-.. hoJOIK ol any pnnent or Mure mor\gage Of contrect for deed are superior 10 RESIDE HTS rights. For exan\Ple. ii a mongage on the ApaOl'Tl\-'.nl t>uildlruJ is foredosed. lhe person who !ored<J$es on lhe Apartment bu�ding may. at theif oplton. 11!ftnin11e RESIDENT'S tease

F' LIABILITY OF RESIDENT AND MAtlAGEMEHT 25 DAMAGE OR JNJURV TO RESIDENT OR HtslHER PROPERTY': MANAGEMENT i$ not responsible fol any damage or i'*">' lhal Is C!One 10

RESIOENT or his/he< p<opefly. guest' or ll'et p<openy "1al was no< caused t1y MANAGEMENT. MANAGEMENT recommentk Iha! RESIDENT OOIMI'\ �erilef' $ 1nsural'IC& �o )>Co\e<:\ � inju'� cw prupeny damage.

2e ACTS oi: THIRD PAATlES: MANAGEMENT is not 1esponstie for the Ktion5. or for any damages. iniufy or harm cauff<S oy thitd par1ies lsueh ······ ··n other nt$denl.'I. guests.. inlrudars or 1rnpacseR) who are nol under MANAGEMENT'S tot\lrol. ·

·

?? RESIOENT SHALL llEIMBURSE MANAGEMENT FOR: l}Any 1o ... prope<ly d•tlloge. or cost of'""'"' ... seno<ce lir>cluding plombVlg proDltl'1sJ t:aused by negtigt>�• °' improper use by RESroENT, Mis,'her e9entt. famVy ot guests; 2) any loss or d�t QIUSe<:I by deof& or windows being 'eftopen 31fWI eost.<sMANAGEMENThesbe�seoi <\bi!W\donment oflheA.partmenl.o: Gthetviotalions or1he Leas,e by RES IDENT. such as costs for �1fflnts109 lhe Apattmeot. 4) an coul'l costs and :.nomey·s lses MAN.a..GEMENT has in any M fOf avidk>r\ unpaid renl. or any other debl or C."IN��e

28 WHEN PAYME>ffS ARE DUE; Any"""""'' .....i by RESIDENT ;·oue when MANAGEMENT Hks for il MAW\GEMENT doe> nol give up h right to any ll'IOl'Mryowed by RESIDENT bec.auseofMANAGEMENrs fa\lure OS delay n aSIC.lng ror tJJtr.J payfflaf"\l MANAGEMENT CM asJ:; for an.ymoMy OWed by RE SIDENT hclnre OI allet RESIDENT ITIOYl!.S out nf Iha Apartment.

G. MlSCELLANEDUS

29 FALSE OR _MIS:LEADING RENTALAPPUCATION: U MANAGEMENT detenrines that anyO<ai or�ne.n.,.at�ents made by REStOENT lf'l lhe tental ;tpphc;auon r.>r olherw1st are 1101 lrue or eomolele in any way. lhen RESIDENT nas. v•olated this Lease ancs may be evicled la. SUK.DING RULES ANO ATTACHMENTS AA:E PART OF LEASE; NO ORAL AGREEMENTS: My attachmel'ts. to lh'5: Lease are a patl of this Lease. IJ a lerr_n ot any attactunent confficts wtth any term of lhi<i lease. lhe 3Uac:hment te<m war ne contr<>'ing. MANAGEMENTS buik1iog rules we� P8f1 of !his Lease. and MANAGEMENT may mcike reasonable changes in lhese rutes a13ny1irne by gMng RESIDENT wrillen notice No ����:e���o::.�.,made This Laas.e and its all.k:hments and any other wrillen agreements are the enlire agsttment t>elween

CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 3 of 37

(' .

Hi'IA R�? Nnni� tx:-v\.Jl�Q ... lnltl:il ---- Mr.>'{? • .......:--

Aeturo Form lo; -,,/2.!1 Child. Under G V ...A_. N _

HCV Size� l!ffvctive daie of VouchedO:::i::io 3!K> l'lolJt'fl SI.I'm Nomi St. P-aut. MN ss101 •?hono B61-�1428·F•K6S1·002-1:•13 •TIY �:>H?:li-Ol>O<I

('�er County CDA Ph 952-448-7715 fax 952-44S-6506 Rcci�1cst for Tenancy Approval Hour.fng C11oioe Voucher Prour111n US [)cprutmont Qf Housing ana l {ft)fin OAvalaproont ;::-:;:;:;:;��l'!!!!�m!'T!l!:��--�-Otti"ll ol Public and lndion 1-l<>u · OMB DfOVll l No. 7517-0tS Address of Unit (Rifl)l>t �dllr '""• ;,p;Nimcnt lllJmlior, cily. s1111" & o,, Cl7<fa). l..i;m:Je BejJfM: 3-'B�I R��s�i..t.. k>e, µ<. 1�( 1//r>

Lease Tenn: _mooth to mrnth __ 6 n10nlh -/12 montll __ Olh� Rent Speciol tncluded 0 Yes 0 No 'l)IW of 1-fousc/Apcrtment·

¥tngie Farnlly o Duplex, Twin home O Apartment!Townhou�e (I: t:onnm:'ocl unit.�) (3 tJI /1IQn> '*"'9Clod un#�)

If the unit is subsldiZcd, ir1d'icate th� type of subsidy:

"Ye:ir Built:

Contract R"nt: s 'C't°S-

D Mobil!?. Hoin1<

Number of bedrooms: 3 Security Oapoelt: S IOFS.> Dille Available for in.-,iection t;'9 / �$ /tl>

O Otner

0 S9Clion 236 D Ecction Sis 0 Section 202 Cl SF>c1lor1221 O 1-1011'{) 0 Tax Crt>dit (l""........i or r>Ol'llMUrlld) (l'lvrt l 00111"llopm�t) t(I) f::ll IDMIAl O Other fdir..cnbo olhar::ulr.icty. in;ludlng ""'St?IA e>r local aubc )

ADDITIONAL INFORMATION: Is;. g11..aga irn:Iud1Jd in th,.. rQnr · )(Yes _,,No; II �s. is lh1;1 gamQO optionnl? _Ve� __ No: If thr:t gRrflg>! i.<: opti()ORI, how m Jell!£ attrtf)Utcel lo 1119 garag!I renl? $ __ �

;:i. nie Mciro HRA h:lS not scr '>E!Md lM family's behavior or !luil<ibifily lor lenancy. Such screening i.<: thq owlll:!r's r�.panr.iblli1V.

b. The ownRr'l' IP.a<>� !l"U!)f ine ud9 word for word, ;ill provli.;ionE: ot the HUD le!'ll1ncy addendum. c. ThB Metro HRA will arrangc; for ln!>pecliOn Of !hi? uni\ and will notify the owner ond family as to whathQr <:or not

th-: 1•nit wiH be appmY!ld.

OWNE,B_�EJrrJ.eCA!lON: fhe owner. by �eruling lhis requer..t c:Millei; IM foUowing: �. Ttw most rl'!C'�nt ivnl ch.ir1;11)d tor �a ebovo unit w..-is $ ... � pi:r ....,<mlh. The ren1 irn;Juood tile loUowing

Ulifi\iP...-C "'_/;(pl:(.![_ __ , ___ .... ·--··--····. ·-·· -·----

!:>. Tho reoson for \1ny <.iifl�rn es batweer. lht< prior rnnl and !he mnt propoi:lid abovi;o Is: ����-- "'!£_ ______ , __ ,____________ ··-·-·-·--

CASE 0: 12-cv-01812-DSD-TNL Document 1-1 Filed 07/25/12 Page 4 of 37

,-;. 1 ;it. t:'ft.hJ•"O:-(r.·1 r:��ulnti•)f\ r.;.;q 1ir1?'ii th� 1-..l i1\ let t.:c:rtrtjl il1�I ti)� :"W)I chor(�t:d to th� tJOtJ';ing (';ht>iOC °v('JUCh<:f terlrint i.i; not mor?> thar. 111.,, r!)Ol cJ·��H\Wd for omor ur1<1�it.1·::d r.o.'l\parable Ullll":\. Owners of complox� with more thRn 4 uniti; must complete the following section for most recently llJ��d compnrnble unai;i;;fsted units tt-'"�"�-���;. . . ��om•� � -: � g c�=r _::".'_Amount J rt-·--.-.. - --·· - - -----·---·- · - · --- ---E----. . -:j d. ""fhe ownOr' (inclUdlOQ a p{inci�I QI' other rntore!lled p:irty) is not the parenl. cnild. grandpanml, grandchild; 'sn.tor

Of bro!hl?r nl any m9nibcr of !h• f'1111ily, volet$S the PHA has determir.ied (and has notified lhQ OWOOf o.nd the family of wr:il detQrmination) that approving rcnl<\I of the uru'\, notwltrotanding such relatiorl{;hip, would provide rettSunable nccommoi:Jalion · or a family rn<imber who is a person With dls..'tbiflliei;. �. Chl!G� one cl lhl' iollowi<19: . __ ·- L&::.d-ba�d pninl cf�o;;cfosure rgq1Jircrncnti. do not apply DcceulSe this property waf;'. bvi11 on or after Jan�1ary 1 , 1978.

___ ThG un;i, eommon a.-eas 5 wiclng tl'19 unit and exh,-rior prl!Clt� ;urtacoc a;)socitrted with i:vch unit a< oom1no11 an:i111; tiave beM found '" be lead-baccd paint free by :a lead.-based point inspector CP.rtifleCJ undor the Fedcri!l certitlcallon pr �film or under a f P.C111r;i11y accredited Stf\to or Tribal cortl1ica!ion progmm.

··- A completed ()tatemP.l'I( is :lliached containing disdOSurG or kriown information on klalhl:>as:ed point et'ld/or !!lad-based p<1int ho;:ar<J,, ;, ll"MI unit, common area!� or oictGrior painted surfaCRR, inclualng a t1crtornenl Ihm lhP. owMt ti.as provided th11 lead l'l<lr.lrel intocmotlon p.:imphlet to th., tamily. If you neecs a copy of this i;ta�ment, plcosc c:ontatt thP. M�1ro HRA.' Pointing/Reixffr of cltttcriomted ll>int surtace11 on units built b&fore Jahtl:iry 1, 1970 mu.ort !:It r.ompleted by ;in individual �11ltled in le:id-br...,.,d paint soto wQrk Pf<Jctic��- FREE oortiliwtion training Ii: avtiilabl� through the HRA every other rnunlh.

***SIGNAT'URES REQUIRED BELOW*** OWNER/MANAGER

Di;;....,1J..> C1+�c.s-r - oa..;�1;e /t(f.i,,·.,, 1 ,..., Cu--tZ ';; r - Mp.,,,�IC

< ii_

PRINT NAME OF OWNER ANO PAOJ>GRTY a!IANAGER

IF APf'UCABLE

H�ve you worked with Me-lro HR,\ betotQ? �eg ONO

Allthorlzatlon: r � tlJar accarr1111(1 to todr>r.'11 n>gulo/i<M13 For !hr. !AA:!ion 11 HoWling Cht:llco VOuehOr P1ogram lh(r floustrJ{I � t: ""1lli1Qtf ID IJft;NfQI! ,,,,, 0..,,,,, my <'UtTOfll IJdd�:r Md llilf!I() rrna.�"' IM (l/)l//Olc1 al my curl(lnt JlllJ prier llt'1rJ((l<:t;. Jr kilo- F.ly i:ig<11np lhl:s lom1 I iJlrl oTlff/>ori�ing Jhlt telolf�I! r>f J/)/1; /11k:l¥rnafion 10 lho � o/ rl}(I/,./ f'"'f""'Y Wl'/IKt> '"'" rpqt� lo =oll'o ,'f...,,,i!'.f°Jl/CO.

If Y"'�• what Is: your Metro HFIA Vr-ndot 117

fllolro Hfll'I Venoor NUmt>cor if known wnai olhe< orope!tic:l M\M wot paid you ior7 57't7 &>'-'�.- R

x_ �.g-- x�J.. Signature Date

OWl1or A<Jo.lre:'\S

�""'-"r A n'f # 6\:r" 'r' J City State l.lP

C..rz; - 7 t t:.- 5.U� 'Z (Daytime 'feh�pflone Number)

· ::.ae..���'i.i J,;i;;?_/�:C�i.L.�/8-n��?:ti,:;; 01N111;or E-mail Address �

� The Metro HRA will need a :opy of tha li:tss� and th9 lead based paint di$cJ09uro form signed by the owner and tenant before a hou�ing assistonce psyme it will be authorraed.

