Form Hud 91067 PDF Details

Understanding the rights and protections offered to tenants can be crucial, especially for those affected by domestic violence, dating violence, or stalking. One key tool in this area is the HUD 91067 form, an essential lease addendum mandated by the Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA). This document serves as a powerful amendment to any leasing agreement between a tenant and landlord, aiming to provide specific protections for victims of abuse. By integrating this addendum into the lease, it ensures that victims cannot be considered in violation of their lease or face eviction due to circumstances stemming from abuse. In detail, it prevents landlords from using incidents of domestic violence, dating violence, or stalking as grounds for terminating the lease. Moreover, it stipulates that landlords cannot terminate assistance or occupancy rights if the criminal activity related to abuse is committed by a household member, guest, or other person under the tenant’s control, providing the tenant or an immediate family member is the victim. To claim protection under VAWA, the document requires victims to submit a certification form within 14 days, emphasizing the need for prompt action in such critical situations. The HUD 91067 form thus serves not only as an amendment but as a testament to the legal protections afforded to those impacted by domestic violence, ensuring they do not face housing discrimination or unjust eviction.

QuestionAnswer
Form NameForm Hud 91067
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmgmt, VAWA, HUD-91066, line1

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OMB Approval No. 2502-0204

LEASE ADDENDUM

VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005

 

 

 

 

 

TENANT

LANDLORD

UNIT NO. & ADDRESS

 

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«head_name»

«mgmt_company»

 

«unit_address_line1»

 

 

 

 

 

 

«city», «state» «zip»

 

 

 

 

This lease addendum adds the following paragraphs to the Lease between the above referenced Tenant and Landlord.

Purpose of the Addendum

The lease for the above referenced unit is being amended to include the provisions of the Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).

Conflicts with Other Provisions of the Lease

In case of any conflict between the provisions of this Addendum and other sections of the Lease, the provisions of this Addendum shall prevail.

Term of the Lease Addendum

The effective date of this Lease Addendum is «effective_date». This Lease Addendum shall continue to be in effect until the Lease is terminated.

VAWA Protections

1.The Landlord may not consider incidents of domestic violence, dating violence or stalking as serious or repeated violations of the lease or other “good cause” for termination of assistance, tenancy or occupancy rights of the victim of abuse.

2.The Landlord may not consider 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, cause for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate member of the tenant’s family is the victim or threatened victim of that abuse.

3.The Landlord may request in writing that the victim, or a family member on the victim’s behalf, certify that the individual is a victim of abuse and that the Certification of Domestic Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted on the certification form, be completed and submitted within 14 business days, or an agreed upon extension date, to receive protection under the VAWA. Failure to provide the certification or other supporting documentation within the specified timeframe may result in eviction.

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__________________

Tenant

Date

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Landlord

Date

Form HUD-91067 (9/2008)