N-Lease Agreement

City of Chandler — Regular Meeting (2024-04-01)

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Page 1 of 21 
Revised 7/1/2024 
 
Public Housing Lease Agreement 
 
Name of Tenant:  
Lease Address:  
 
 
        
 
Bedroom Size:     BR  
 
 
Lease Start Date:  
 
I. 
Lease of Residence.  The City of Chandler, an Arizona municipal corporation, by and through 
its Housing and Redevelopment Division, acting as the Housing Authority of the City of 
Chandler (the “Authority”), does hereby lease to the above-named tenant (“Tenant”) the 
residence located at the above-stated address and described further below (the “Residence”), 
pursuant to the terms and conditions of this Public Housing Lease Agreement (the “Lease”), 
which the parties hereto intend and agree shall be binding upon the Authority, Tenant, and 
any adult member of Tenant’s household as a Co-Tenant. 
 
II. 
Household Composition.  Except as otherwise indicated, the use of the Residence is limited 
to Tenant’s household.  Tenant’s household only consists of Tenant (listed below as Head of 
Household) and those other persons listed below and having the relationship to Tenant 
indicated below (the “household members” or “Tenant’s household members”).  Any of 
Tenant’s household members that is 18 years of age or older is deemed to be an adult 
member of Tenant’s household and shall sign the Lease as a Co-Tenant.  A Co-Tenant is subject 
to the terms and conditions of the Lease to the same extent as Tenant, but has no right of 
occupancy and use of the Residence greater than that of Tenant and may not continue to 
occupy and use the Residence in the event Tenant’s right to occupancy and use of the 
Residence is terminated for any reason.  
 
(List Tenant first, and list all other persons in order by age, oldest to youngest.  Add a written 
addendum to complete the listing if not enough space is available below.) 
 
Name 
Relationship 
Age & Birthdate 
 
Social Security # 
 
Head of Household 
 
A. 
Any addition to the household members, including the addition of any live-in aide or 
a foster child, but excluding natural births, requires prior written approval of the 
Authority.  The Authority will grant such approval only if the proposed additional 
member passes the Authority’s screening criteria and a dwelling unit of the 
appropriate size is available.  “Live-in aide” means a person who resides with an 
elderly, disabled or handicapped person and who (i) is determined by the Authority to 
be essential to the care and well-being of the person, (ii) is not obligated for the 
support of the person, and (iii) would not be living in the dwelling unit except to 
provide the necessary support services. 
 
B. 
Any change in the composition of Tenant’s household shall be reported by Tenant in 
writing to be received by the Authority within ten (10) business days of the occurrence 
in accordance with Paragraph E.2 of Section VII of the Lease. 
  
 
 
 
Attachment N

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Revised 7/1/2024 
 
III. 
The Residence.  
 
A. 
If the Lease is for a conventional unit (apartment), the “Residence” consists of the 
dwelling unit at the above-stated address (“dwelling unit”), including any adjoining 
entrance or access way to the dwelling unit, which is located within the public housing 
development owned, operated and/or maintained by the Authority at that address 
(the “Development”), and includes permission for Tenant and Tenant’s household 
members to use the common areas of the Development, along with other residents 
of the Development.  The Development also includes any additional facilities and 
grounds used by the Authority to provide educational, recreational or other support 
services for the benefit of the residents of the Development alone or jointly with 
residents of other public housing developments owned, operated and/or maintained 
by the Authority. 
 
B. 
If the Lease is for a scattered site unit (single family home), the “Residence” is all of the 
real property at the above-stated address, including, without limitation, the dwelling 
unit and any other improvement upon the real property, any entrance or access way 
to the real property and/or the dwelling unit, and any yard or grounds at the real 
property.   
 
C. 
Regardless of the type of unit leased, the dwelling unit also includes without additional 
charge the following appliances:  cooking range and refrigerator. 
 
D. 
As used in this Lease, the term “premises” means the Tenant’s Residence. 
 
IV. 
Utilities. 
 
CONVENTIONAL UNITS (Apartments):  
A. 
The Authority shall furnish the following utilities, but is not responsible for the absence 
of any such utility services caused by matters beyond the control of the City of 
Chandler’s Housing and Redevelopment Division:  water, sewer, and refuse collection. 
 
B. 
Tenant shall arrange and pay for the following utilities, which are not furnished by the 
Authority, but which are needed to maintain a decent, safe and sanitary dwelling:  
electricity and gas.  Tenant shall be responsible for arranging and paying for these 
utilities and shall present proof of utility arrangements prior to signing the Lease. 
 
C. 
The Authority shall provide a utility allowance for Tenant-purchased utilities (other 
than the telephone).  The allowance will be based upon the monthly cost of a 
reasonable consumption of such utilities and the allowance will be posted in a Utility 
Allowance Schedule available at the Housing and Redevelopment Division Office. 
 
SCATTERED SITE UNITS (Single Family Homes): 
A. 
 All utility services shall be provided by Tenant.  Tenant shall be responsible for 
arranging and paying for all utilities and shall present proof of utility arrangements 
prior to signing the Lease.  Utilities include electricity, gas, water, sewer and refuse 
collection (where not part of water or sewer service). 
 
B. 
The Authority shall provide a utility allowance for Tenant-purchased utilities (other 
than the telephone).  The allowance will be based upon the monthly cost of a

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Revised 7/1/2024 
 
reasonable consumption of such utilities and the allowance will be posted in a Utility 
Allowance Schedule available at the Housing and Redevelopment Division Office. 
 
V. 
Lease Term.  The term of the Lease shall be for a period of twelve (12) months beginning on 
the lease start date indicated above (the “Lease Start Date”), and shall be renewed 
automatically for successive twelve (12) month periods provided that Tenant and all adult 
members of Tenant’s household have fully complied with their community service obligations 
(described in Paragraph T of Section X of the Lease), and the Lease has not been terminated 
or is in the process of being terminated for good cause.  The Lease Start Date is also the date 
on which Tenant may first occupy the dwelling unit. 
 
VI. 
Lease Payments.  Payments due to the Authority from Tenant under the Lease are:  
 
A. 
Rental Payment.  Tenant shall pay a monthly rent of  $____and it shall remain in effect 
unless adjusted by the Authority in accordance Section VII below.  If the Lease Start Date is not the 
first day of the calendar month, then the prorated rent for the first calendar month of the lease term 
is $0.00. The monthly rent is DUE and PAYABLE in advance on the first day of the month and is 
delinquent thereafter, except that any prorated rent for the first calendar month of the lease term 
is due and payable on the Lease Start Date.  Any other charges that are due and owing shall be paid 
at the same time as the monthly rent.  The monthly rent and other charges shall be paid at the City 
Hall, Utility Office, 175 South Arizona Avenue, bldg. A, Chandler, Arizona 85225, or at such other location 
as may be subsequently designated in writing by the Authority.  No partial payments of any rent 
that is due and payable will be accepted. 
 