JENANT (Prirr Name: Phol'IC:

:>�1r:, OJ.Wf��.1'� f>f :ri� i :..".>!A�J<.I\ � !i� • .-,-:�

Mal Ung ____ , ______ ___ ,

Partlcipa11!1:> Previous A!Xlros:;:

Phone.

---- · . ·-·----------� .. -- . Previou� "L1nc11oro Mdr0"1; ··- --· ----- ·---·--- Zip City

ru1111.: fP.IX'llhlU burtk>n tor lhic «>lk.-cfit>n ol itrt wm;lllull 11;. "<11•11.:11•><1 lu '"'''"II" 0 mlrul<!S llfJf rD�par..z rnc:ludini( 1h� limo lor "� il\-.lrun•iooo. ,....,,hi<•J 1-..i{olinU l1llla f.o\lfc..,-..1o!IM1ri1111<lrrl1rn1it110lr""9 lhs d.•b'r noarJl!ll. i100 cnmploltng "."" "''!"""'"!l lhe col�!: infr>rm(\tion. Thie. (l<-"'""V rrmy nt>I r.orouct or l par""'1. nrd ".1,X.."r.'tln IS not fOCtwW kl mr.p<>nd 11>, Cl ¢<illealio<l of n11Q11rn1llOll urMlSS tll:.1 o->Jlt,'Clion (J;>:(li.1Vr. II Y"1ild LJMI.) comrd numb<>:, Stg;bfl> t,')lllili<$ wb<11� ltiio inlo1111t1tar io tl10 1 ·1J!.il� HOU� l\uJh<�i(Y (PW\l ..non "l'pl�°"9 "?' �1119 o�P.�c- umfor �on 8 _or11ta u.;. 1 lmnlrig /'ot;I o( llT.171�2 U.S.C. t<t!l71). Tho P -II\ u= lh(I iok>11n"11Cfl 10 (IO!Ofmll1" II In� lomi!y ·� JJ(giblft, � the llflit r.: oLQitlle, anf.l_ 11 ltll! 11>�.<i r.om,,r� wtd1 omor.:im and �1Wutory roquiramc nlr.. nocJ)Qf1�t% :aru r;.qvirau "' obWin n bor'\r:lli\ from Inf) rcaciai {:;OVWJ':t""'1t. Th(t iulorrn;l)i{'Jtt f!l<fU<!>lt>d rln<><: nrll lun<I it::.r-�I lo corrli�c"'11<J!iry

'form HUD 52517 (08/02) •h<11<-d1Coir.

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Filed 07/25/12

Part ll·A Receiving PHA Information and Certification lnstruc1ions: The receiving PHA must always complete Part II-A.

Page 5 of 37

1.Head ol Housellold Name ALLEN-ZERWES TAMIKA S

2.Head ol Household SociOll Security Number 089-62-0031

3.Vouch!r Bedroom Size (pe.-recemng PHA's poficies) 3

Certification Statement

4.HAP Con!ract Ntrnber (if applicable) 10000102

I certify that the information contained on Part II of this form and, if applicable, the attached form HUD-50058 is true and cooect and !hat my agency wil promptly remft any oveipayment to your agency.

Named Certifying PHA �-r;��T_r _c,..LA_Y_s_o».,.,.._. ______ Type ful Name and Address of �ng PHA below ��r11 . Minneapolis Public Housing Authority Signature .LUIVt1ft'U... AIL-/ 1001 Washington Ave N

Receiving PHA Contact NameKRISTI CLAYSON --------------

Phooe Number (612) 342-1409 Minneapolis --------------

Form Submission DaletnrnlddlyyyyP 1/11 / 2o11 MN 5 5 4 01 - 1 O 4 3

Part D·B Family Status, Initial HAP Contract Execution and Billing Changes After HAP Contract Execution Instructions: Part 11-8 roost be completed and mailed by \he receiving PHA witlin 10 wOl1cing days from Ille date a HAP conlracl is execuled on behsll ol Iha family, or from 9le efteclive date of the change kl lhe family status or billing MlOllnt The receiving PHA does not submit the billing form each month unless \he monthly amount due changes or both PKAs agree to • different bllllng schedule !hat requirH 1 more frequent bilrmg Sllbmltlal Check each statement below lhal applies:

D

D

0

1. The above family has failed to sti>mit a request for lease approval for an eligible unit within the allotted ttme period. You may 1herefore reissue yot.rvoucher to another family and, if appicable, mo<flfy any records cooceming local preference usage and income targeting requirements. Do not complete remainder of form.

2. We have executed a HAP contract on behalf of the family and are absolbing the family into our own program effective ' (mm/dd/yyyy).Y ou may reissue your voucher to another family. Do not complete remainder of form.

3. We executed a HAP contract effective 10/06/2010 (mmldd/yyyy) on behalf of the family and are billing yollf agency.

A copy of th& new form HUD-50058 is attached to this form. No other documentation is required. (Receiving PHAs are required to complete and submit a form HU[).SOD58 for farmTies moving into their jurisdiclion under portabirity. The receiving PHA may elect to conduct a special recertification of the family to conform the dates of the unit inspection and recertification, but is not required to do so by HUD in order to complete the form HU0..50058 for a portabirity move-in.)

Go to line 9 below. 4. The HAP amount has changed effective (mmldd/yyyy) for the family because or: (Check aH applicable

ilem. A current copy of lhe form HU0..50058 must be attached to this form. No other documentation is required.)

Go to f1ne 9 below.

annual recertlflcalion

_ .. _ .. ··interim/special recertili'.:afion __ change In payment standard __ the family moved to another unit in the receiving PHA jurisdiction.

other:( specify)

Commen!s continued on separate page Yes O No O This form may be reproduced on local office copieB Zol 3 form HIJ[).52665 (05/2004) rel. Handbook 7 420.8

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Filed 07/25/12 Page 6 of 37

D

D

D

D

5. The HAP payments: (Check one} have been abated effective (mmldd/yyyy}.

Please suspend the HAP 1o owner portion from your payment ellecfive ------ (mm/dd/yyyy) until fur1her notice.

__ that were abated beginning _____ (mmlddlyyyy} have been resumed effective (mm'ddlyyyy).

6. We will no longer be bilfmg your agency because we are terminating the family's participation in the program ot the famiy Is voluntarily leaving the program. Billing arrangement le!mination effective date: (mm'dd/yyyy) Reason for tennination:(specify)

7. We are absorbing the famny Into our program and terminating the bi!llng arrangement effective : (mm/ddlyyyy) -----

8. The HAP contract has been tenninated effective on behalf of the family.

----- (mmfdd/yyyy) and no new HAP contract has yet been executed

The family:

wiD not be remaining in our jurisdiction and has been referred to your agency.

intends to remain In our juris<ftclion. The family's voucher expires (mm/ddlyyyy}.

0 .. 9. Billing Information

Regular Monthly BiHing Amount a. Mon1hly HAP amount due Olne 12s or line 12af of form HUD-50058)

b. OngoinQ admin fee (80% of initial PHA fee or amount othefWise agreed upon) (line 10 of Part I of this form)

c. Total regular monthly billing amount (sum of lines a and b}

Additional Amount Due, If Appricable d. Prorated HAP to owner from l O IO 6/2o1 O

e. Hard-to-house fee

f. Other (explain} Prorated Admin Fee

g. Total addnional amount (sum of lines d, e and I)

Billing Amount..

to 01/31/2011

h. Payment Due This Bilflng Submission (sum of lines c and g.)

969.00

49.54

1018.54

3719. 71

0.00

148. 62

3868. 33

.. "3868:·33···

(After this submission, billing amount is amount recorded on fine c, unless otherwise notified by the receiving PHA.)

Thi& fonn may be reproduced on local ollice copiers 3 of 3 form HU0.52i65 (05/2004) rel. Handbook 7 420.8

09/2012010

. �"I··· .. \

CASE 0: 12-cv-01812-DSD-TNL Document 1-1 F i led 07/25/12 Page 7 of 37

\ N N C: A P Q L / \./\ � s ••• . ..-�r:, P U B L I C H O U S I N G BFILE COPY

. ) DENNIS L CHRIST 11095 AMY LANE CHISAGOACTTY, MN 55013

MPHA has received the move in request for: TAMIKA ZERWES 3821 RUSSELL AVE N. And for your unit : ·

ARE YOU NEW to MPHA's Section 8 H CV program? Visit www.mphaonllne.org/llord.cfm or call 612-342-1421 for more information on program rules and procedures.

When will the un�t be inspected? • You will be contacted with an inspection date & time in the next 15 days • You must be present for the inspection, or must designate an agent to be present • YOU MUST CONFIRM the inspection date/time or the inspection will not occur • The unit must be vacant and move-in ready • Rent assistance will be effective the 1st or 15th of the month following the passed inspection

What portion of the rent will the tenant pay? • Your tenant will be given an estimated rental portion (Rent Burden Worksheet) • ·CONTACT YOUR TENANT with any questions regarding their portion

When will the rent assistance payment come? • As of this mailing, the intake process for your tenant is not complete. MPHA does not guarantee that every

· tenant will successfully complete the intake process • Due to the high volume of Housing Choice Vouchi?r participants moving and the time It takes to process each

move.., THERE WIU BE A 45 - 60 DA Y DELA }'' FOR INITIAL PA YMENT • YOU MUST RETURN THE ENCLOSED PAPERWORK or MPHA will not release assistance payments

·cc:,, • Return documents by e-mail, bscott@mplspha.orq, by fax, ·612-638-4026, ·or with the �nclosed return envelope <: J ������-,-�����--,������.������---,.--�����������--,

MPHA MUST REtEIVE BACK B Y 9/30/10:

J.. Pages 2 through 7 of this oacket, completely filled out and signed

2. Proof of a current rental license for the property (or receipt for fee)

AFTER THE PASSED INSPECTION: Send a signed copy of the 1 ·year lease with correct lease amount, utility responsibility and effective dates (1st or 15'1 depending on passed inspection date)

.. .. .

. . · · · · ·

· · · ·· · · ·o., ·· · · · ==-· · · · · · . .. . . Sincerely, �O L-.j(_f-MINNEAPOUS PUBLIC HOUSING AUTHORITY .

Bradley Scott Eligibility Technician Housing Choice Voucher Program 612-342-1405 bscott@mplspha.org

WHEN YOU RECEIVE THE HAP CONTRACT (APPROX 45 DA YS AFTER LEASE­UP), YOU MUST. SIGN AND RETURN . IT BEFORE PA YMEl!{TS CAN BE RELEASED.

1 001 WASHINGTON AVENUE NORTH MIN�· .,OLIS, MN 55401-1Cl4a PHONE: (612} 342-1400 FP >12} 335-4427 WWW.MPHAONLINE.ORG . . EQUAL H, ...ING OPPORTUNITY - EQUAL EMPLOYMENT OPI- • ruNJTY

'• j

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Filed 07/25/12 Page 8 of 37 1 ,.. ,.,.. .... � ·� - -- - · .

PROGRAM ESSENTIALS FOR OWNER Introduction

Attached is a packet of inforlll<ltion for you to complete If you ore planning to lease a unit to a Section 8 Housing Choice Voucher Participant. For further Information an Owners Manual is ava.ilable on our website, WWW.MPHAONLINE.ORG or you may contact us at 612-342-1480 to have one mailed to yau.

2

The following essential programmatic information is also contained in the OWNER MANUAL We thought it important to highlight some of our basic processing procedures here. This document also provides certification, when you sign it, that as Owner, you are not the parent, child, grandparent, grandchild, sister, or brother of any member of the Section 8 Participant's family. This must be returned with the rest of the completed moving papers.

