Nycha Annual Recertification Form PDF Details

For residents of New York City, the Annual Recertification Form administered by the NYC Housing Authority (NYCHA) is an important part of annual income eligibility determinations and reporting household changes. This form helps to ensure that NYCHA residents continue to receive their government-subsidized rent assistance benefits. It's essential for all current NYCHA families – including those with Section 8 vouchers or public housing apartments – to understand and complete this process each year in order for their rental assistance to remain valid. In this post, we'll provide insight on what parts are included in the Annual Recertification Form as well as information about how families can successfully complete it before the annual deadline set by NYCHA.

Form NameNycha Annual Recertification Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesform nycha deem get, ny form nycha deem get, hpd section 8 recertification packet, form nycha deem printable

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Affidavit of Compliance with Rent Stabilization Code § 2523.5(a) and

Election to Deem Lease Renewed pursuant to Rent Stabilization Code § 2523.5(c)(2).


































: ss.:

















Voucher #






































































































































being duly sworn, deposes and says:

1. I am

(Principal/Owner/Managing Agent)

of the

(Name of Owning Entity)

(hereinafter, “Owner”) who/which owns the property described in the Renewal Lease Form to which this Afidavit is appended. This afidavit is based on personal knowledge, or upon direct communication with person(s) having personal knowledge of the facts related herein.

2. I make this afidavit to attest to the above-named Owner’s compliance with the requirements of Section 2523(a) of the Rent Stabilization Code (9 NYCRR. § 2523.5(a)) (hereinafter, “RSC”) with respect to the tenancy described in the said accompanying Renewal Lease Form, including any person entitled to receive notice pursuant to RSC § 2325.5(b)(l) (hereinafter, “Tenant”), and election to deem the lease for said Tenant renewed pursuant to RSC § 2523.5(c)(2).

3. On the form prescribed by the New York State Division of Housing and Community Renewal (hereinafter, “DHCR”) for that purpose (DHCR Form RTP-8) or a facsimile of such form approved by the DHCR, dated by the Owner, said Owner notiied the Tenant not more than 150 days and not less than 90 days prior to the end of the Tenant’s lease term, by mail or personal delivery, of the expiration of the lease term, and offered to renew the lease or rental agreement (hereinafter, “Lease”) at the legal regulated rent permitted for such renewal Lease, subject to the requirements of Federal law governing the Section 8 voucher program as described in the required Federal Tenancy Addendum, and otherwise on the same terms and conditions as the expiring Lease.

4. Following such notiication, the Owner gave the Tenant a period of 60 days from the date of service of such notice to

accept the offer and renew such Lease.

5. As indicated by the absence of a Tenant’s signature on “Part B” of the accompanying Renewal Lease Form, the Tenant failed to timely renew the Lease, as offered pursuant to RSC § 2523.5(a). Pursuant to RSC § 2523.5(c), the Owner elects to deem

the lease renewed upon the same terms and conditions, at the legal regulated rent, together with any guidelines adjustments and changes mandated by governing Federal law that would have been applicable had the offer of a renewal lease been

timely accepted.

6. The effective date of the “deemed” Renewal Lease, set forth in paragraph 6 of the accompanying Renewal Lease Form, is no less than 90 days after the date the offer of a Renewal Lease was made by the Owner to the Tenant pursuant to RSC § 2523.5(a).




(Printed Name)

(Printed Title)

(Name of Owning Entity)

(Street Address)

(City, State, Zip Code)

Sworn to before me this

day of

, 20


Warning: False statements may result in criminal and/or civil penalties. (18 U.S.C. §§ 641, 1001, 1010, 1012; 31 U.S.C. §§ 3729, 3802)