B. 
Rental Basis.  The monthly rent is based on the following:         (Check One) 
 
the Authority-determined flat rent for the unit (flat rent option). 
the income and other information reported by the Tenant (income-based rent 
option). 
 
Tenant may change the basis on which monthly rent is determined at the time of Tenant’s annual 
review.  Also, if Tenant is currently using the flat rent option, then, at any time Tenant so requests, the 
Authority will immediately provide for Tenant to make rent payments using the income-based rent 
option upon making a determination that the Tenant is unable to pay current monthly rent because 
of financial hardship to Tenant’s household, including:  (a) decrease of household income; (b) increase 
in household expenses for medical costs, child care, transportation, education or similar items; and 
(c) such other hardship situations as may be determined by the Authority. 
 
C. 
Other Charges.  Tenant shall also pay certain additional charges as follows: 
 
1. 
Maintenance costs -- Tenant shall pay a charge for the cost of maintenance 
services or repairs incurred by the Authority due to damage to the Residence, 
beyond normal wear and tear, caused by intentional or negligent acts (either 
of omission or commission) of Tenant, any of Tenant’s household members or 
by any guest (defined below).  The charge for the cost of such service or repair 
shall be based upon either the Schedule of Maintenance Charges posted by 
the Authority at the Housing Office (defined below) or, for work not listed on 
the Schedule of Maintenance Charges, the actual cost to the Authority for the 
labor and materials needed to complete the work.  If overtime work is 
required, overtime rates shall be charged.

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2. 
Late Charge -- Tenant shall pay a late fee charge of $25.00 per month if rent or 
other charges then due are not paid until after the fifth (5th) calendar day of 
the month.   
 
The charges listed in paragraphs C.1 and C.2 above shall not be due and payable until fourteen (14) 
days after the Authority gives written notice of the charges. The Authority, in its sole discretion and 
where it has determined that undue hardship to Tenant exists, may enter into a written agreement 
with Tenant for payment of maintenance costs through periodic installment payments over a fixed 
period of time not to exceed six (6) months, but the failure to make any installment payment when 
due under such an agreement shall, without further notice or demand, cause the full amount of the 
maintenance charges covered by the agreement to become immediately due and payable, and shall 
constitute a violation of Tenant’s payment obligation under the Lease. 
 
D. 
Security Deposit.  Tenant shall pay a security deposit of $___________.  The security 
deposit shall be held on deposit, accruing no interest to Tenant, and shall be refunded 
to Tenant on termination of the Lease after deducting that amount necessary (i) to pay 
the cost of any rent or other charges due and owing by Tenant at the termination of 
the Lease and (ii) to reimburse the Authority for the cost of repairing any damage to 
the Residence, beyond normal wear and tear, caused by intentional or negligent acts 
(either of omission or commission) of Tenant, any of Tenant’s household members or 
by any guest. 
 
1. 
The security deposit shall not be used to advance payment of rent or other 
charges owing by Tenant while Tenant continues in occupancy of the 
premises. 
 
2. 
Within thirty (30) days after termination of the Lease and recovery of 
possession of the premises by the Authority, an itemization of all amounts to 
be deducted from the security deposit shall be contained within a written 
notice delivered to Tenant together with the balance of the security deposit 
payable to Tenant, provided that Tenant has delivered to the Authority written 
notice of Tenant’s forwarding address. 
 
E. 
Posting of Payments.  Payments will be applied as follows: 
1. 
Late unpaid rent for prior months 
2. 
Maintenance charges 
3. 
Late charges 
4. 
Other charges 
5. 
Current rent 
 
VII. 
Resident Information and Re-determination of Rent, Dwelling Size, and Eligibility.  
 
A. 
Annual Review.  The Authority shall conduct an annual review of the circumstances 
of Tenant’s household to re-determine the monthly rent amount and the suitability of 
the size of the dwelling unit.   
 
1. 
If Tenant’s rent is based on the flat rent option, a review of Tenant’s 
household’s income will occur only every third year that the Lease is in effect.  
However, at each annual review, rent for the next succeeding twelve (12)

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Revised 7/1/2024 
 
month period of the Lease shall be determined, and issues related to 
suitability of the dwelling unit given the household’s composition may be 
addressed.  Tenant shall also be provided the opportunity to change to the 
income-based rent option for the next succeeding twelve (12) month period of 
the Lease. 
 
2. 
If Tenant’s rent is based on the income-based rent option, the Authority shall 
conduct an income review of Tenant’s household and the rent for the next 
succeeding twelve (12) month period of the Lease shall be determined, as well 
as suitability of the dwelling unit given the household’s composition.  Tenant 
shall also be provided the opportunity to change to the flat rent option for the 
next succeeding twelve (12) month period of the Lease. 
 
B. 
Special Review.  In cases where annual income cannot be projected for a twelve-
month period or Tenant is reporting no income and has chosen the income-based 
rent option, the Authority shall schedule special rent reviews every thirty (30) days.  
Monthly rent may be adjusted upon completion of the review. 
 
C. 
Interim Review.  An interim review may be conducted by the Authority if: 
 
1. 
A person with income joins Tenant’s household; 
 
2. 
Tenant can verify a change in Tenant’s circumstances (such as a decline in or 
loss of income due to circumstances beyond the resident’s control) that would 
justify a reduction in monthly rent or switching to the income-based rent 
option for rent determination; 
 
3. 
It is found that Tenant has misrepresented the facts upon which the monthly     
rent amount is based so that the rent Tenant is actually being charged is less 
than the rent that Tenant would have been charged if the misrepresentation 
has not been made; or 
 
4. 
Rent determination formulas or procedures are changed by applicable law. 
 
D. 
Community Service Compliance Review.  Thirty (30) days prior to the end of the 
lease term, the Authority shall review and determine if the adult members of Tenant’s 
household are in compliance with their community service obligation (Section X, 
Paragraph T).  If the Authority determines that not all of the adult members of Tenant’s 
household have complied with the requirement, the Authority shall notify Tenant that:  
(i) Tenant or an another adult household member is not in compliance; (ii) 
determination of noncompliance is subject to the grievance procedure available under 
this Lease; and (iii) unless Tenant enters into an agreement prior to the end of the 
lease term to cure the compliance deficiency over the next twelve (12) month term of 
the lease, Tenant’s lease term will not be renewed. 
 
