HomeMy WebLinkAbout08-6521GUIIIIMUNYWCAL I M Ur r1:NNSYLVANIA
COURT OF COMMON PLEAS
Judicial District, County Of b-e4 'ref/
NOTICE OF APPEAL
FROM /I /3/ aF
DISTRICT JUSTICE JUDGMENT
COMMON PLEAS No. d p- L 50? ( (g A J_#._
NOTICE OF APPEAL
Notice is given that the appellant has filed in the above Court of Common Pleas an appeal from the judgment rendered by the District Justice on
the date and in the case referenced below.
nrwc r ?MMAG. DIET. NO. OF D.J.
ADDRFF CITY r S TE ZIP CODE
DATE OF THE CASE OF (PkJWt) (DshrMn0
DOCKET No. SIGNAT OF OR ATT Y OR AGENT
G, 7-- t?DeO 3 M
This block will be signed ONLY when this notation is required under Pa. If appeNant was Claimant (see Pa. R.C.P.D.J. No. 1001(6) in action
R.C.P.D.J. No. 10088.
This Notice of Appeal, when received by the District Justice, will operate as a before a District Justice, A COMPLAINT MUST BE FILED within twenty
SUPERSEDEAS to the judgment for possession in this case.
(20) days after filing the NOTICE of APPEAL.
?? or Rouionorny or D.a„Ir
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(This section of form to be used ONLY when appellant was DEFENDANT (see Pa.R.C.P.D.J. No. 1001(7) in action before District Justice. IF
NOT USED, detach from copy of notice of appeal to be served upon appellee.
PRAECIPE: To Prothonotary
Enter rule upon ?? 44.4?0 zz? , appellee(s), to file a complaint in this appeal
Of
(Common Pleas No. (y p . ,6,j) G .t within twenty (20) days after service of rule or suffer entry of judgment of non pros.
i I
Ile or aftomsy w agent
RULE: To 'AJ , appellee(s)
s
(1) You are notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty (20) days after the date of service
of this rule upon you by personal service or by certified or registered mail.
(2) If you do not file a complaint within this time, a JUDGMENT OF NON PROS MAY BE ENTERED AGAINST YOU.
(3) The date of service of this rule if service was by mail is the date of the mailing.
Date: ntrul?a.-??3. 20 (jL . (L ?h C Q?Cu.?
1 '.? sigrwtm of RbNMiota q or Deputy
YOU MUST INCLUDE A COPY OF THE NOTICE OF JUDGMENTITRANSCRIPT FORM WITH THIS NOTICE OF APPEAL.
AOPC 312-02
WHITE -COURT FILE TO BE FRED WITH PROTHONOTARY GREEN - COURT FILE YELLOW- APPELLANTS COPY
PINK -COPY TO BE SERVED ON APPELLEE GOLD -COPY TO BE SERVED ON DISTRICT JUSTICE
POW OF TILE OF APPEAL iW ROLE I ; ,EVOrlltPLAINr
(This prod/ of st#iriice AWST B f (ltj'OAYS AFTER filing of the notice of appeal. Check applicable boxes.)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ; ss
AFFIDAVIT: I hereby (swear) (affirm) that I served
? a copy of the Notice of Appeal, Common Pleas , upon the District Justice designated therein on
(date of service) .20 , ? by personal service ? by (certified) (registered) mail,
sender's receipt attached hereto, and upon the appellee, (name) , on
,20 ? by personal service ? by (certified) (r ) maul,
sender's receipt attached hereto.
(SWORN) (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS DAY OF 20
Signature of aRiant
Signature of oft of before whom affidavit was made
Tide ofodfciat
My commission expires on 20
P
^? la k
h e
tV
• COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CU=ZRXllA1W
Mag. Dist. No.:
MDJ Name: Hon.