Overview • The City of Minneapolis requires that all rental properties be licensed. MPHA Section 8 will not approve a lecse agreement or

sign a Housing Assistance Payment Contract (HAP) unless the unit has rental license or until you have applied to the City for a provisional license. (See instructions within this packet)

• MPHA Section 8 Rental Assistance cannot begin until the unit passes a Housing Quality Standards (HQS) inspection. Rental assistance subsidy begins on the 1st or 15"' of the month. If a egrticipont moves into your unit before the tmit passes inspection and the subsidy begins. the participant will be responsible for paying the full rent of the unit.

• The Housing Choice Voucher Program requires that the Section 8 Program detennine the affordability of the rental unit. It is possible that Section 8 will contact you to negotiate the contract rent if it doesn't meet HUD's affordability provision for the participant;

• A copy of a 1 ye.tJJ' proposed lease must be submitted with the attached moving papers. A proposed lease must be completed and include: all occupants' names, unit ad�ess, contract rent, security deposit 111nOUnt, and lease terms. It must also identify what utilities CD"e paid by you, the owner, and what utilities will be paid by the participant (your potential tenGl'lt). Included in the moving papers is a copy of HUl>'s Tenancy Addendum. Please read it. This Addendum will beeome a part of your Lease with the participant.

• The utilities and contract rent written in the lease must be the same as the utilities and contract rent amount you fill out on the �equest for TenancY form (RTA). .

• When the unit passes Inspection and rent calculations hove been determined, the Lease ond the Housing Assistance Payments Contract (HAP) will be executed. Payment cannot be released until MPHA Section 8 has an executed Lease and signed HAP Contract.

• Section 8 Participants pay the same security deposit amounts that you would charge to o non-Section 8 P.articipant. (Damages and unpaid rent are the responsibility of the participant/tenant.) ,.

• There is an initial @5-60 day delay of the first checij sent to owners on. o new lease. The subsequent Housing Assist� Payments to Owners ore mailed timely. Usually payments are received on the 1$T day of the month; there are occasional occtrrenc:es when the 1st of the rnonth delivery is not possible. We will make every effort to deliver quickly.

Instructions Fill out. sign and return these pages:

• ..e.�.?.�.��r.��--��-��!�.�.!� ... ··· · · ·· � - - · . .. . . . . . . - . . . . . . . . . • P .3: Rental Ucense - RETURN YOUR LICENSE ONLY!

P.4: Lead-Based Paint Disclosure • P.6: Statement of Property Ownership • P.7: Tenancy Addendum Certification

Certification

Keep these pages for your records: • Pp. 8-12: Tenancy Addendum •

· Pp:1�15: HQS Inforrrici:tion ·

• Pp. 16-17: Lead Paint Information • •protecting your family from lead in your home"

EPA pamphlet

This ts to certify that as the Owner of the rental property I ain not a parent, child, grandparent, grandchild, sister, or brother of any member of the Section 8 Participant's family.

�� /��c? �o Sig�ner [)ate

1001 WASHINGTON AVENUE NORTH MIN!IF" 'POUS, MN 55401-1043 PHONE: (612) 342-1400 FAX: (612) 335-4427 WWW.MPHAONLINE.ORG EQUAL H ING OPPORlUNITI' - EQUAL EMPLOYMENT oppr--T\JNllY

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 9 of 37

\'--\ N �\��1�:9,-i I S ,:·· :,t� . '' · .

A U J' f.f O �R J T Y

6

WARNING: SECTION 1001 OF TITLE 18 OF THE U.S. CODE MAKES IT A CRIMINAL OFFENSE TO MAKE WILLFUU FALSE STATEMENTS OR MISREPRESENTATIONS TO ANY DEPARTMENT OR AGENCY Of THE UNITED STATES AS TO ANY MATTERS WITHIN rrs JURISDICTION.

Statement of Property Ownership/ Authorization

Regarding Tenant: __ ..-.--_l_� __ \_tc:::_t\. __ ���u..�G.�N _____ (Name)

Rental Property Address: � 'iZ l

I/We Declare That The Recorded Property Owners Are;

Name:

Address:

DGf.11'1 is Cl+RIS/ Name:

I 09%. 11 z;z, g T .... sr. Address:

Oty, State, Zip $c."MC>I P\1 fflN 550r � Qty, State, Zlp __________ _

Phone:

Fax:

· .·. · �C.Mail:

c f;, / Z. > 7/g' - G � "2:.. Phone:

( ) Fax:

E-Mail:

Checks should be Paid to: , De'"'t<.lS �(l::. .. �-r-

(

If APDlicable; OWner's Authorized Agent/Manager/Realtor/Power of Attorney, etc.

)

(w-9 SHOUlD BE FillfD OUT FOR PAYEE)

**lhe following Individual/agency is designated as my/our authorized representative and is authorized to. act on my/oor behalf which indudes signing leases or contracts, and any pertinent documents relating to the rental of the above property.

KE.VII·.( C.l+�I& ;-

h -**-Please complete below.if check-mailing addressJs diff�J;� a_�.,� ���:h .. .. Name: Phone:

Address:

Qty, State, Zip This farm is mandatory when submitting a lease request for approval into 'the Section 8 Rent Assistance programs.

A signed W-9, for reporting to the IRS, is required prior to release of any payments

�� /zb/t> �ignature of owner Signature of owner Date

1001 WASHINGTON AVENUE NORTH MlNNl=l\POLIS, MN 55401-1043 PHONE: (612) 342-1400 FAX: (612) 335-4427 WWW.MPHAONLINE.ORG EQUAL H ING OPPORTUNllY - EQUAL EMPLOYMENT OPP"'"'TUNITY

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 10 of 37

Tenancy Addendum Certification

7

o HUD requires that all property owners attach Form 52641-A to their lease with any participant in the Section 8 Housing Choice Voucher Program (24 CFR 982.162(a)(3)).

o MPHA WILL NOT PAY an owner who fails to certify that Form 52641-A has been attached to their lease.

o Please sign the certification below and reb.Jm to the Section 8 HCV office.

o Download HUD Form 52641-A at·the link below: http://www.mphaonline.org/docs/52641-a.pdf

CERTIFICATION

I, property owner .....__�Pr:..=o::::perty.=�m=an::.:a:.:g�e::-r � . .....,a.E ONE)

of the property at: � C'"Z: I R r.>SS Ii J.L �,..-. #.

with tenant: -J;.,.-t � A. � l.k� /J

DATE

1001 WASHINGTON AVENUE NORTH MINW"�OUS. MN 55401-1043 PHONE: (612) 342-1400 FAX: (612) 335-4427 WWW.MPHAONUNE.ORG EQUAL : SING OPPORTUNITY - EQUAL EMPLOYMENT OPF"""'ITUNITY

- --·-· -·- ·---------

.. --......

'

.,

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 11 of 37

01/1 1/2011

TAMIKA S AILEN-ZERWES 3821 RUSSEIL AVE N # MINNEAPOLIS, MN 55412

Re: Rent Change Notification

The processing of your Section 8 paperwork has been completed. The changes shown below take effect 10/06/2010.

The following is a breakdown of the new rental amounts:

Contract Rent: $1050.00

HAP Amount : $969.00

Tenant Amount: $81.00

If you have questions conce.ming the determination of your portion, please feel free to contact me at the number listed below.

Sincerely,

MINNEAPOLIS PUBLIC HOUSING AUTHORITY

Kristi Clayson Eligibility Techni�

. . . . Sect:foii-s--Programs · ·

(61 2)342-1409

cc: Participant File DENNIS L CHRIST

1 001 WASHINGTON AVENUE NORTH MINNEAPOLIS, MN 55401-1 043 PHONE: (612) 342-1400 FAX: (612) 335-4427 WWW.MPHAONLINE.ORG EQUAL HOUSING OPPORTUNITY - 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 Contract

(HAP Contract)

U.S. Department of Housing and Urban Development

Office of Public and Indian Housing Section 8 Tenant-Based Assistance

Housing Choice Voucher Program KC

Part A of the HAP Contract: Contract Information 1 . Contents of Contract

2.

3.

This HAP contract has three parts:

Part A: Contract Information Part B: Body of Contract Part C: Tenancy Addendum

Tenant:

Contract Unit:

TAMIKA ALLEN-ZERWES

3821 RUSSELL AVE N # MINNEAPOLIS MN 55412

4 . Household

5.

6.

7.

The following persons may reside in the unit. Other persons may not be added to the household without prior written approval of the owner and the PHA.

TAMIKA ALLEN-ZERWES, DARREN D ISAACSON, ZOE U ALLEN-ZERWl;S, JACY C REYES

Initial Lease Term:

The initial lease term begins on (mm/dd/yyyy): 1 0/06/2010 The initial lease term ends on (mm/dd/yyyy): 09/30/201 1

IYL'. \;;"C'&· "ve J,:1fv rt � 1 1

Initial Rent to Owner C""" <o;;

f'o#ro The initial rent to owner is $ 1 050.00 '{/r�IJ]� During the initial lease term, the owner may not raise the rent to the tenant.

Initial Housing Assistance Payment

The-HAP contract tem ·commence!:fon the first day·ot the initial te�se temt Atthe-beginning of the HAP contract term, the amount of the housing assistance payment by the PHA to the owner is $ 969.00 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 $ 81 .00

Previous editions are obsolete Page 1 of 1 0 form HUD-52641 (3/2000)

ref Handbook 7420.8

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Filed 07/25/12 Page 13 of 37

TENANT: TAMIKA ALLEN�ZERWES

8. Utilities and Appliances

The owner shall provide or pay for the utilities and appliances indicated below by an "O". The tenant shall provide or pay for the appliances indicated below by an "T". Unless otherwise specified below, the owner shall pay for all utilities and appliances provided by the owner.

Item Heating Cooking Water Heating Other Electric Water Sewer Trash Collection Air Conditioning Refrigerator Range/Microwave Other (specify)

Signatures Public Housing Agency:

Natural Gas Natural Gas Natural Gas Electric Other Other Other

Minneapolis Public Housing Authority

. �l1�1U1&nfm ) SECTION 8 ADMINISTRATION

Print or Type Name of Signatory l } ) fl{ IQ Date (rom/dd/yyyy)

Previous editions are obsolete

Specify fuel type Provided by

Owner DENNJS L CHRIST

Signature

Print or Type Name of Signatory { - / 2. --11 Date (mm/dd/yyyy)

Owner Name DENNIS L CHRIST

10984 228TH ST N SCANDIA MN 55073

Paid by T T T T T T T

Page 2 of 10 form HUD-52641 (3/2000)

ref Handbook 7420.8

: i i ·_;

Housing Assistance Payments Contract (HAP Contract) Section 8 Tenant-Based Assistance Housing Choice Voucher Program

Part B of HAP Contract: Body of Contract 1 . Purpose

a. This is a HAP contract between the PHA and the owner. The HAP contract is entered to provide assistance for the family under the Section 8 voucher program (see HUD program regulations at 24 Code of Federal Regulations Part 982).

b. The HAP contract only applies to the household and contract unit specified in Part A of the HAP contract.

c. During the HAP contract tenn, the PHA will pay housing assistance payments to the owner in accordance with the HAP contract.

d. The family will reside in the contract unit with assistance under the Section 8 voucher program. The housing assistance payments by the PHA assist the tenant to lease the contract unit from the owner for occupancy by the family.

2. Lease of Contract Unit a. The owner has leased the contract unit to the tenant

for occupancy by the family with assistance under the Section 8 voucher program.

b. The PHA has approved leasing of the unit in accordance with requirements of the Section 8 voucher program.

c. The lease for the contract unit must include word­for-word all provisions of the tenancy addendum required by HUD (Part C of the HAP contract).

d. The owner certifies that: ( I ) The owner and the tenant have entered into a

lease of the contract unit that includes all provisions of the tenB11cy addendum.

(2) The lease is in a standard form that is used in the )()()lllity by the owner and that is generally used for other unassisted tenants in the premises.

(3) The lease is consistent with State and local law.

e. The owner is responsible for screening the family's behavior or suitability for tenancy. The PHA is not responsible for such screening. The PHA has no liability or responsibility to the owner or other persons for the family' s behavior or the family's conduct in tenancy.