E. 
Tenant Reporting Requirements. 
 
1. 
Tenant agrees that, in connection with any annual, special or interim review, 
Tenant shall furnish to the Authority, within a reasonable time after request to 
do so, accurate and complete information regarding Tenant’s financial and

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Revised 7/1/2024 
 
household 
circumstances, 
including 
without 
limitation, 
information 
concerning household composition, age of the household members, income 
and source(s) of income of Tenant and all of the household members, assets, 
expenses and related information deemed necessary by the Authority to 
consider re-determination of rent, suitable dwelling unit size, and eligibility. 
 
a. 
When requested, Tenant shall also provide verification of the 
information furnished, and/or independent verification of information 
concerning income from the source of the income, and/or any release 
needed for the Authority to obtain verified information relevant to a 
re-determination from third-party sources. 
 
b. 
It is agreed that failure to furnish information, verifications or releases 
needed for the review to be made by the Authority, or to provide 
accurate and complete information, shall be a serious violation of the 
terms of the Lease and a good cause for the Authority to terminate the 
Lease. 
 
2. 
Tenant shall report in writing within ten (10) business days of occurrence to 
the Authority any of the following changes in household circumstances when 
they occur between the time of any annual review: 
 
a. 
An additional person has been added to the household through birth, 
adoption, or court-awarded custody; 
 
b. 
A household member is leaving or has left and will be residing 
elsewhere; or 
 
c. 
There has been an increase in household income or decrease in 
household’s allowable expenses. 
 
3. 
If Tenant or Tenant’s household receives information regarding income, 
earnings, wages, or unemployment compensation from the Department of 
Housing and Urban Development (HUD) pursuant to an income verification 
procedure of HUD, Tenant shall disclose such information, upon receipt of 
such information, to the Authority. 
 
F. 
Any re-determination made as part of a review shall be based upon the information 
provided by Tenant or obtained by the Authority and shall be made in accordance with 
the Authority’s Admissions and Occupancy Policy, which is posted at the Housing 
Office.  A copy of the policy will be furnished on request at the expense of the person 
making the request. 
 
1. 
The Lease will NOT be revised to permit a change of household composition 
resulting from a request to allow adult children of Tenant to move back into 
the dwelling unit unless it is determined that the move is essential for the 
mental or physical health of Tenant AND does not disqualify Tenant’s 
household for the size of unit it is currently occupying.

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2. 
If, as part of a special or interim review, a rent reduction is granted due to 
change in Tenant’s circumstances, any subsequent increase in the income of 
the Tenant’s household shall be reported in writing to the Authority within ten 
(10) business days of the occurrence.  The failure to make such report may 
result in a retroactive re-computation of monthly rent. 
 
G. 
Rent Adjustments.  Tenant shall be notified in writing of any rent adjustment to be 
made upon completion of a re-determination review.  The notice will state the effective 
date of the rent adjustment. 
 
1. 
If rent is decreased, the adjustment shall become effective on the first (1st) day 
of the month following the reported change in circumstances or change in 
applicable law, provided Tenant reported the change in a timely manner, as 
specified above (when change is based on new circumstances). 
 
2. 
If rent is increased because an increase in income occurs which is reported 
within ten (10) business days of the occurrence, in writing, the increase will be 
completed and effective on the first of the month following 30 days’ notice to 
the family. . 
 
3. 
In the case of a rent increase due to a change in applicable law, the increase 
will become effective the first (1st) day of the second (2nd) month following 
the month in which the Authority notifies Tenant of the law or regulatory 
change. 
 
4. 
If, within the time required by the Lease, Tenant fails to report any change in 
household composition or any subsequent increase in income, or fails to 
furnish the information or documents described in paragraph E above, or if 
Tenant misrepresents facts on which rent is based, and therefore avoids what 
would have been a change to a higher monthly rent amount, then, upon 
discovery of either Tenant’s failure to properly disclose or Tenant’s 
misrepresentation, the Authority shall retroactively re-compute the rent which 
Tenant should have been charged effective as of the date such change should 
have occurred.  Any such retroactive rent shall be due and payable in its 
entirety on the first (1st) day of the second (2nd) month following the month 
in which the Authority notifies Tenant of the increase.  Retroactive rent is in 
addition to any other rights or remedies available to the Authority, including 
termination of the Lease. 
 
H. 
Treatment of Income Changes Resulting From Welfare Requirements.   
 
1. 
This Subsection applies to Tenant if Tenant or any member of Tenant’s 
household receives benefits for welfare or public assistance from a State or 
other public agency under a program for which the Federal, State or local law 
relating to the program requires, as a condition of eligibility for assistance 
under the program, participation of Tenant or a member of Tenant’s 
household in an economic self-sufficiency program (the “assistance program”). 
 
2. 
Tenant’s rent shall not be reduced if the decrease in the annual income of 
Tenant’s household is caused by a reduction of the assistance program

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Revised 7/1/2024 
 
benefits received by Tenant or any member of Tenant’s household that is the 
result of: 
 
a. 
 any failure of Tenant or a household member to comply with the 
conditions of the assistance program requiring participation in an 
economic self-sufficiency program or other work activities; or  
 
b. 
any act of fraud. 
 
3. 
Where paragraph I.2 above applies, the amount of income to be attributed to 
Tenant household shall include what the household would have received had 
there been compliance with the requirements of the assistance program or an 
act of fraud had not been committed. 
 
4. 
For purposes of rent adjustments, the reduction of benefits from the 
assistance program that occurs as a result of the expiration of a time limit for 
receipt of assistance will not be considered a failure to comply with the 
program’s requirements.  Tenant’s rent will be reduced as a result of such a 
decrease. 
 
5. 
The Authority will verify the information provided by Tenant to determine if a 
decrease in the rent is warranted. 
 
I. 
Transfers. 
 
1. 
Tenant agrees to transfer to another appropriate size dwelling unit leased by 
the Authority if the Authority determines that, based on Tenant’s household 
composition, the size or design of Tenant’s present dwelling unit is 
inappropriate. 
 
