Free rent increase letter 25
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90 DAY RENT INCREASE FORM
1.

TENANT NAME:__________________________________________________________
ADDRESS: _______________________________________________________________
# Bedrooms: ______ # Bathrooms: ______ Current Rent: $___________

This Notice is to inform that there will an increase of $_______ for your monthly rent payment. The new monthly rent
amount will be $_______ in total and will be effective from this date _______/_______/_______.
Request must be a minimum of 90 days from the 1st of the following month. Example: Requested date October 15,
minimum effective date February 1.
2.

UTILITY INFORMATION:

Who pays for the following services

Tenant

Owner

Heating

TYPE OF FUEL
Gas

CIRCLE ACTUAL UNIT DESCRIPTION FOR HEATING, AC, AND WATER HEATER

Electric

( central, wall, or forced heating )

Cooking
Electricity
Air Conditioning

( central, window, wall unit or n/a )

Water Heating

( one/unit or shared )

Water
Sewer
Trash Collection

3.

AMENITIES AND ACCESSIBILITY: (Che