3. Maintenance, Utilities, and Other Services a. The owner must maintain the contract unit and

premises in accordance with the housing quality standards (HQS).

b. The owner must provide all utilities needed to comply with the HQS.

c. If the owner docs not maintain the contract unit in accordance with the HQS, or fails to provide all utilities needed to comply with the HQS, the PHA may exercise any avoilable remedies. PHA remedies

Previous editions are obsolete

U.S. Department of Housing and Urban Development Office of Public and Indian Housing

for such breach include recovery of overpayments, suspension of housing assistance payments, abatement or other reduction of housing assistance pll)'tnCnls, tennination of housing assistance payments, and termination of the HAP contract. The PHA may not exercise such remedies against the owner because of an HQS breach for which the family is responsible, and that is not caused by the owner.

d. The PHA shall not make any housing assistance payments if the contract unit does not meet the HQS, unless the owner corrects the defect within the period specified by the PHA and the PHA verifies the correction. Tf a defect is life threatening, the owner must correct the defect within no more than 24 hours. For other defects, the owner must correct the defect within the period specified by the PHA.

e. The PHA may inspect the contract unit and premises at such times as the PHA determines necessary, to ensure that the unit is in accordance with the HQS.

f. The PHA must notify the owner of any HQS defects shown by the inspection.

g. The owner must provide all housing services as agreed to in the lease.

4. Term of HAP Contract a. Relation to lease term. The term of the HAP

contract begins on the first day of the initial tenn of the lease, and terminates on the last day of the term of the lease (including the initial lease term and any extensions).

b. When HAP contract terminates.

Page 4 of 12

( I) The HAP contract terminates automatically if the lease Is terminated by the owner or the

tenant. (2) The PHA may tenninate' program assistance

for the family for any grounds authorized in accordance with HUD requirements. If the PHA terminates program assistance for the family, the HAP contract terminates automatically.

(3) If the family moves from the contract unit, the

HAP contract tenninates automatically.

(4) The HAP contract terminates automatically 1 80 calendar days after the last housing 1Wistance p11yment to the owner.

(5) The PHA may terminate the HAP contract if the PHA determines, in accordance with HUD requirements, that available program funding is not sufficient to support continued assistance 'for families in the program.

(6) The HAP contract terminates automatically upon the death of a single member household, including single member households with a live-in aide.

form HUD-52641 (Bfl009) ref Handbook 7420.8

(7) The PHA may terminate the HAP contract if the PHA detennines that the contract unit does not provide adequate space in 11CCOrdance with the HQS because of an increase in family size or a change in family composition.

(8) If the family breaks up, the PHA may tenninate the HAP contract, or may continue housing assistance payments on behalf of family members who remain in the contract unit.

(9) The PHA may terminate the HAP contract if the PHA detennincs that the unit does not meet all requirements of the HQS, or determines that the owner has otherwise breached the HAP contract.

5. Provision and Payment for Utilities and Appliances a. The lease must specify what utilities are to be provided

or paid by the owner or the tenant. b. The lease must specify what appliances are to be pro·

vided or paid by the owner or the tenant c. Part A of the HAP contract specifies what utilities and

appliances m to be provided or paid by the owner or the tenant. The lease shall be consistent with the HAP contract.

6. Rent to Owner: Reasonable Rent a. During the HAP contract tcnn, the rent to owner may at

no time exceed the reasonable rent for the contract unit as most recently determined or redetermined by the PHA in accordance with HUD requirements.

b. The PHA must determine whether the rent to owner is reasonable in comparison to rent for other comparable unassisted units. To make th is determination, the PHA must consider: ( I ) The location, quality, size, unit type, and age of

the contract unit; and (2) Any. amenities, housing services, maintenance

and utilities provided and paid by the owner. c. The PHA must redetenninc the reasonable rent when

required in accordance with HUD requirements. The PHA may redetermine the reasonable rent at any time.

d. During the HAP contract term, the rent to owner may not elCcced rent charged by the owner for comparable unassisted units in the premises. The owner must give the PHA any information requested by the PHA on rents charged by the owner for other units in the premises or elsewhere.

7. PHA Payment to Owner a. When paid

( 1) During the tcnn of the HAP contract, the PHA must make monthly housing assistance payments to the owner on behalf of the family at the beginning of each month.

(2) The PHA must pay housing assistance payments promptly when due to the owner.

(3) If housing assistance payments are not paid promptly when due after the first two calendar months of the HAP contract term, the PHA shall pay the owner penalties if all of the following circumstances apply: (i) Such penalties are in accordance with generally accepted practices and law, as applicable in the local housing market,

Previous editions are obsolete

governing penalties for late payment of rent by a tenant; (ii) It is the owner's practice to charge such penalties for assisted Wld unassisted tenants; and (iii) The owner also charges such penalties against the tenant for late payment of family rent to owner. However, the PHA shall not be obligated to pay any late payment penalty if HUD determines that late payment by the PHA is due to factors beyond the PHA's control. Moreover, the PHA shall not be obligated to pay any late payment penalty if housing assistance payments by the PHA are delayed or denied as a remedy for owner breach of the HAP contract (including any of the following PHA remedies: recovery of overpayments, suspension of housing assistance payments, abatement or reduction of housing assistance payments, termination of housing assistance payments and termination of the contract).

(4) Housing assistance payments shall only be paid to the owner while the family is residing in the contract unit during the term of the HAP contract. The PHA shall not pay a housing assistance payment to the owner for any month after the month when the family moves out.

b. Owner compliance with RAP contract. Unless the owner has complied with all provisions of the HAP

. contract, the owner docs not have a right to receive housing assistance payments under the HAP contract.

c. Amoant of PHA payment to owner (1) The amount of the monthly PHA housing

assistance payment to the owner shall be determined by the PHA in accordance with HUD requirements for a tenancy under the voucher program.

(2) The amount of the PHA housing assistance payment is subject to change during the HAP contract term in accordance with HUD requirements. The PHA must notify the family and the owner of any changes in the amount of the housing assistance payni�t.

(3) The housing assistance payment for the first month of the HAP contract' term shall be pro­rated for a partial month.

d. Application of payment. The monthly housing assistance payment shall be credited against the monthly rent to owner for the contract unit.

e. Limit of PHA responsibility. ( I ) The PHA is only responsible for making housing

assistance payments to the owner in acoordance with the HAP contract and HUD requirements for a tenancy under the voucher program.

(2) The PHA shall not pay any portion of the rent to owner in excess of the housing assistance payment. The PHA shall not pay any other claim by the owner against the family.

f. Overpayment to owaer. If the PHA determines that the owner is not entitled to the housing assistance payment or any part of it, the PHA, in addition to other remedies, may deduct the amount of the overpayment from any amounts due lhe owner (including amounts due under any other Section 8 assistance contract).

8. Owner Certification

Page 5 of 1 2 form HUD-52641 (812009) ref Handbook 7420.8

During the term of this contract, the owner certifies that:

a. The owner is maintaining the contract unit and premises in accordance with the HQS.

b. The contract unit is leased to the tenant The lease includes the tenancy addendum (Part C of the HAP contract), and is in accordance with the HAP contract and program requirements. The owner has provided the lease to the PHA, including any revisions of the lease.

c. The rent to owner does not exceed rents charged by the owner for rental of comparable unassisted units in the premises.

d. Except fur the rent to owner, the owner has not received and will not receive any payments or other consideration (from the family, the PHA, mJD, or any other public or private source) for rental of the contract unit during the HAP contract term.

e, The family does not own or have any Interest in the contract unit

f. To the best of the owner's knowledge, the members of the family reside in the contract unit, and the unit is the family's only residence.

g. The owner (including a principal or other interested party) is not the parent, child, grandparent, grandchild, sister, or brother of any member of the family, unless the PHA has determined (and has notified the owner and the family of such determination) that approving rental of the unit, notwithstanding such relationship, would provide reasonable accommodation for a family member who is 11 person with disabilities.

9. Prohibition of Discrimination. In accordance with applicable equal opportunity statutes, Executive Orders,

and regulations: a. The owner must not discriminate against any person

because of r11ce, color, religion, sex, national origin. age, familial status, or disability in connection with the HAP contract

b. The owner must cooperate with the PHA and HUD in conducting equal opportunity compliance reviews and complaint investigations in connection with the HAP contract.

10. Owner's Breach of HAP Contract a. Any of the following actions by the owner (including a

principal or other interested party) is a breach of the HAP contract by the owner: (1) If the owner hu violated any obligation under the

HAP contract, including the owner's obligation to maintain the unit in accordance with the HQS.

(2) If the owner has violated any obligation under any other housing assistance payments contract under Section 8 .

(3) If the owner has committed fraud, bribery or any other corrupt or criminal act in connection with any Federal housing assistance program.

(4) For projects with mortgages insured by HUD or loans made by HUD, if the owner has failed to comply with the regulations for the applicable mortgage insurance or loan program, with the mortgage or mortgage note, or with the regulatory agreement; or if the owner has committed fraud, bribery or any other corrupt or criminal act in connection with the mortgage or loan.

Previous editions are obsolete

(5) If the owner has engaged in any drug-related criminal activity or any violent criminal activity.

b. If the PHA determines that a breach has occurred, the PHA may exercise any of its rights and remedies under the HAP contract, or any other available rights and remedies for such breach. The PHA shall notify the owner of such determination, including a brief statemont of the reasons for the determination. The notice by the PHA to the owner may require the owner to take corrective action, as verified or determined by the PHA, by a deadline prescribed in the notice.

c. The PHA's rights and remedies for owner breach of the HAP contract include recovery of overpayments, suspension of housing assistance payments, abatement or other reduction of housing assistance payments, tennlnation of housing assistance payments, and termination of the HAP contract

d. The PHA may seek and obtain additional relief by judicial order or action, including specific performance, other injunctive relief or order for damages.

e. Even if the family continues to live in the contract unit, the PHA may exercise any rights and remedies for owner breach of the HAP contract.

f. The PHA's exercise or non-exercise of any right or remedy for owner breach of the HAP contract is not a waiver of the right to exercise that or any other right or remedy at any time.

1 1 . PHA and HUD Access to Premises and Owner's Records a. The owner must provide any information pertinent to

the HAP contract that the PHA or HUD may reasonably require.

b. The PHA, HUD and the Comptroller General of the United States shall have fu II and ftcc access to the contract unit and the premises, and to all accounts and other records of the owner that arc relevant to the HAP contract, including the right to examine or audit the records and to make copies.

c. The owner must grant such access to oomputeriud or other electronic records, and to any computers, equip­ment or facilities containing such records, and must provide any infonnation or assistance needed to access the records. "

12. Exclusion of Third Party Rights a. The family Is not a party to or third party beneficiary of

Part B of the HAP contract. The family may not enforce any provision of Part B, and may not exercise any right or remedy against the owner or PHA under Pert B.

b. The tenant or the PHA may enforce the tenancy addendum (Part C of the HAP contract) against the owner, and may exercise any right or remedy against the owner under the tenancy addendum.

c. The PHA does not assume any responsibility for injury to, or any liability to, any person injured as a result of the owner's action or failure to act in connection with management of the contract unit or the premises or with lmplemCntation of the HAP contract, or as a result of any other action or failure to act by the owner.

d. The owner is not the agent of the PHA, and the HAP contract does not create or affect any relationship between the PHA and any lender to the owner or any suppliers, employees, contractors or subcontractors used by the owner in connection with management of

Page 6 of 1 2 form HUD-52641 (812009) ref Handbook 7420.8

the contract unit or the premises or with implementation of the HAP contract

13. ConDict of lnterest a. "Covered individual" means a person or entity who is a

member of any of the following classes: ( I) Any present or former member o r officer of the

PHA (except a PHA commissioner who is a participant in the program);

(2) Any employee of the PHA, or any contractor, sub-contractor or agent of the PHA. who formulates policy or who influences decisions with respect to the program;

(3) Any public official, member of a governing body, or State or local legislator, who exercises functions or responsibilities with respect to the program; or

(4) Any member of the Congress of the United States.

b. A covered individual may not have any direct or indirect interest in the HAP contract or in any benefits or payments under the contract (including the interest of an immediate family member of such covered individual) while such person is a covered individual or during one year thereafter.

c. "Immediate family member" means the spouse, parent (including a stepparent), child (including a stepchild), grandparent, grandchild, sister or brother (including a stepsister or stepbrother) of any covered individual.