2. 
Tenant agrees to transfer to another unit if the Authority determines that such 
transfer is necessary to rehabilitate, repair or demolish Tenant’s present 
dwelling unit. 
. 
3. 
If Tenant makes a written request for a special unit feature in support of a 
documented disability or handicap, the Authority shall modify Tenant’s 
existing dwelling unit, subject to its determination that the request is 
reasonable.  If the cost and extent of the modification are equivalent to those 
for a fully handicap-accessible unit, Tenant agrees that the Authority may 
transfer Tenant to another unit with the features requested at the Authority’s 
expense. 
 
4. 
Tenant acknowledges and agrees that if Tenant is not disabled, but is 
occupying a dwelling unit containing special features for disabled persons, the 
Tenant will transfer to a unit without such features should another person 
eligible for housing assistance need Tenant’s present dwelling unit.  Tenant 
further acknowledges that Tenant shall be responsible for all costs associated 
with the transfer to another dwelling unit pursuant to this section.

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5. 
Transfers under paragraphs I.1 through I.4 above shall not occur until at least 
seven (7) days after written notice is given by the Authority to Tenant.  Tenant 
shall leave the dwelling unit from which Tenant is transferred in a clean and 
good condition, reasonable wear and tear accepted, and shall return all keys 
to such dwelling unit or any other portion of the premises.  If Tenant refuses 
to move after the notice is given, such refusal shall be deemed a serious 
violation of the Lease and good cause for Lease termination by the Authority.    
 
6. 
When the Authority makes a re-determination of the monthly rent amount 
payable by Tenant, or determines that Tenant must transfer to another unit 
based on household composition, or otherwise determines that a transfer is 
required, the notice of such action given to Tenant by the Authority shall 
inform Tenant that Tenant may ask for an explanation stating the specific 
grounds of the Authority determination, and that if Tenant does not agree with 
the determination, Tenant shall have the right to request a hearing under the 
Authority’s grievance procedure.  The change in rent or the transfer to another 
unit shall be deferred or postponed until either the time to request a hearing 
has expired or, where timely requested, the hearing process has been 
completed. 
 
7. 
The Authority will consider a Tenant request for a transfer in accordance with 
transfer priorities established in the Admissions and Occupancy Policies. 
 
8. 
For conventional units, the Authority will consider a transfer for a Tenant who 
lives in a development where Tenant’s income category (below or above 30% 
of area median) predominates and wishes to move to a development where 
Tenant’s income category does not predominate. 
 
VIII. 
Use of the Premises. 
 
A. 
The dwelling unit shall be used only as a private residence for Tenant and Tenant’s 
household members, except that Tenant and the household members may request 
an exception for certain limited incidental activities on a case by case basis in the 
dwelling unit if the Authority has given prior written consent to do so. All exceptions 
will require prior written approval and, if the activity will continue in the following year, 
a new exception request will need to be submitted for approval. 
 
B. 
Tenant shall give prior notice to the Authority of any guest staying overnight at Tenant’s 
premises and any such overnight stay is deemed an accommodation for the guest.  
Reasonable accommodation for a guest is permitted only so long as the guest is not 
provided accommodations in or upon the premises, including the dwelling unit, for 
more than a total of fourteen (14) days in a twelve (12) month period, except with the 
express written permission of the Authority made upon written request from Tenant.  
As used in the Lease, “guest” means a person present in the dwelling unit or elsewhere 
upon the premises, other than Tenant or the household members, who is so present 
with the consent of the Tenant or one of the household members. 
 
C. 
Tenant, any of the household members and any guest shall only use the dwelling unit 
or any other portion of the premises for lawful purposes permitted under the Lease

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and shall comply with all applicable rules and regulations of the Authority and with all 
applicable federal, state and local laws. 
 
D. 
Tenant, the household members and any guests, shall use not use the utilities 
 
 
 
furnished by the Authority so as to waste the utilities through excess utility con
 
 
 
consumption, and shall  also use and operate all utilities, whether or not furni
 
 
 
furnished by the Authority, so as to comply with all applicable laws, regulations 
 
 
 
or guidelines of any governmental entity regulating utilities or fuels. 
 
 
 
E. 
development for any reason if the Tenant has been evicted through the judicial 
 
 
 
process; (2) the Tenant is issued an eviction notice, appeals the eviction to the 
 
  
 
hearing office and the hearing officer upholds the City’s decision; and/or (3)  
 
 
  
the Tenant fails to appeal the eviction notice within the requisite time period.   
 
IX. 
The Authority’s Obligations. 
 
 
The Authority agrees to: 
 
A. 
Maintain the premises (and for conventional units, the Development) in a decent, safe 
and sanitary condition; 
 
B. 
Comply with the requirements of applicable building codes, housing codes, and HUD 
regulations materially affecting health and safety, including housing quality standards 
promulgated by HUD (“Housekeeping Standards”); 
 
C. 
Make necessary repairs to the dwelling unit; 
 
D. 
For conventional units, keep the Development’s buildings, facilities and common 
areas, not otherwise assigned to Tenant for maintenance and upkeep, in a clean and 
safe condition; 
 
E. 
Maintain in good and safe working order and condition electrical, plumbing, sanitary, 
heating, ventilating, and other facilities and appliances supplied or required to be 
supplied by the Authority; 
 
F. 
Provide and maintain appropriate receptacles and facilities (except containers for the 
exclusive use of Tenant’s household) for the deposit of garbage, rubbish, and other 
waste removed from the dwelling unit by Tenant (scattered site units have receptacles 
provided as part of refuse collection service);  
 
G. 
Supply running water and reasonable amounts of hot water and reasonable amount 
of heat at appropriate times of the year according to local custom and usage, except 
where the building that includes the dwelling unit is not required by law to be 
equipped for that purpose, or where heat and/or hot water is generated by an 
installation within the exclusive control of Tenant and the utility connection is 
interrupted by the action or inaction of Tenant, any of the household members or a 
guest, including failure to arrange or pay for needed utility service; and 
 
H. 
Notify Tenant of the specific grounds for any proposed adverse action by the 
Authority.  An “adverse action” may include, but is not limited to, a proposed lease

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termination, transfer of the tenant to another unit, or imposition of charges for 
maintenance and repair, or a late charge fee.  When the Authority is required to afford 
Tenant the opportunity for a hearing under the Authority’s grievance procedure for a 
grievance concerning a proposed adverse action: 
 
1. 
The notice of the proposed adverse action shall inform Tenant of the right to 
request such hearing.  In the case of a lease termination, a notice of lease 
termination that complies with the notice requirements of Section XV shall 
constitute adequate notice of the proposed adverse action. 
 