09-3-03
SUSAN X. DAY
Address: 229 KILL ST, BOX 167
MT. HOLLY SPRINGS, PA
Telephone: (717 ) 486-7672 17065
ATTORNEY DEF PRIVATE s
GRACE D'ALO
401 E. LODTHER ST. APT/STE 103
CARLISLE, PA 17013
NOTICE OF JUDGMENT/TRANSCRIPT
RESIDENTIAL LEASE
PLAINTIFF: NAME and ADDRESS
rBOILING SPRINGS APARTILE>dITS
297 PLAZA DRIVE
BOILING SPRINGS, PA 17007
L J
VS.
DEFENDANT: NAME and ADDRESS
rGOTTSHALL, ETAL, JZMXFER
215 PLAZA DRIVE
BOILING SPRINGS, PA 17007
L J
Docket No.: LT-0000378-08
Date Filed: 10/01/08
THIS IS TO NOTIFY YOU THAT:
Judgment: FOR PL 331TIFF
® Judgment was entered for: (Name) BOILING SPRINGS APAR, TziiiizT8
Judgment was entered against GOTTSHALL, ETAL, JElQIFER in a
® Landlord/Tenant action in the amount of $ 7, 006.08 on 10/14/08 (Date of Judgment)
The amount of rent per month, as established by the Magisterial District Judge, is $ 751, 00.
The total amount of the Security Deposit is $ .00
Total Amount Establishedd b M J Less • Security Deposit Applied = Adjudicatted ount
Rent in Arrears $ 6, 48.04 - $ .00= $ 6, 8 .04
Physical Damages Leasehold Property $ .00- $ .00= $ .00
Damages/Unjust Detention $ _00- $ -0 0- $ -00
Less Amt Due Defendant from Cross Complaint - $ _ 00
Interest (if provided by lease) $ _ nn
UT Judgment Amount $ 6 848 _ 04
? Attachment Prohibited/ Judgment Costs $ 158.04
42 Pa.C.S. § 8127 Attorney Fees $ _11131111111
? This case dismissed without prejudice. Total Judgment $ 7,006.08
? Possession granted.
Q Possession granted if money judgment
? Possession not granted.
Post Judgment Credits $
Post Judgment Costs $
Certified Judgment Total $
? Defendants are jointly and severally liable.
IN AN AC71ON INVOLVING A RESIDENTIAL LEASE, ANY PARTY HAS THE RIGHT TO APPEAL FROM A JUDGMENT FOR POSSESSION WITHIN
TEN DAYS AFTER THE DATE OF ENTRY OF JUDGMENT BY FILING A NOTICE OF APPEAL WITH THE PROTHONOTARY/CLERK OF COURTS
OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. THIS APPEAL WILL INCLUDE AN APPEAL OF THE MONEY JUDGMENT, IF ANY. IN
ORDER TO OBTAIN A SUPERSEDEAS, THE APPELLANT MUST DEPOSIT WITH THE PROTHONOTARY/CLERK OF COURTS THE LESSER OF
THREE MONTHS RENT OR THE RENT ACTUALLY IN ARREARS ON THE DATE THE APPEAL IS FILED. HOWEVER, LOWdNCOME AND/OR
SECTION 8 TENANTS SHOULD REFER TO Pa.R.C.P.M.D.J. No. 1008 OR 1013 FOR DIFFERENT PROCEDURES REGARDING THIS DEPOSIT.
IF A PARTY WISHES TO APPEAL ONLY THE MONEY PORTION OF A JUDGMENT INVOLVING A RESIDENTIAL LEASE, THE PARTY HAS
30 DAYS AFTER THE DATE OF ENTRY OF JUDGMENT IN WHICH TO FILE A NOTICE OF APPEAL WITH THE PROTHONOTARY/CLERK OF
COURTS OF THE COURT OF COMMON PLEAS, CIVIL DIVISION.
THE PARTY FIUNG AN APPEAL MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH THE NOTICE OF APPEAL.
EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR MAGISTERIAL DISTRICT JUDGES, IF THE JUDGMENT
HOLDER ELECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PROCESS MUST COME FROM THE COURT
OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE MAGISTERIAL DISTRICT JUDGE.
UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE
A REQUEST FOR ENTRY OF SATISFACTION WITH THE MAGISTERIAL DISTRICT JUDGE IF THE JUDGMENT DEBTOR PAYS IN FULL,
SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT.
a a-Ar
Date , Magisterial District Judge
certify a this is a rue an or y o the recor the ocee Ings containing the Judgment
Date , Magisterial District Judge
M? commission expires first Monday of January, 2010. SEAL
AO C 3 6A-08
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
PENNSYLVANIA
BOILING SPRINGS ,
APARTMENTS
Plaintiff
VS.
JENNIFER GOTTSHALL
Defendant
. No. 2008 - G S•Z '"? 71
CIVIL ACTION -LAW
PRAECIPE TO PROCEED IN FORMA PAUPERIS
To the Prothonotary:
Kindly allow Jennifer Gottshall to proceed in forma pauperis. I, Geoffrey M.
Biringer, the attorney for the party proceeding in forma pauperis, certify that I believe the
party is unable to pay the costs and that I am providing free legal service to the party.
s3
Date: ll? Op Geoffrey M. Biringer
MIDPENN LEGAL SERVICES
401 E. Louther Street
Carlisle, PA 17013
(717)243-9400
Sup. Ct. ID# 18040
. / .
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION --
BOILING SPRINGS APARTMENTS
Plaintiffs
No. 08-6521
v.
JENNIFER GOTSHALL,
Defendant
JOINT MOTION TO AMEND CAPTION
Plaintiff and Defendant, by and through their respective attorneys Robert S. Cronin, Jr.,
of Nikolaus & Hohenadel, LLP and Geoffrey Biringer, Esquire, hereby file this joint Motion to
Amend the Caption in the above captioned matter, and in support hereof, aver as follows:
1. The Plaintiff in this matter is identified as "Boiling Springs Apartments".
2. It is respectively submitted that Boiling Springs Associates, a partnership organized and
existing under the laws of the Commonwealth of Pennsylvania, with principal place
of business located at 297 Plaza Drive, Boiling Springs, Pennsylvania, 17007, is the
record owner of the apartment community commonly known as "Boiling Springs
Apartments".
3. Accordingly, the parties jointly request that the caption in this matter be amended to
reflect that the Plaintiff be "Boiling Springs Associates".
WHEREFORE, the parties jointly request that this Honorable Court enter an Order
amending the caption in this matter to indicate that the identified Plaintiff be Boiling Springs
Associates.
Date: 1Z "'4 /d g
Respectfully submitted,
NIKOLA H EN DE , LLP
By:
Rd ert S. Cronin, Jr.squire
Attorney I.D. No. 8740
By.
Geoffrey M. iringer, Esquire
Attorney I.D. No.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION LAW
BOILING SPRINGS APARTMENTS
Plaintiffs
No. 08-6521
V.
JENNIFER GOTSHALL,
Defendant
CERTIFICATE OF SERVICE
I, Robert S. Cronin, Jr., Esquire, hereby certify that I served the foregoing document
upon the person in the manner indicated below, which service satisfies the requirement of
Pennsylvania Rules of Civil Procedure.
SERVICE BY FIRST CLASS MAIL POSTAGE PREPAID
AS FOLLOWS:
Geoffrey M. Biringer, Esquire
401 East Lawler St, Suite 103
Carlisle, Pa 17013
Date: By:
Respectfully submitted,
NIKOLAUS & HOHENADEL, LLP
Robert S. Cronin, Jr/Esqui
Attorney I.D. No. 8 810
Attorney for Plaintiff
212 North Queen Street
Lancaster, PA 17603
(717) 299-3726
ORIGINAL
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION LAW
BOILING SPRINGS APARTMENTS
Plaintiffs
V.
JENNIFER GOTSHALL,
Defendant
No. 08-6521
NOTICE TO DEFEND
You have been sued in court. If you wish to defend against the claims set forth in the following pages,
you must take action within twenty (20) days after this complaint and notice are served, by entering a written
appearance personally or by attorney and filing in writing with the court your defenses or objections to the
claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a
judgment may be entered against you by the court without further notice for any money claimed in the
complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other
rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL
HELP.