d. The owner certifies and is responsible for assuring that no person or entity has or will have a prohibited interest, at execution of the HAP contract, or at any time during the HAP contract term.

e. If a prohibited interest occurs, the owner shall promptly and fully disclose such interest to the PHA and HUD.

f, The conflict of interest prohibition wider this section may be waived by the HUD field office for good cause.

g. No member of or delegate to the Congress of the United States or resident commissioner shall be admitted lo any share or part of the HAP contract or to any benefits which may arise from it

14. Assignment of the HAP Contract a. The owner may not assign the HAP contract to a new

owner without the prior written consent oftbe PHA. b. If the owner requests PHA consent to assign the HAP

contract to a new owner, the owner shall supply any information as required by the PHA pertinent to the proposed assignment.

c. The HAP contract may not be assigned to a new owner that is debarred, suspended or subject to a limited denial of participation under HUD regulations (see 24 Code of Federal Regulations Part 24).

d. The HAP contract may not be assigned to a new owner if HUD has prohibited such assignment because: (I ) The Federal government has instituted an

administrative or judicial action against the owner or proposed new owner for violation of the Fair Housing Act or other Federal equal opportunity requirements, and such action is pending; or

(2) A court or administrative agency has determined that the owner or proposed new owner violated

Previous editions are obsolete

the Fair Housing Act or other Federal equal opportunity requirements.

e. The HAP contract may not be assigned to a new owner if the new owner (including a principal or other interested party) is the parent, child, grandparent, grandchild, sister or brother of any member of the family, unless the PHA has determined (and has notified the family of such determination) that approving the 11Ssignment, notwithstanding such relationship, would provide reasonable acconunodation for a family member who is a person with disabilities.

f. The PHA may deny approval to assign the HAP contract if the owner or proposed new owner (including a principal or other interested party): (I) Has violated obligations under a housing assistance

payments contract under Section 8; (2) Has committed fraud, bribery or any other corrupt

or criminal act in connection with any Federal housing program;

(3) Has engaged in any drug-related criminal activity or any violent criminal activity;

(4) Has a history or practice of non-compliance with the HQS for units leased under the Section 8 tenant-based programs, or non-compliance with applicable housing standards for units leased with project-based Section 8 assistance or for units leased under any other Federal housing program;

(5) Has a history or practice of failing to terminate tenancy of tenants assisted under any Federally assisted housing program for activity engaged in by the tenant, any member of the household, a guest or another person under the control of any member of the household that:

(a) Threatens the right to peaceful enjoyment

of the premises by other residents; (b) Threatens the health or safety of other

residents, of employees of the PHA, or of owner employees or other persons engaged in management of the housing;

(c) Threatens the health or safety oi; or the right to peaceful eajoyment ·Of their residents by, persons residing in the i0\!11ediate vicinity of the premises; or

(d) Is drug-related criminal activity or violent criminal activity;

(6) Has a history or practice of renting units that fail to meet State or local housing codes; or

(7) Has not paid State or local real estate taxes, fines or assessments.

g. The new owner must agree to be bound by and comply with the HAP contract. The agreement must be in writing, and in a form acceptable to the PHA. The new owner must give the PHA a copy of the executed agreement.

1 5 . Foreclosure. In the case of any foreclosure, the immediate successor in interest in the property pursuant to the foreclosure shall assume such interest subject to the lease between the prior owner and the tenant and to the HAP contract between the prior owner and the PHA for the occupied unit. This provision does not affect any State or local law that provides longer time periods or other addilional protections for tenants. This provision will sunset on December 31, 2012 unless extended by law.

Page 7 of 1 2 form HUD-52641 (8/2009) ref Handbook 7420.8

' . ·:· . . . · . . . · . ·:-: :':�·: ...

1 6. Written Notices. Any notice by the PHA or the owner in connection with this contract must be in writing.

17. Entire Agreement: Interpretation a. The HAP contract contains the entire agreement between

the owner and the PHA. b The HAP contract shall be interpreted and implemented

in accordance with all statutory requirements, and with all HUD requirements, including the HUD program regulations at 24 Code of Federal Regulations Part 982.

Previous editions are obsolete Page 8 of 12 form HU0-52641 (8/2009) ref Handbook 7420.8

Housing Assistance Payments Contract (HAP Contract) Section 8 Tenant-Based Assistance Housing Choice Voucher Program

Part C of HAP Contract: Tenancy Addendum

1 . Section 8 Voucher Program a. Tbe owner is leasing the contract unit to the tenant

for occupancy by the tenant's family with assistance for a tenancy under the Section 8 housing choice voucher program (voucher program) of the United States Department of Housing and Urben Development (HUD),

b. The owner hos entered into a Housing Assistance Payments Contract (HAP contract) with the PHA under the voucher program. Under the HAP contract, the PHA will make housing assistance payments to the owner to assist the tenant in leasing the Wlit from the owner.

2. Lease a. The owner has given the PHA a copy of the lease,

including any revisions agreed by the owner and the tenant. The owner certifies that the terms of the lease are in accordance with an provisions of the HAP contract and that the lease includes the tenancy addendum.

b. The tenant shall have the right to enforce the tenancy addendum against the owner. If there is any conflict between the tenancy addendum and any other provisions of the lease, the language of the tenancy addendum shall control.

3. Use of Contract Unit

a. During the lease term, the family will reside in the contract unit with assistonce under the voucher program.

b. The composition of the household must be approved by the PHA. The family must promptly inform the PHA of the birth, adoption or court-awarded custody of a child. Other persons may not be added to the household without prior written approval of the owner and the PHA.

c. The contract unit may only be used for residence by the Pl-IA-approved household members. The unit must be the family's only residence. Members of the household may engage in legal profit making activities incidental to primary use of the unit for residence by members of the family.

d. The tenant may not sublease or let the unit. e. The tenant niay not assign the lease or transfer the

unit

4. Rent to Owner a. The initial rent to owner may not exceed the amount

approved by the PHA in BCQOrdancc with HUD requirements.

b. Changes in the rent to owner shall be determined by the provisions of the lease. However, the owner may not raise the rent during the initial term of the lease.

Previous editions are obsolete

U.S. Department of Housing and Urban Development Office of Public and Indian Housing

c. During the tenn of the le11:1e (including the initial term of the lease and any extension term), the rent to owner may at no time exceed: ( 1) The reasonable rent for the unit as most

recently determined or redetermined by the PHA in accordance with HUD requirements, or

(2) Rent charged by the owner for comparable

unassisted units in the premises.

5. Family Payment to Owner a. The family is responsible for paying the owner any

portion of the rent to owner that is not covered by the PHA housing assistance payment.

b. Each month, the PHA will make a housing assistance payment to the owner on behalf of the family in accordance with the HAP contract. The amount of the monthly housing assistance payment will be dctennined by the PHA in accordance with HUD requirements for a tenancy under the Section 8 voucher program.

c. The monthly housing assistance payment shall be credited against the monthly rent to owner for the contract unit.

d. The tenant is not responsible for paying the portion of rent to owner covered by the PHA housing assistance payment under the HAP contract between the owner and the PHA. A PHA failure to pay the housing assistance payment to the owner is not a violation of the lease. The owner may not terminate the tenancy for nonpayment of the PHA housing assistance payment.

e. The owner may not charge or accept, from the family or from any other sour.cc, any payment for rent of the unit in addition to the rent to owner. Rent to owner includes all housing se'rviccs, maintenance, utilities and appliances to be ptovided and paid by the owner in accordance with the lease.

f. The owner must immediately return any excess rent

payment to the tenant.

6. Other Fees and Cha rges

a. Rent to owner does not include cost of any meals or supportive services or furniture which may be provided by the owner.

b. The owner may not require the tenant or family members to pay charges for any meals or supportive services or furniture which may be provided by the owner. Nonpayment of any such charges is not grounds for tennination of tenancy.

c. The owner may not charge the tenant extra amounts for items customarily included in rent to owner in the locality, or provided at no additional cost to unsubsidized tenants in the premises.

7. Maintenance, Utilities, and Other Services

a. Maintenance

Page 9 of 1 2 form HUD-52641 (8/2009} ref Handbook 7420.8

(I) The owner must maintain the unit and premises in accordance with the HQS.

(2) Maintenance and replacement (including redecoration) must be in accordance with the standard practice for the building concerned as established by the owner.

b. Utilities and 1ppliances ( I ) The owner must provide all utilities needed to

comply with the HQS. (2) The owner is not responsible for a breach of

the HQS caused by the tenant's failure to:

(a) Pay for any utilities thtit are to be paid by the tenant.

(b) Provide and maintain any appliances that are to be provided by the tenant.

c. Family damage. The owner is not responsible for a breach of the HQS because of damages beyond normal wear and tear caused by any member of the household or by a guest.

d. Housing services. The owner must provide all housing services as agreed to in the lease.

8. Termination of Tenancy by Owner

a. Requirements. The owner may only terminate the d. tenancy in accordance with the lease and HUD requirements.

b. Grounds. During the term of the lease (the initial term of the lease or any extension term), the owner may only terminate the tenancy because of:

(1) Serious or repeated violation of the lease; (2) Violation of Federal, State, or local law that

imposes obligations on the tenant in connection with the occupancy or use of the unit and the premises;

(3) Criminal activity or alcohol abuse (as provided in paragraph c); or

(4) Other good cause (as provided in paragraph d).

c. Criminal activity or 1lcohol 1bu.1e. ( I ) Th e owner may terminate the tenancy during

the term of the lease if any member of the household, a guest or another person under a resident's control commits any of the following types of criminal activity: (a) Any criminal activity that threatens the

health or safety of, or the right to peaceful enjoyment of the premises by, other residents (including property management staff residing on the premises);

(b) Any criminal activity that threatens the health or safety of, or the right to peaceful enjoyment of their residences by, persons residing in the immediate vicinity of the premises;

(c) Any violent criminal activity on or near the premises; or

(d) Any drug-related criminal activity on or near the premises.

Previous editions are obsolete Page 1 0 of 1 2

--------------·--------- - ---- ----- -----------·- --·· --·- --------

(2) The owner may terminate the tenancy during the term of the lease if any member of the household is: (a) Fleeing to avoid prosecution, or custody

or confinement after oonviction, for a crime, or attempt to commit a crime, that is a felony under the laws of the place from which the individual flees, or that, in the case of the State of New Jersey, is a high misdemeanor; or

{b) Violating a condition of probation or parole under Federal or State law.

(3) The owner may terminate the tenancy for criminal activity by a household member in accordance with this section if the owner determines that the household member has committed the criminal activity, regardless of whether the household member has been arrested or convicted for such activity.

(4) The owner may terminate the tenancy during the term of the lease if any member of the household has engaged in abuse of alcohol that threatens the health, safety or right to peaceful enjoyment of the premises by other residents.

Other good c1ase for termination of tenancy (I) During the initial lease term, other good cause

for termination of tenancy must be something the family did or failed to do.

(2) During the initial lease term or during any extension tenn, other good cause may include: (a) Disturbance of neighbors, (b) Destruction of property, or (c) Living or housekeeping habits that cause

damage to the unit or premises. (3) After the initial lease term, such good cause

may include: (a) The tenant's failure to accept the owner's

offer of a new lease .or revision; (b) The owner's desiie. lo use the unit for

personal or family 11se or for a purpose other than use as a residential rental unit; OT

(c) A business or economic reason for termination of the tenancy (such as sale of the property, renovation of the unit, the owner's desire to rent the unit for a higher rent).

(5) The examples of other good cause in this paragraph do not preempt any State or local laws to the contrary.

( 6) In the case of an owner who is an immediate SU(:CCSSOI' in interest pursllll!lt to foreclosure

, during the term of the lease, requiring the tenant to vacate the property prior to sale shall not constitute other good cause, except that the owner may terminate the tenancy effective on the date of transfer of the unit to the owner if the owner: (a) will occupy the unit as a primary residence; and (b) has provided the tenant a notice to vacate at least 90 days before the effective date of such notice. This

f0f!T1 HUD-52641 (8/2009) ref Handbook 7420.8

provision shall not affect any State or local law that provides for longer time periods or addition protections for tenants. This provision will sunset on December 31, 2012 unless extended by law.

e. Protections for Victims of Abuse.