2. 
In the case of a proposed adverse action other than a proposed lease 
termination, the Authority shall not take the proposed action until time to 
request such a hearing has expired and (if hearing was timely requested) the 
grievance process has been completed. 
 
X. 
Tenant’s Obligations. 
 
 
Tenant agrees: 
 
A. 
To arrange with local utility companies for turn-on of those utilities not provided by 
the Authority, continuously maintain such utility services and not to use prepaid credit 
card programs for electric service including by not limited to the e-mpower program.  
 
B. 
Not to assign the lease or to sublease any part of the premises, including the dwelling 
unit; 
 
C. 
Not to provide accommodations for boarders or lodgers; 
 
D. 
To use the dwelling unit solely as a private dwelling for Tenant and Tenant’s household 
members, and not to use or permit its use for any other purpose except as expressly 
authorized in writing by the Authority; 
 
E. 
To abide by necessary and reasonable regulations provided by the Authority for the 
benefit and well-being of the Development and for the tenants of the Development, 
which regulations are posted in the Authority’s Housing Office and which are 
incorporated by reference in the Lease so that violation of any such regulation shall 
constitute a violation of the Lease; 
 
F. 
To comply with all obligations imposed upon tenants by applicable provisions of state 
or local health, fire, building and housing codes materially affecting health and safety; 
 
G. 
To keep the dwelling unit and other such areas as may be assigned to Tenant for 
exclusive use in a clean and safe condition; 
 
H. 
To dispose of all garbage, rubbish, and other waste from the premises in a sanitary 
and safe manner and only in containers approved or provided by the Authority; 
 
I. 
To use only in a safe and reasonable manner all electrical, plumbing, sanitary, heating, 
ventilating, air-conditioning, and other equipment, facilities and appurtenances;

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J.  
To refrain from, and to cause any of the household members and any guest to refrain 
from, destroying, defacing, damaging, or removing any part of the premises and/or 
any part of the Development; 
 
K. 
To refrain from, and to cause any of the household members and any guest to refrain 
from, keeping, maintaining, harboring, or boarding any dog, cat, livestock, or pet of 
any type upon the premises or upon the Development, unless a verified disability is 
determined to warrant the possession of an animal, and then only with the written 
consent of the Authority and in compliance with any applicable rules or regulations of 
the Authority or unless such animal is permitted as a pet pursuant to the Authority’s 
established pet policy; 
 
L. 
To refrain from, and to cause any of the household members and any guest to refrain 
from, the discharge of any weapons or firearms upon the premises and/or the 
Development; 
 
M. 
To refrain from, and to cause any of the household members and any guest to refrain 
from, keeping or storing any flammable or combustible materials upon the premises 
and/or the Development; 
 
N. 
To make no additions, alterations, decorations, improvements, or attachments to the 
dwelling unit, the premises or any equipment or appliances provided with the dwelling 
unit, except with the prior written approval of the Authority, and Tenant acknowledges 
that this prohibition includes, without limitation, making changes to or installing any 
new door locks and the use of nails, tacks, screws, brackets, or fasteners upon any 
part of the dwelling unit (a reasonable number of picture hangers excepted); 
  
O. 
To refrain from using aluminum foil as window coverings and the use of aluminum foil 
on stove top area; 
 
P. 
To pay reasonable charges (other than for normal wear and tear) for the repair of 
damages to the premises or the Development caused by Tenant, any of the household 
members or any guest; 
 
Q. 
To act, and cause any of the household members or any guest to act, in a manner 
which  will not disturb any other resident of the Development in the resident’s peaceful 
enjoyment of resident’s accommodations and the Development, and which will be 
conducive to maintaining the Development in a decent, safe and sanitary condition; 
 
R. 
To comply with all rules and regulations of the Authority limiting the use or parking of 
vehicles upon the premises or the Development, including any prohibition against 
leaving any inoperable or unlicensed vehicle upon the premises or the Development 
or any prohibition against automobile repairs upon the premises or the Development; 
 
S. 
To keep any entrance to the dwelling unit (front or back) or walkway providing a means 
of access to the dwelling unit free from hazards and trash, and to keep the yard 
immediately adjacent to the dwelling unit free of debris and litter, but the Authority 
may provide a written exemption from this requirement where Tenant’s household 
has no persons able to perform these tasks because of age or disability;

Page 13 of 21 
Revised 7/1/2024 
 
T. 
To assure that each adult member of Tenant’s household performs eight (8) hours 
per month of community service or participates in an economic self-sufficiency 
program unless exempted therefrom; and 
  
U. 
To assure that Tenant, any member of the household, a guest, or any other person 
under Tenant’s control: 
 
1. 
Shall not engage in (i) any criminal activity or other activity that threatens the 
health, safety, or right to peaceful enjoyment of the Development of any other 
resident of the Development, or any employee or contractor of the Authority, 
or any person residing in the immediate vicinity of Tenant’s premises; or (ii) 
any violent or drug-related criminal activity on or off the premises or the 
Development; and 
2. 
Shall not consume alcoholic beverages in or upon the premises or the 
Development, except within Tenant’s dwelling unit; and, in any event, shall not 
interfere with the health, safety, or right to peaceful enjoyment of the 
Development by any other resident due to the abuse of alcohol or due to the 
illegal use of a controlled substance. 
 
As used here and elsewhere in the Lease, “drug-related criminal activity” means the illegal 
manufacture, sale, distribution, use or possession with intent to manufacture, sell, distribute, or use, 
of a controlled substance (as defined in Section 102 of the Controlled Substance Act, 21 U.S.C. 802).  
As used here and elsewhere in the Lease, “contractor” means a person under contract with the 
Authority to provide services of any kind to the Development or any of its residents.  
 
V. 
To refrain from entering upon the Development and/or the dwelling unit, if evicted 
through a court judgment, from the dwelling unit. 
 
W. 
Tenant acknowledges that, pursuant to HUD Final Order effective February 3, 2017, all 
Public Housing Authorities must implement a smoke-free policy. Smoking is not 
permitted anywhere on public housing grounds as of December 31, 2017, to include 
living units, interior and exterior common areas, outdoor areas, and in or near public 
housing and administrative office buildings. 
 