( I ) An incident or incidents of actual or threatened domestic violence, dating violence, or stalking will not be construed as serious or repeated violations of the lease or other "good cause" for termination of the assistance, tenancy, or occupancy rights of such a victim.

(2) Criminal activity directly relating . to abuse, engaged in by a member of a tenant's household or any guest or other person under the tenant's control, shall not be 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 domestic violence, dating violence, or stalking.

(3) Notwithstanding any restrictions on admission, occupancy, or tenninations of occupancy or assistance, or any Federal, State or local law to the contrary, a PHA, owner or manager may "bifurcate" a lease, or otherwise remove a household member from a leallC, without regard to whether a household member is a signatory to the lease, in order to evict, remove, terminate occupancy rights, or tenninate assistance to any individual who is a tenant or lawful occupant and who engages in criminal acts of physical violence against family members or others. This action may be taken without evicting, removing, terminating assistance to, or otherwise penalizing the victim of the violence who is also a tenant or lawful occupant Such eviction, removal, termination of occupancy rights, or termination of assistance shall be effected in accordance with the procedures prescribed by Federal, State, and local law for the termination of leases or assistance under the housing choice voucher program.

(4) Nothing in this section may be construed to limit the authority ofa public housing agency, owner, or manager, when notified, to honor court orders addressing rights of ac<;ess or control of the property, including civil protection orders issued to protect the victim and issued to address the distribution or possession of property among the household members in cases where a family breaks up.

(5) Nothing in this section limits any otherwise available authority of an owner or manager to evict or the public housing agency to terminate assistance to a tenant for any violation of a lease not premised on the act or acts of violence in question against the tenant or a member of the tenant's household, provided thnt the owner, manager, or public housing agency does not subject an individual who is or has been a victim of domestic violence, dating violence, or stalking to a

more demanding standlll'd than other tenants in determining whether to evict or terminate.

(6) Nothing in this section may be construed to limit the authority of an owner or manager to evict, or the public housing agency to terminate assistance, to any tenant if the owner, manager, or public housing agency can demonstrate an actual and imminent threat to other tenants or those employed at or providing service to the property if the tenant is not evicted or terminated from assistance.

(7) Nothing in this section shall be construed to supersede: any provision of 8DY Fedel'lll, State, or local law that provides greater protection than this section for victims of domestic violence, dating violence, or stalking.

f. Eviction by court action. The owner may only evict the tenant by a court action.

g. Owner notice of grounds (I) At or before the beginning of a court action to

evict tbe tenant, the owner must give the tenant a notice that specifies the grounds for termination of tenancy. The notice may be included in or combined with any owner eviction notice.

(2) The owner must give the PHA a copy of any owner eviction notice at the same time the owner notifies the tenant.

(3) Eviction notice means a notice to vacate, or a complain! or other initial pleading used to begin an eviction action under State or local law.

9. Lease: Relation to HAP Contract If the HAP contract terminates for any reason, the lease terminates automatically.

10. PHA Ter111ioatlo• of A11istance

The PHA may terminate program assistlince for the family for any grounds authorized in accordance with m.rD requirements. If the PHA terminates program assistance for the falhily, the lease terminates automatically.

1 1 . Family Move Out

The tenant must notify the PHA and the owner before the family moves out of the unit.

12. Security Depoait a. The owner may collect a security deposit from the

tenant. (However, the PHA may prohibit the owner from collecting a security deposit in excess of private market practice, or in excess of amoimts charged by the owner to unassisted tenants. Any such PHA-required restriction must be specified in the HAP contract.)

b. When the family moves out of the contract unit, the owner, subject to State and local law, may use the security deposit, including any interest on the deposit, as reimbursement for any unpaid rent payable by the tenant, any damages to the unit or any other amounts that the tenant owes under the lease.

Previous editions are obsolete Page 1 1 of 1 2 form HUD-62641 (812009)

ref Handbook 7420.8

c. The owner must give the tenant a list of all ilcms charged against the security deposit, and the amount of each item. After deducting the amount, if any, used to reimburse the owner, the owner must promptly refund the full amount of the unused balance to the tenanl

d. If the security deposit is not sufficient to cover amounts the tenant owes under the lease, the owner may collect the balance from the tenant.

1 3 . Prohibition of Discrimination In accordonce with applicable equal opportunity statutes, Executive Orders, and regulations, the owner must not discriminate against any person because of race, color, religion, sex, national origin, age, familial status or disability in connection with the lease.

1 4. Connict with Other Provisions of Lease

a. The terms of the tenancy addendum are prescribed by HUD in accordance with Federal law and regulation, as a condition for Federal assistance to the tenant and tenant's family under the Section 8 voucher program.

b. In case of any conflict between the provisions of the tenancy addendum as required by HUD, Md any other provisions of the lease or any other agreement between the owner and the tenant, the requirements of the HUD-required tenancy addendum shell control .

1 S . Changes in Lease or Rent o. The tenant and the owner may not make any change

in the tenancy addendum. However, if the tenant and the owner agree to any other changes in the lease, such changes must be in writing, and the owner must immediately give the PHA a copy of such changes. The lease, Including any changes, must be in accordance with the requirements of the tenancy addendum.

b. In the following cases, tenant-based assistance shall not be continued unless the PHA has approved a new tenancy in accordance with program requirements and has executed a new HAP contract with the owner. ( I ) If there arc any changes in lease requirements

governing tenant or owner responsibilities for uti Ii ties or appliances;

(2) lf there are any changes in lease provisions governing the term of the leaiJe;

(3) If the family moves to 11 new unit, even if the unit is in the same building or complex.

c. PHA approval of the tenancy, and execution of a new HAP contract, are not required for agreed changes in the lease other than as specified in paragraph b.

d. The owner must notil)' the PHA of any changes in the amount of the rent to owner at least sixty days before any such changes go into effect, and the amount of the rent to owner following any such agreed change may not exceed the reasonable rent for the unit as most recently determined or redetennined by the PHA in accordance with HUD requirements.

16. Notices

Any notice under the lease by the tenant to the owner or by the owner to the tenant must be in writing.

17. Definitions

Contract unit. The housing unit rented by the tenant with assistance under the program.

Family. The persons who may reside in the unit with assistance under the program. HAP contract. The housing assistance payments contract between the PHA and the owner. The PHA pays housing assistance payments to the owner in accordance with the HAP cont111ct. Household. The persons who may reside in the contract \mit. The household consists of the family and any PHA-approved live-in aide. (A live-in aide is a person who resides in the unit to provide necessary supportive services for a member of the family who is a person with disabilities.) Housing quality standards (HQS). The HUD minimum quality standards for housing assisted under the Section 8 tenant-based programs. HUD. The U.S. Department of Housing and Urban Development HUD requirements. HUD requirements for the Section 8 program. HUD requirements arc issued by HUD hcadquaners, as regulations, Federal Register notices or other binding program directives. Lease. The written agreement between the owner and the tenant for the lease of the contract unit to the tenant. The lease includes the tenancy addendum prescribed by HUD. PHA. Public Housing Agency. Prem!Hs. The building or complex in which the contract unit is located, including common areas and gro\Ulds. Prognim. The Section 8 housing choice voucher program. Rent to owner. 1be total monthly rent payable to the owner for the contract unit The rent to owner is the sum of the portion of rent payable by the tenant plus the PHA housing assistance payment to the owner.

Section 8. Section 8 of the United Stoles Housing Act of 1937 (42 United States Code 1437f). Tenant. The family member (or members) who leases the unit !Tom the owner. Voacber program. The Section 8 housing choice voucher program. Under this program, mJD provides funds to a PHA for rent subsidy on behalf of eligible families. The tenancy under the leose will be assisted with rent subsidy for a teTillf!cy under the voucher program.

Previous editions are obsolete Page 1 2 of 1 2 form HUD-52641 (8/2009)

ref Handbook 7420. 8

I i J

'

S e P " 1 3. QfflE �i;��W-01812-DSD-TNL Document 1-1 Fl d • , , . • i. 1 e 07125112 NJ5>.�'4 723 <Bf 3!i5/2 o

.. J ,

Addenda to Lease

The following is in addition to Residential lease and attached as additional agreements.

1 .) All snow and ice removal, lawn mowing, and general shrub and tree care of rental property, including all areas ofhoUBe and lot. -These include but are not restricted to only these: Salting and deicing all walkways. stairways_ end sidewalks. -Shoveling of driveway and all areas accessible to human tm:ffic. Including cormnon and public sidewalks fi:on:i property line to property line: Charges for not mamtain.ing snow removal, lawn care and trash on your utility. bill, is your responsibility. If the landlord has to perfonn any of these, a service fee will apply and due immediately.

2.) Rodent and pest control is responsibility of tenant. Included are ants, spiders, mice, rats, etc. Spider webs are a nonnal occurrence in any house.

3.) All utilities are in tenants name mtd shall be paid on time. If discovered that utility payments are delinquent, the iandlord shall collect additional rent to cover past due and current utility amounts and make payments on tcnanf s behalf. The landlord shall charge an additional processing service fee of S 100/ month for time/labor to process t.enant responsibility utility payments.

,tt -

I (' 4.) CenterpoinVXcel Home Service Plus Iq>ak plan must be included on Centerpoint/Xcel bill to cover the following equipment: . furnace, washer & dryer, � ciO watEU" heater, stove, dishwasher and air conditioner, if applicable. If repair of 1hese is

110 · needed, please call Centerpoint Energy/Xcel Home Service Plus Repair Program V before calling landlord. If repairs to above listed equipment is necessary, � the

tenant does not have the service on their bill, the service bill for repair of the equipment will be the responsibility of the t.enant

S.) Smoke detectors are not to be disabled. Routine maintenance will be dOne by the landlord to insure proper functioning. During routine inspections of the mechanicals and other equipment on the property, if management notices damages that arc not normal wear and tear on the property, the tenant will be responsible for the repair charges to these items, lntmedlately. These include stains on cmpet, holes in walls, broken windows and glass, daroage cosmetic items such as toilet paper holders, towel racks, mirrors, etc., garage and doors throughout property, railings, fixtures, electrical and electronic items, appliances, flooring, ceiling and walls, cabinets, toilets, vanities, hardware, wallpaper, desks, hutches, built-ins, blinds, steps, posts, benches, decks, and anything attached to the property. In other words, don't destroy or damage anything, or be ready to pay for its repair back to movc--in condition. All tenants and guests of the tenants are responsible for damages caused to the leased property above and beyond nonnal wear and tear. The normal wear and tear life of common items located on a property: Appliances (1 ()..I S years), caipet (7-10 years), Linoleum flooring (7-10 years), hardware, wood trim, fixtures, doors, cabinet$ (20+ years), paint (3-5 years). If you wish to paint any walls of the property, you must contac.t the

S e p . 1 3 . �fE p:��v-01812-_DSD-TNL Document 1-1 Fi led 07/25/12 NP.�g¢724 e.f �o/2 0 I ', ' ... \ • ,

landlord for approval, and your work will be inspected to see if properly completed. If you do damage something on the property. please contact the landlord to make anangements for repairs. Don't assume that a repair the t.enant has completed will tneet tht'. standards required by the landlord. You may end up paying for the repair twice, if done incorrectly by yourself or without supervision or approval of the landlord. In other wor� don't be embarrassed that you broke something, just contact the landlord, and get it repaired properly the first time.

6.) Please note, video and photos have been 1akcn of the rcn1al property prior/or on your move-in date. This will be used to document any repairs needed while and/or after you reside at the property. Be sure to note condition of all areas and fixtures of the property, before signing the move-in inspection report. Please be as detailed as necessary to relay any data that may be necessary going forward. Do not hesitate t.o ask the landlord any questions during this process, because no question is insignificant or unnecessary.

7 .) Rent payments are due the I st day of the month. Late fee, designated as a service fee on the lease will be assessed on the 61b day of the month, UD1ess arrangements are made, in writing, prior to that day. A notice of non-payment will be issued on the 10th day of the month. with 3 days to comply, or eviction proceedings will begin, Security deposits will be used to pay for all legal proceedings, and for rent past due. In other words, plan accordingly to have your :cent paid by the t" of the month.