XI. 
Defects Hazardous to Life, Health or Safety.  In the event that the premises or the dwelling 
unit is damaged to the extent that conditions are created which are hazardous to life, health, 
or safety of the occupants: 
 
A. 
Tenant shall immediately notify the Authority of the damage; 
 
B. 
The Authority shall repair the damage to the premises or the dwelling unit within a 
reasonable period of time after receiving notice from Tenant, and if the damage was 
caused by Tenant, any of the household members or any guest, the reasonable cost 
of the repair shall be charged to Tenant; 
 
1. The Authority may terminate the Lease and the housing assistance, if it is 
determined that the damage was purposeful, or the result of criminal activity.

Page 14 of 21 
Revised 7/1/2024 
 
C. 
The Authority shall offer Tenant a replacement dwelling unit as an alternative 
accommodation, if available, where necessary repairs cannot be made within a 
reasonable time;  
 
D. 
If repair of the damage cannot be made within a reasonable time by the Authority and 
alternative accommodations are unavailable, then an abatement of a portion of the 
monthly rent shall be made by the Authority which is in proportion to the seriousness 
of the damage and loss in value as a dwelling, and which shall continue until the 
hazardous condition is repaired, except that no abatement of rent shall occur if Tenant 
rejects alternative accommodations made available by Authority or if the damage was 
caused by Tenant, any of the household members or any guest; and 
 
E. 
If the Authority determines that the damage is such that the dwelling unit is 
inhabitable because of imminent danger to the life, health, and safety of its occupants, 
and alternative accommodations are refused by Tenant, then the Lease shall be 
terminated, and any rent already paid for the current month will be refunded to 
Tenant provided the condition was not caused by Tenant, any of the household 
members or any guest. 
 
XII. 
Move-in and Move-out Inspections. 
 
A. 
Move-in inspection:  The Authority and Tenant or Tenant’s representative shall inspect 
the premises prior to the Lease Start Date.  The Authority shall furnish Tenant with a 
written statement of the condition of the premise, both inside the dwelling unit and 
out, and the appliances or any equipment provided by the Authority with the dwelling 
unit.  The statement shall be signed by the Authority and Tenant, and a copy of the 
statement retained in Tenant’s folder.  Any items agreed to by Authority and Tenant 
as being a deficiency shall be noted on the written statement and shall be corrected 
by the Authority, at no charge to Tenant, within a reasonable time after completion of 
the inspection. 
 
B. 
Move-out inspection:  The Authority shall inspect the premises at the time Tenant 
vacates the premises and shall give Tenant a written statement of charges, if any, for 
which Tenant is deemed responsible.  Tenant shall be provided an opportunity to 
participate in the move-out inspection, unless Tenant vacates without notice to the 
Authority. 
 
XIII. 
Entry of Premises During Tenancy. 
 
A. 
The Authority shall, upon reasonable advance notification to Tenant, be permitted to 
enter the dwelling unit during reasonable hours of any day for the purpose of 
performing routine inspections and maintenance, for making improvements or 
repairs, or to show the dwelling unit for re-leasing.  “Routine inspection” includes, 
without limitation, an annual inspection of the dwelling unit, monthly pest control 
treatment and any required follow up inspection necessary to assure compliance with 
the Housekeeping Standards and House Rules.  For purpose of this section, the time 
between 7:00 a.m. and 5:00 p.m. is deemed to conclusively be “reasonable hours”, but 
nothing precludes entry at other times if it is reasonable to do so under the 
circumstances.  A written statement specifying the purpose of the Authority’s entry

Page 15 of 21 
Revised 7/1/2024 
 
delivered to the dwelling unit at least two (2) days before such entry shall be deemed 
reasonable advance notification. 
 
B. 
In the case of necessary repeat entry for ongoing pest control or maintenance “in 
process”, tenant will be notified of the entry schedule upon the start of treatment.  No 
additional notices for entry will be given, as tenant will be given a copy of the schedule. 
 
C. 
The Authority may enter the dwelling unit at any time without advance notification 
when there is reasonable cause to believe that an emergency exists. 
 
D. 
If Tenant and all adult members of Tenant’s household are absent from the dwelling 
unit at the time of entry, the Authority shall leave in the dwelling unit a written 
statement specifying the date, time and purpose of entry prior to leaving the dwelling 
unit. 
 
XIV. 
Notice Procedures. 
 
A. 
Except as required in Section XIII above, any notice to Tenant shall be in writing and 
personally delivered to Tenant or to an adult member of Tenant’s household residing 
in the dwelling unit, or shall be sent by prepaid first-class mail properly addressed to 
Tenant. 
 
B. 
Any notice to the Authority shall be in writing, delivered to the Housing Office or sent 
to the Housing Office by prepaid first-class mail properly addressed.  The Housing 
Office is the principal office of the Authority and it is located at: 235 South Arizona 
Avenue, Chandler, Arizona 85225.  The Housing office mailing address is: 
 
 
 
Mail Stop 101, P.O. Box 4008 
 
 
Chandler, Arizona 85244-4008 
 
C. 
If Tenant is visually impaired, any notice to Tenant will be in an accessible format. 
 
XV. 
Termination of the Lease. 
 
A. 
Tenant shall terminate the Lease and vacate the premises only upon giving the 
Authority thirty (30) days written notice.  At termination, Tenant shall leave the 
premises in a clean and good condition; reasonable wear and tear accepted, and shall 
return all keys to the premises.  The failure to return all keys shall be deemed a 
negligent or intentional action by Tenant resulting in damage incurred by the Authority 
for which the Authority may charge or claim an amount equal to the cost of replacing 
all of the locks affected. 
 
B. 
The Authority shall terminate the Lease only for a serious or repeated violation of a 
material term of the Lease, which includes, but is not limited to, failure to make 
payments due under the Lease or to fulfill the Tenant’s obligations set forth in Section 
X or elsewhere in the Lease, and for other good cause.  Without limiting the generality 
of the above, Tenant and the Authority agree that a single event or incident of the 
following matters shall constitute cause for termination: 
 
1.    Any Tenant misrepresentation of household income, assets, or composition;

Page 16 of 21 
Revised 7/1/2024 
 
 
2. Any failure by Tenant to timely submit, when requested to do so, any certification, 
release, information, or documentation regarding household income or 
composition deemed to be needed by the Authority in order to fully and accurately 
complete an annual, special or interim review; 
 
3. 
Any (i) criminal activity that threatens the health, safety, or right to peaceful 
enjoyment of the Development of any other resident of the Development, or 
any employee or contractor of the Authority, or any person residing in the 
immediate vicinity of Tenant’s Residence; or (ii) any violent or drug-related 
criminal activity on or off the premises or the Development, where the above-
described activity is engaged in by Tenant, any member of Tenant’s household, 
any guest, or any other person under Tenant’s control;   
 
4. 
Any conviction for manufacturing methamphetamines on the premises;  
 
5. 
Any determination or discovery that Tenant or a member of Tenant’s 
household is a registered sex offender; 
 
6. 
Any abuse (or pattern of abuse) of alcohol or any illegal use (or pattern of 
illegal use) of a controlled substance by Tenant, any member of Tenant’s 
household, any guest, or any other person under Tenant’s control, which is 
determined by the Authority to interfere with the health, safety, or right to 
peaceful enjoyment of the Development of any other resident of the 
Development;  
 
7. 
If Tenant or any co-tenant is fleeing to avoid prosecution, or custody or 
confinement after eviction, under the laws of the place from which the 
individual flees, for a crime, or attempt to commit a crime, which is a felony 
under the laws of the place from which the individual flees, or which, in the 
case of the State of New Jersey, is a high misdemeanor under the laws of such 
State; and 
 
8. 
Any violation by Tenant or any co-tenant of a condition of probation or parole 
imposed under Federal or State law. 
 
As used in the Lease, “criminal activity” does not require a conviction or arrest and may be established 
by a preponderance of the evidence.  
 
C. 
The Authority shall give written notice of the Lease termination of: 
 
1. 
Fourteen (14) days in the case of failure to pay rent or other charges due; 
 
2. 
Five (5) calendar days for utilities not in service; 
 
3. 
A reasonable time considering the seriousness of the situation (but not to 
exceed thirty (30) days) when the health or safety of other residents, or the 
employees or contractors of the Authority, or any person residing in the 
immediate vicinity of Tenant’s premises, is threatened; and

Page 17 of 21 
Revised 7/1/2024 
 
3. 
Thirty (30) calendar days in any other case, except that if a state or local law 
allows a shorter notice period, such shorter period shall apply. 
 
D. 
The notice of the Lease termination to Tenant: 
 
1. 
Shall state specific grounds for termination, shall inform Tenant of Tenant’s 
right to make such reply as Tenant may wish, shall inform Tenant of Tenant’s 
right to examine the Authority documents directly relevant to the termination 
or eviction; and shall state the date upon which the dwelling unit shall be 
vacated; and 
 
2. 
When the Authority is required to provide Tenant the opportunity for an 
administrative grievance hearing concerning the lease termination, the notice 
shall also inform Tenant of Tenant’s right to request a hearing in accordance 
with the Authority’s grievance procedure then if effect; and 
 
3. 
When the Authority is not required to provide Tenant the opportunity for an 
administrative grievance hearing concerning the lease termination, and the 
Authority has decided to exclude such grievance from the Authority’s 
grievance procedure, the notice of lease termination shall: 
 
a. 
State that Tenant is not entitled to a grievance hearing on the 
termination;  
 
b. 
Specify the judicial eviction procedure to be used by the Authority for 
eviction of Tenant, and state that HUD has determined that this 
eviction procedure provides the opportunity for a hearing in court that 
contains the basic elements of due process as defined in HUD 
regulations; and 
 
c. 
State whether the eviction is for a criminal activity or other activity that 
threatens the health, safety, or right to peaceful enjoyment of the 
Development of any other resident of the Development or any 
employee or contractor of the Authority, or any violent or drug-related 
criminal activity on or off the premises or the Development, or any 
activity resulting in a felony conviction. 
 
E. 
In the case of termination for Tenant’s failure to make payment due under the Lease, 
the 14-day notice shall also advise Tenant that if full payment of the amount then due 
and owing is made on or before the date upon which the dwelling unit is to be vacated, 
then the Tenant’s lease violation shall be deemed cured, the Tenant shall not be 
required to vacate the premises and the Lease will be automatically reinstated in 
accordance with its terms and conditions, provided that this is not the fourth (4th) such 
14-day notice given during a lease period.  Notwithstanding the foregoing, the fourth 
(4th) such 14-day notice given during a lease period to Tenant for failure to make 
payment due under the Lease shall advise that Tenant’s lease violation shall not be 
deemed to be cured even if Tenant pays all amounts specified in the notice, that there 
will be no reinstatement of the Lease and Tenant must vacate the premises within the 
time specified.

Page 18 of 21 
Revised 7/1/2024 
 
F. 
The Lease shall not terminate, even if the date to vacate has expired, until the time for 
Tenant to request any applicable grievance hearing has expired, and (if a hearing was 
timely requested by Tenant) the grievance process has been completed. 
 
G. 
Termination of the Lease by the Authority shall be enforced by eviction of Tenant from 
the premises through an action filed in a court of appropriate jurisdiction. 
 
H. 
In deciding to evict for criminal activity, the Authority shall have discretion to consider 
all of the relevant circumstances, including the seriousness of the offense, the extent 
of participation by Tenant and Tenant’s household members, and the effects that 
eviction would have on both the household members not involved in the prohibited 
activity and on the other residents in the Development.  In appropriate cases, the 
Authority may permit continued occupancy by the remaining household members 
and may impose a condition that any of the household members who engaged in the 
prohibited activity will not reside in or be a guest in the dwelling unit or on the 
Residence.  The Authority may require any of the household members who has 
engaged in the illegal use of drugs to present credible evidence of successful 
completion of a treatment program as a condition to being allowed to reside in the 
dwelling unit. 
 
I. 
If the Authority evicts any or all of the persons in Tenant’s household from the 
premises for engaging in criminal activity, including drug-related criminal activity, the 
Authority shall notify the local post office serving the premises that the person(s) or 
household evicted is no longer residing at the premises.  This is so the post office will 
stop mail delivery for such persons and that the persons shall not return to the 
Development or the premises for mail pickup. 
 
J. 
Former tenants and any member of the tenant’s household that have been evicted 
through a judicial process or trespassed for criminal activity will not be permitted to 
return to the Development, including common areas, or other dwelling units in the 
Development for any reason. 
 
K. 
The Authority shall provide Tenant a reasonable opportunity to examine, at Tenant’s 
request received by the Authority, before a grievance hearing or a court trial 
concerning a termination of tenancy or eviction, any documents, including records and 
regulations, which are in the possession of the Authority, and which are directly 
relevant to the termination or tenancy or eviction.  The Tenant may obtain a copy of 
any such document at Tenant’s expense.  If the Authority does not make documents 
available for examination upon the request of Tenant received by the Authority, then 
the Authority shall not proceed with any eviction proceedings until such documents 
are made available. 
 