8.) Basements are unfinished and we arc not responsible for.any damage to personal belongings in this space. Do not store valuable. items in basement.

9 ,) Do not put diaper wipes in toilet! If diftper wipes are discovered to have caused sewer back-up, a $120 service charge will be assessed.

I look forward to a g and trustworthy relationship. Regards, TIIE LANDLORJ?..

�M-lil�-T-----:1----Telcphone#: K ' 1 Tenant Signature: __________ Tclephonc#:. ___ �--�-

Tenant Signature: __________ Telephone#:. _______ _

Tenant Signatut'e:. __________ Tclephone#:_��-�---

Tenant Sigoature:. __________ Telcphone#: _______ _

Landlord Signature: Print Name:

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

Received

JUL 2 8 2G11 HCV Programs

- - -- - - - - -- - - -- -- -- -- -- --- - - -- ------- ---.--·-- ------

S e p . 1 3 . ���E 9i;�v-01812�DSD-TNL Document 1-1 Fi led 07/25/12 N&.c{g�726 <Bf 3m/2 0 . . '.: .:)

; . �- 5 .80\\. \ . . ' . . . . .

. .

. .

·

{u V"\ . . . •

. . . . . . . ·. . . .

.. .... .. . ·- .. . . rJ\ . -·· . - C!.Y.\.n .. � - '·- . - - .. . . . .. ---· · · ····- . ... ·--· ·· -· . - ·- . .. . . · ··-·---····· . . . ·-- . . . - -··· .

S e p . 1 3 . G��E Q):iiPMv-0181�-DSD-TNL Document 1-1 Fi led 07/25/12 Nl6>��7 at 3:¥0/2 0 : . · · · · .

I

.::·

1;_�,�� At.t.-e#

SS'f/ 7.. Itemized Distribution of

Security Deposit

Pursuant to Minnesota Statutes Section 504.20 the following shall serve as a statement of disposillon of security deposit monies to:

fi""-t. �A A.UE-1� for premlses locatect al: "5 f5'1--l f2c-ts,r�1,. 1- Aus. /Lt. Resident tY11 IJUBl'l'Pl�a 1 ,.-.,� SS'Y/ 'i Furnished by: /"ivl w Ci-I fZ1S.T Date: _/._Q_J-'-._J_!!__ TOTAL SECURtTY DEPOSITS ON ACCOUNT (If calculating deposit at more than one lnlerest rate, utili�e separate entry spaces for each period at each rale)

Descr1ptf on: Am'ount:

S ljc.....rtz..1 r-_., /)�1>;.r1r 7 /e?f'"J ...

ITEMIZED DAMAGES

Description:

- l �� .:i;.., L,.r..I��(... f'.ttW'f' .. � p..

. #/.gy#tt_ l. (/-1-t?��lt! 1-- •

MOVE OUT/CLEANING COSTS Description:

Interest:

- - .

/ �

Dates: Total Interest:_ Total Interest plus Deposit:

N_6/...., .. /ql.4 /IJl,,&r_ / 0 9 C. $-r:_

Total Deposit Monies Due: $ /0 9S-. fl�

Amount:

;p., /J..,.,u., W/.� �/E 5p e

�A-1'�..J' .... g�,.r. � {_� � c/ ,.. .,,. Total Damages: $ Git o .---

Amount:

--��I l 3S� �'+41� to

.r ��BN..:....!...t-�� .. J�=:�£!..""'----1l--'2:::../�et}------I c...z���--------��--t---�--�1 1,.-__ o�F _ __.=no;.-,;-� • wy..n.ic.Ji'? tJ. 11>

RENT OEFAUL T/MISC. OTHER DescrlpUon:

�s.� CiJI!. - t2. 5"'.,.... +- u._.�,.;�

Total Move OuUCleanlng Costs: $ 3 Z: !!: � Amount

··-

� _'f{()(} • z s �1·L'i..S

Total Rent and/or Mlscelleneous Charges Owed: $ fil?e>. �S-Balance Due Resident (Total Deposit Monies less Accrued Damages. Cosls and Charges)� $ - t:/ 7. t./ 0

Paid by check #: /1/A Dale: _f/L_1-1:!._j_j{_ � (Management/Owner)

Mlrinesota MulH Housing Association, 1650 West 82nd Sffeal, Suite 250, Bloomington, MN 66431-1419 (952) 85'1-8500 • Fax (952) 8�810 • E·MAIL mha@mmha.com - Web 811&: www.mmha.com

MtA ���!·.�� ��.1_1t1.1.�� dQ _nol �ppear �ven1y llOled on Iha background center of lhls sheet, you ate signing ao rneoarrv made coov.

·:;p-' CASE 0:12-cv-01s12-oso-TNL Document 1-1 Fi led o;/·�s112 Page 29 dnvoice

5269 Saint Marys Rd Minnetrista, M1'T 55364

Bill To T11mikll Allen 3821 Russell Ave. N. Minneapolis. MN SS4l2

P.O. No.

Quentily Oescriptioll 1 October Rent - Including laundry charge

Please call Xcel - 800-895-4999 and Ccnterpoint - 6l2·372-4727 and have bills changed to your name and tell them ro shU't the biUing date for October 1st. I will keep the water, sewer, tresh bill ill my nlllllC and send.you a copy each month requesting payment. If a pQttion of )'Ollr ren� is paid by M'PHA, just snbttact. thal amount from th� bal�ce due, and send tbe remaining balance to:

Plel\Se submit all paymcnrs to:

Kevin Christ 5269 Saint Marys Rd Minn.etrist.a. MN 55364

I have enclosed a return envelope for yo\lr convenience, please use il

Thanks

Kevin Christ 763-443-720 I

I Estimated October Wacu Bill. I will adjust ror actual cost nexl monlh, 1111d send you a copy ofthe bill.

T6"1ls

Due Oct. 15th

Rate

1 Home Service Plus Plan for Ocrober to cover the following appliances: Fum1tce, Stove, Water heater, Washer and Dryer, ond Air conditioner.

Please remit to nbove address. Late fee applies Oct. 16th. Total

. . · . . · . . . ;. · . : : : .. ··

Date l11Voice # 10/812010 3821-0ct

Project

Amount 1,08.5.00 l,085.00

80.00 80.00

20.90 20.90

$1,185.90

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 30 of 37

Inspection Checklist Housing Choice Voucher Program

U.S. Department of Housing and Urban Development Office of Public and Indian Housing

OMB Approval No. 2577-01 69

(exp. 9/30/20 1 2)

.ublic reporting burden for this conection of information is estimated to average 0.25 hours per response, including the time for reviewing instructions,

searching existing data sources, gathering and maintaining the data needed. and completing and reviewingthe collection of information. This agency

may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control

number. Assurances of confidentiality are not provided under this collection.

This collection of Information is authorized under Section 8 of the U.S. Housing Act of 1937 (42 U.S.C. 1437f). The Information is used to determine

if a unit meets the housing quality standards of the section 8 rental assistance program.

Name of Family ZERWES TAMIKA

Inspector Lipinski Jonathan

Type of Inspection O lnitial

[ Move-in Reinspection ] � Special 0 Relnspection

A - General Information

Tenant ID Number XX030318

Neighborhood Census Tract

3.00

lDate of Last Inspection (mm/dd/yyyy) 1 0/0512010

Inspected Unit 013278 Year of Construction (yyyy) 1919

Ful Address Onciudlng Stree� City, County, State, Zip) 3821 RUSSELL AVE N

MINNEAPOLIS MN 55412

4 City:

Nimiber of Children in Family Under 6 I 0

Owner

Name of Owner or Agent Authorized to Lease Untt Inspected Phone Number } ,DENNIS L CHRIST 612-718-5302

Address of OWner or Agent 1 0984 228TH ST N

SCANDIA MN 55073

B. Summary Decision on Unit (To be completed after form has been filled out}

0Passed Number of Bedrooms for Purposes Number of Sleeping Rooms

0 Failed of the FMR or Payment Standard

D Inconclusive 3.00

inspection Checklist

Date of Request (mm.ldd/yyyy) 1 0/06/2010

Date of Inspection (mm/dd/yyyy} 10/06/2010

PHA Minneapolis Public Housing Authority

Housing Type (check as appropriate)

tj Single Family Detach Duplex or Two Family

8 Row or Town House

Low Rise: 314 Stories including Garden

D High Rise: 5 Stories

D Manufactured Home

D Congregate

D Cooperate

D Independent Group Residence

O Single Room Occupancy

D Shared Housing

D Other

Item Living Room Yes No In- Comments Approval No.

1 . 1 Living Room Present

1:2 · · · i:reciriCity . . . . .. .. . . . . . ... . . .

· · · · · · · · · · · ····· · · · · -··

1 .3 Electrical Hazards

1 .5 Window Condition

1 .6 Ceiling Condition

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 surface exceed two square feet per room and/or is more than 10% of a

Pass Fail

p p p p p p p p

... ·····-·

Cone.

. .. ......... . . .. ... . . ... - • . · · · · · ·

. . .. ....... .. . . · · · · ·······-

Date 10/051201 0

1 0/05/2010

1 0/05/2010

1 0/05/2010

1 0/05/2010

10/05/2010

10/051201 0

10/05/201 0

.oom Codes: 1 = Bedroom or any other room used for sleeping {regardless of type of room); 2 = Dining Room or Dining Area; J=Second Living Room, Family Room, Den, Playroom, TV Room; 4=Entrance Halls, Corridors, Halls. Staircases; 5=Additional Bathroom; 6=0ther

Previous editions are obsolete Page 1 of 8 form HUD-52580 (312001 ) ref Handbook 7420.8

· ·· ··-

Item

No.

< � · 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 -· . -

:"::,16 I

Item 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 led 07/25/12 Page 31 of 37

Living Room Yes

Pass

component?

Door p

Kitchen Yes

Pass

Kitchen Area Present p

Electricity p Electrical Hazards p

Window Condition p

Ceiling Condition p Wall Condition p Floor Condition p

Lead-Based Paint p

Are all painted surface free of deteriorated paint?

If not, do deteriorated surface exceed two square

feet per room and/or is more than 10% of a

component?

Stove or Range with Oven p

Refrigerator p

Sink p

Space for Storage, Preparation, and Serving of p

Food

Door p

Cabinets p

Counter Tops p Bathroom Yes

Pass

Bathroom Presents p

Electricity p

Electrical Hazards p

Window Condition p Ceiling Condition p Wall Condition p

Floor Condition p lead-Based Paint p

Are all painted surface free of deteriorated paint?

If not, do deteriorated surface exceed two square · feet per room and/or is more·than 10% of a .. , . component?

Flush Toilet in Enclosed Room In Unit p Fix Wash Basin or lavatory in Unit p Ventilation p

Door p

Tub / Shower p

Mirror p Closet p

No In-

Fail Cone.

No In-

Fail Cone.

No In-

Fail Cone.

Comments

Comments

Owner Responsibility : : GAS

OWner Responsibility : : INSTALL HANDLE

REFRIGERATOR/FREEZER

Comments

. . . . . • · · . . .

Approval

Date

10/051201 0

Approval

Date

10/05/201 0

10/051201 0

1 0/05/201 0

10/05/2010

1 0/05/2010

10/0512010

10/051201 0

10/0512010

1 0/05/201 0

10/06/2010

1 0/05120 10

10/051201 0

1 0/0512010

1 0/05/2010

1 0/0512010

Approval

Date 1 0/05/2010

10/0512010

1 0/05/201 0

1 0/051201 0

10/0512010

1 0/051201 0

1 0/05/201 0

1 0/0512010

1 0/0512010

10/05/2010

1 0/05/2010

1 0/05/2010

10/05/2010

1 0/05/2010

1 0/05/2010

Previous editions are obsolete · Page 2 of 8 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 I 4.1 Bedroom 1-Jo.

4.2 Eleebicity/lllumination

4.3 Elecbical Hazards

4.5 Window Condition

4.6 Ceiling Condition

4.7 Wall Condition

4.8 Floor Condition

4.9 lead-Based Paint

Are all painted surface free of deteriorated paint?

If not, do deteriorated surface exceed two square

feet per room and/or is more than 10% of a

component?