XVI. 
Grievance Procedures.  All disputes concerning the obligations of Tenant or the Authority 
shall be processed and resolved in accordance with the Authority’s grievance procedure pursuant to 
24 Code of Federal Regulations Part 966, Subpart B 
 
A. Exceptions of Grievances.  These grievance procedures are not applicable to any lease 
termination or eviction that involves:

Page 19 of 21 
Revised 7/1/2024 
 
1. 
Any criminal activity or other activity that threatens the health, safety, or right to 
peaceful enjoyment of the Development of any other resident in the Development, or 
any employee or contractor of the Authority, or any person residing in the immediate 
vicinity of Tenant’s premises;  
 
2. 
Any violent or drug-related criminal activity on or off the premises or the 
Development; or 
 
3. 
Any activity resulting in a felony conviction. 
 
B. 
Selection of the Hearing Officer [24 CFR §966.4(n)(2)] 
 
1. The grievance hearing will conducted by an impartial person or persons appointed by 
the PHA, other than the person who made or approved the PHA action under review, or 
a subordinate of such person.  Such individual or individuals do not need legal training. 
PHAs must describe their policies for selection of a hearing officer in their lease forms as 
required by 24 CFR §966.4. 
 
2. PHA grievance hearings will be conducted by a single hearing officer and not a panel. 
The PHA will contract a hearing officer.  
 
3. The PHA will appoint a person who has been selected in the manner required under the 
grievance procedure. Efforts will be made to assure that the person selected is neither a 
friend, nor enemy, of the complainant that they do not have a personal stake in the 
matter under dispute and will otherwise not appear to lack impartiality. 
 
C. 
Conducting the Hearing [PIH 2020-32] 
A copy of the Grievance/Hearing Procedures are included in this Lease by reference and are 
available upon request. 
A copy of the Grievance/Hearing Procedures are included in this Lease by reference and are 
available upon request 
1. The PHA has the sole discretion regarding the method used to conduct a hearing in any 
step of the grievance process.  The PHA may determine to conduct all hearings via a 
remote online process.  The notice of hearing will include the date, time, location and 
method of conducting the hearing. 
 
XVIII. Lease Amendment.  The Lease shall be amended or modified by a written rider to the Lease 
signed by both parties, except for the following: 
 
A. 
Changes concerning the amount of rent, size or type of the dwelling unit, household 
composition, eligibility for public housing or any other matters arising under Section 
VII of the Lease or as a result of any re-determination made pursuant that section of 
the Lease; 
 
B. 
Changes in policies, rules, regulations, schedules and standards provided by or 
established by the Authority and incorporated by reference into the Lease; and

Page 20 of 21 
Revised 7/1/2024 
 
B. Changes required by applicable state or federal law and/or regulation, where written 
modification or amendment is proposed to Tenant by the Authority, but Tenant fails or refuses 
to sign after a reasonable time is provided to do so. 
 
 
XIX. 
Incorporation by reference.  The policies, rules, regulation, schedules and standards 
expressly referenced in the Lease or which are otherwise established by the Authority, as adopted  
 
 
and as may be amended from time to time, are incorporated herein by reference.  Included without 
limitation, are the following:  Schedule of Maintenance Charges; Admissions and Occupancy Policy; 
Development Rules and Regulation; Grievance Procedure; Housekeeping Standards; House Rules; Pet 
Policy. 
 
XX. 
Waiver.  The acceptance of rental by the Authority for the period or periods after a lease 
violation by Tenant shall not be deemed a waiver of the violation, or the right to terminate the Lease 
therefore, unless the Authority shall so intend and shall so advise Tenant in writing.  No waiver by the 
Authority of any lease violation by Tenant shall be construed to be or act as a waiver of any subsequent 
lease violation by Tenant.  If any lease violation is cured by Tenant prior to the Authority giving a notice 
of termination, it shall not thereafter be used by the Authority as a ground for termination of the 
Lease. 
 
XXI. 
Interpretation and Severability.  This Lease shall be construed as a whole according to its 
fair meaning and not strictly for or against either party.  Whenever possible, each provision shall be 
interpreted in such a manner as to be valid under applicable law, but if any provision of the Lease is 
deemed invalid or unenforceable, such provision shall be deemed severed from the Lease, and the 
Lease shall otherwise remain in force and effect. 
 
XXII. 
Discrimination Prohibited.  The Authority shall not discriminate based upon race, color, 
religion, national origin, sex, handicap, or familial status, and shall comply with all nondiscrimination 
requirements of Federal, State and local law. 
 
XXIII. Attachments to the Lease.  The Tenant certifies that they have received a copy of the 
following attachments to this Lease, and understands that these Attachments are part of this Lease. 
 
Attachments (Policies):  Scattered Site Landscape Policy (if applicable), Community Service 
Requirement Policy (if applicable), Vehicle Policy, VAWA Policy, Assistance Animal Policy (if applicable) 
Pet Policy, Bed Bug Policy, House Rules and Smoke-Free Policy, ACOP Chapter 14, Grievance and 
Appeals. 
 
Additional Policies: The Tenant understands that they are also responsible to adhere to additional 
policies and requirements included in the Admissions and Continued Occupancy Policy (ACOP), as well 
as all federal requirements that apply to the program.

Page 21 of 21 
Revised 7/1/2024 
 
 
 
 
 
Signatures:   
 
 
WHEREFORE, the Authority, Tenant and Co-Tenants, if any, have executed the Lease on the dates set 
forth below.  The signature of Tenant and any Co-Tenants as set forth below is their acknowledgment 
that they have received and reviewed the Lease and that the terms and conditions of the Lease have 
been thoroughly explained to them. 
 
 
 
 
 
Head of Household Signature  
 
 
 
Date 
 
 
 
 
 
 
Other Adult Household Member Signature 
 
 
Date 
  
 
 
 
 
 
Other Adult Household Member Signature 
 
 
Date 
  
 
 
 
 
 
Other Adult Household Member Signature 
 
 
Date 
  
 
 
 
 
 
Other Adult Household Member Signature 
 
 
Date 
  
 
 
 
 
 
Other Adult Household Member Signature 
 
 
Date 
  
 
THE CITY OF CHANDLER, an Arizona municipal corporation, by and through its Housing and 
Redevelopment Division, acting as the Housing Authority of the City of Chandler: 
 
 
By: 
___________________________________________________ 
DATE:_________________________ 
Its: 
Housing Assistance Senior Program Manager