4. 1 1 Door

4.12 Celling Ht 4.1 3 Room Dimension

Item 4. Other Rooms Used For Living and Halls

No. 4.1 Bedroom 2 4.2 Electricityflllumination - . 4.3 Electrical Hazards

4.5 Window Condition

4.6 Celling Condition

4.7 Wall Condition .• :�8 Floor Condition

I .4'.9 lead-Based Paint

Are all painted surface free of deteriorated paint?

If not, do deteriorated surface exceed two square

feet per room and/or is more than 10% of a

component?

4. 1 1 Door

4. 12 Celling Ht 4. 13 Room Dimension

Item 4. Other Rooms Used For Living and Halls

No. 4.1 Bedroom 3

4.2 Electricity/Illumination

4.3 Electrical Hazards

. . . 4.:.? .... ... W.lf'!��'!'.. Condilion . . - � . . . . . .... � ..

4.6 Ceiling Condition

4.7 Wall Condition

4.8 Floor Condition

4.9 Lead-Based Paint

Are all painted surface free of deteriorated paint?

If not, do deteriorated surface exceed two square feet per room and/or is more than 1 0% of a

component?

4 . 1 1 Door

Previous editions are obsolete

Yes No In-

Pass Fail Cone.

p Yes No In·

Pass 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

p p

Yes No In-Pass Fail Cone.

p p p . . .. . .. . . . . ... . p p p p

p

Page 3 of 8

Comments

Comments

Owner Responsibility : : REPAIR CEILING

Comments

Comments

Approval

Date

1 0/0512010

Approval

Date

1 0/05/201 0

10/05/2010

1 0/0512010

10/061201 0

1 0/()5(2()10

1 0/0512010

10/051201 0

10/0512010

10/0512010

10/05/2010

Approval

Date

10/05/2010

1 0/051201 0

10/05l2010

1 0/051201 0

10/05/201 0

10/05/201 0

1 0/0512010

1 0/0512010

10/051201 0

1 0/0512010

Approval

Date

10/0512010

10/051201 0

10/05/2010

10/051201 0

10/05/201 0

1 0/05/2010

10/05/201 0

1 0/0512010

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 33 of 37

Item 4. Other Rooms Used For Living and Halls

No. 4.1 Bedroom 3

4. 1 2 Ceiling Ht

,4. 1 3 Room Dimension

tern 4. other Rooms Used For Living and Halls

No. 4.1 Common Hallways

4. 1 1 Common Halls

Item 5. All Secondary Rooms (Rooms not used for

No. living)

5.1 None [ ] Go to Part 6 Basement Area

5.5 Floor

5.6 Walls

5.7 CeiHng

5.8 Doors

5.9 BathArea

5. 10 Illumination

5.1 1 Defective Paint

5. 12 Unused Appl

5.13 Uni!Access

5.14 Ventilation

5.1 5 Windows

Item 5. All Secondary Rooms (Rooms not used for

No. living)

5.1 None [] Go to Part 6 Busldmg Exteriors

5.5 Fax

5.6 Foundation

? Stairs & Ralls

F-Porch

5.9 R-Porch

5. 1 0 Roof/Gutter

5.1 1 Chimney

5.12 Defective Paint

5.13 Concrete Walk

5.14 Roof/Gutter

5.1 5 Deferment

. Item 5. All Secondary Rooms (Rooms not used for No. living)

5.1 None ( ] Go to Part 6 Bu1ldmg Interior

5.5 Stairs & Rails

No. living)

5.1 None [ J Go to Part 6 Contractor

5.5 Licensed Contractor

Item 5. All Secondary Rooms (Rooms not used for

No. living) 5.1 None I ] Go to Part 6 Dinning Room

5.3 Electrical Hazards 5.5 See violations below

Previous editions are obsolete

Yes No In-Pass Fail Cone.

p p

Yes No In-

Pass Fail Cone.

p Yes No In·

Pass Fail Cooc.

p p p p p p p p p p p

Yes No In·

Pass Fail Cone.

p p p p

p p p

p p p p

Yes No In-Pass Fail Cone.

p

Pass Fail Cone.

p Yes No In-

Pass Fail Cone.

p p

Page 4 of 8

Comments

Comments

Comments

Comments

Comments

Comments

Comments

Approval

Date

1 0/05/201 0

10/0512010

Approval

Date

10/05/2010

Approval

Date

10/051201 0

10/05/2010

1 0/05/201 0

10/0512010

1 0/0512010

10/05/201 0

1 0/05/2010

10/05/2010

1 0/0512010

10I05/2010

10/05/2010

Approval

Date

1 0/05/2010

1 0/05/201 0

10/051201 0

10/05/2010

1 0/05/201 0

1 0/051201 0

10/05/2010

1 0/05/2010

1 0/05/2010

1 0/05/2010

1 0/0512010

Approval

Date

10/05/2010

Approval

Date

1010512010

Approval

Date

1 0/05/2010

10/0512010

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 34 of 37

Item 5. All Secondary Rooms (Rooms not used for Yes No In-

No. living) Pass Fail Cone. 5.1 None [J Go to Part 6 Dinning Room

'· 5.6 Door p

t7 Windows p

5.8 Ceiling p 5.9 Walls p

5.1 0 Floors p

5.1 1 Defective Pa int p

Item S. All Secondary Rooms (Rooms not used for Yes No In-

No. living) Pass Fail Cone. 5.1 None [ J Go to Part 6 Electric Panel

5.5 Electric Panel p

Item 5. All Secondary Rooms (Rooms not used for Yes No In-No. living) Pass Fail Cone.

5.1 None [ 1 Go to Part 6 Elevator

5.5 Elevators p

Item 5. All Secondary Rooms (Rooms not used for Yes No In-No. living) Pass Fail Cone.

5.1 None [ ] Go to Part 6 Garage

5.5 Garage p

Item 5. All Secondary Rooms (Rooms not used for Yes No In-

No. living) Pass Fai l Cone. 5.1 None [ J Go to Part 6 Housekeeping

5.5 T-Housekeeping p

Item 5. All Secondary Rooms (Rooms not used for Yes No In-

No. living) Pass Fail Cone. 5.1 None [ ) Go to Part 6 Infestation Present

: :>.5 Provide Proof of a 1-yr Contract p

Item 5. All Secondary Rooms (Rooms not used for Yes No In-

No. living) Pass Fail Cone. 5.1 None [ ] Go to Part 6 Other Rooms

5.3 Electrical Hazards 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 Defective Paint p Item 5� A.fr Se�ondary Rooms (Rooms not iised for" - yes No In-

No. living) Pass Fail Cone.

5.5

Item

No.

5.5

Item

No.

5.1 Nooe [ ] Go to Part 6 Refuse Disposal

Refuse Disposal

5. All Secondary Rooms (Rooms not used for

living) - . 5.1 None { ] Go to Part 6 Site Condition

Neighborhood & Site Conditions

5. All Secondary Rooms (Rooms not used for

living)

Previous editions are obsolete

p

Yes No In-

Pass Fail Cone.

p l Yes No In- I Pass Fall Cone.

Page 5 of 8

Comments

Comments

Comments

Comments

Comments

Comments

Comments

Comments

Comments

I Approval

Date

1 0/05/2010

1 0/051201 0

1 0/0512010

1 0/0512010

10/0512010

10/05/2010

Approval

Date

1 0/051201 0

Approval

Date

1 0/05/201 0

Approval

Date

10/051201 0

Approval

Date

1 0/0512010

Approval

Date

10/05/201 0

Approval

Date

1 0/05/201 0

1 0/0512010

1 0/0512010

1 0/051201 0

1 0/051201 0

1 0/0512010

1 0/051201 0

1 0/05/2010

AiJ-Proiia1 · -

Date

10/0512010

Approval

Date

1 0/05/201 0

Approval

Date

form HUD-52580 (312001)

ref Handbook 7420.8

5.5

�tern '

-�O. 7.4

7.5

7.7

7.8 7.9

CASE 0:12-cv-01812-DSD-TNL Document 1-1 Fi led 07/25/12 Page 35 of 37

5.1 None [) Go to Part 6 Smoke Detector Comments

Smoke Detector p 1 0/051201 0

Heating I Plumbing Yes No In- Comments Approval

Pass Fan Cone. Date

Water Heater p Owner Responsibility : : GAS 101051201 0

Approvable Water Supply p 10/0512010

Sewer Connection p 10/0512010

Heating System p Owner Responsibility : : GAS 10/0512010

Faucets p 10/051201 0

If the owner is required to correct any lead-based paint hazards at the property including deteriorated paint or other hazards Identified by a visual assessor, or certified lead-based paint inspector, the PHA must obtain certi flcation that the work has been done in accordance with all applicable requirements of 24 CFR Part 35. The Lead-Based Paint Owner Certifica tion must be received by the PHA before the execution of the HAP contract or within the tlme period stated by the PHA in the owner HQS violation notice. Receipt of the completed and signed Lead-Based Paint Owner Certification signifies that all HQS

lead-based paint requirements have been met and no re-inspection by the HQS inspector is required.

Previous editions are obsolete Page 6 of 8 form HUD-52580 (312001) ref Handbook 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 of the HA. It is designed to collect additional information about other positive features of the unit that may be present. Although the features listed below are not included in the Housing Quality Standards , the tenant and HA may wish to take them into consideration in

, --:--iecisions about renting the unit and the reasonableness of the rent. Check/list any positive features found in relation to the unil :, )

1. Living Room

0 High quality floors or wall coverings

0 Working fireplace or stove

0 Balcony, patio, deck, porch

0 Special windows or doors

0 Exceptional size relative to needs of family 0 Other: (Specify)

2. Kitchen 0 Dishwasher

D Separate freezer

0 Garbage disposal

D Eating counter/breakfast nook

0 Pantry or abundant shelving or cabinets

0 Double oven/self cleaning oven, microwave 0 Double sink

0 High quality cabinets

0 Abundant counter-top space

0 Modem appliance(s)

0 Exceptional size relative lo needs of family

0 Other: {Specify)

3. Other Rooms Used for Living 0 High quality floors or wall coverings

0 Working fireplace or stove 0 Balcony, patio, deck. porch

0 Special windows or doors 0 Exceptional siZe relative to needs of family

0 Other: (Specify)

D. Questions to ask the Tenant (Optional)

1 _ Does the owner make repairs when asked?

2. How many people currently live in unit?

3. How much money do you pay to the owner/agnet for rent?

·4� -Oo you pay for anything else?- --- - - - · · .... - .. _ .. .

5. Who owns the range and refrigerator?(insert O=Owner or T=Tenant) 6. Is there anything else you want to tell us? (specify)

Previous editions are obsolete Page 7 of 8

4. Bath

D Special feature shower head

0 Built-in heat lamp

0 Large mirrors

0 Glass door on shower/tub

0 Separate dressing room

0 Double sink or special lavatory

0 Exceptional size relative to needs of family 0 other: (Specify)

5. Overall Characteristics

0 Storm windows and doors

Qother forms of weatherizatlon (e.g .. insulation, weather stripping)

0 Screen doors or windows

0 Good upkeep of grounds (I.e .• site cleanliness, landscaping, condition of lawn)

0 Garage or parking facilities

0 Driveway

0 Large yard

0 Good maintenance of buftding exterior

0 Other: (Specify)

6. Disabled Accessibility

Unit is accessible to a particular disability.

Disability

0 Yes 0 No

D

Range Refrigerator Microwave

Q Yes 0 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. Inspection Summary/Comments (Optional)

Provide a summary description of each item which resulted in a rating of "Fail" or "Pass with Comments" Tenant 10 Number Inspector

': XX.030318 Lipinski Jonathan

Type of Inspection [ Move-in Reinspection ]

Item Number

Unit will be vacant on 9/28110.

Date of Inspection (mm/dd/yyyy)

101061201 0

0 Initial � Special O Reinspection

Reason for "Fail" or "Pass wi!h Comments" Rating

Participant would like to move in on 1 011110 or as soon as possible.

Conte! Dennis or Kevin Christ at 612-718·5302 for Inspection.

Children under 6: yes

ET: Bradley Scott

· . · ··:

Previous editions are obsolete Page 8 of 8 form HUD-52580 (312001) ref Handbook 7420.8