Cumberland County Bar Association
32 South Bedford Street
Carlisle PA 17013
Phone: (717) 249-3166
Respectfully submitted,
Date: 11/1//, b
NIKOLAUS & HOHENADEL, LLP
By:
Robert S. Cronin, Jr., Esq 're
Attorney I.D. No. 87810
Attorney for Plaintiff
212 North Queen Street
Lancaster, PA 17603
(717) 299-3726
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION - LAW
BOILING SPRINGS ASSOCIATES,
Plaintiff,
V. No. 08-6521
JENNIFER GOTTSHALL,
Defendant.
COMPLAINT
Plaintiff Boiling Springs Associates, by and through their attorneys Nikolaus &
Hohenadel, LLP, hereby files this complaint against Defendant Jennifer Gottshall and in
support hereof avers as follows:
Plaintiff Boiling Springs Associates, ("Plaintiff'), is a partnership
organized and existing under the laws of the Commonwealth of Pennsylvania with its
principal place of business located at 297 Plaza Drive, Boiling Springs, Pennsylvania
17007.
2. Plaintiff is the record owner of the apartment community commonly
known as Boiling Springs Apartments, located 297 Plaza Drive, Boiling Springs,
Pennsylvania 17007.
3. Defendant Jennifer Gottshall ("Defendant") is an adult individual with a
last known residence at 215 Plaza Drive, Boiling Springs, Pennsylvania 17007.
4. On October 20, 2006, Plaintiff and Defendant entered into a residential
lease agreement. A true and correct copy of the residential lease agreement (the "Lease")
is attached hereto, made a part hereof and marked Exhibit "A".
5. Pursuant to Paragraph 1 of the Lease, Plaintiff leased to Defendant the
premises known as 215 Plaza Drive, Boiling Springs, Pennsylvania in the project known
as Boiling Springs Apartments. See Exhibit "A".
6. Further, Paragraph 2 of the Lease Agreement provides that the initial term
of the Lease commenced on October 20, 2006 and ended on October 31, 2007 at which
time continued for successive terms of one month each unless automatically terminated
as permitted under the terms of the Lease Agreement. See Exhibit "A".
7. Paragraph 4 of the Lease Agreement provides that:
The Tenant agrees that the amount of rent the Tenant pays and/or the
amount of assistance that HUD pays on behalf of the Tenant may be changed
during the term of this Agreement if:
c. the income, the number of persons in the Tenant's household or other
factors considered in calculating the Tenant's rent change and HUD procedures
provide that the Tenant's rent or assistance payment be adjusted to reflect the
change.
f. the Tenant fails to provide information on his/her income, family
composition or other factors as required by the Landlord.
See Exhibit "A"
8. Paragraph 13 of the Lease Agreement provides in part that:
General Restrictions: The Tenant must live in the unit and the unit
must be the Tenant's only place of residence. The Tenant shall use
the premises only as a private dwelling for himself/herself and the
individuals listed on the Certification and Recertification of Tenant
Eligibility. The Tenant agrees to permit other individuals to reside
in the unit only after obtaining the prior written approval of the
Landlord.
See Exhibit "A".
9. Paragraph 15 of the Lease Agreement provides that:
Regularly Scheduled Recertifications:
Every year around the 1St day of November the Landlord will
request the Tenant to report the income and composition of the Tenant's
household and to supply any other information required by HUD for the
purpose of determining the Tenant's rent and assistance payment, if any.
The Tenant agrees to provide accurate statements of this information and
to do so by the date specified in the Landlord's request. The Landlord will
verify the information supplied by the Tenant and use the verified
information to recomputed the amount of the Tenant's rent and assistance
payment, if any.
a. If the Tenant does not submit the required recertification
information by the date specified in the Landlord's request,
the Landlord may impose the following penalties. The
Landlord may implement these penalties only in
accordance with the administrative procedures and time
frames specified in HUD's regulations, handbooks and
instructions related to the administration of multifamily
subsidy programs.
(1) Require the Tenant to pay the higher, HUD-approved
market rent for the unit.
(2) Implement any increase in rent resulting from the
recertification process without providing the 30-day notice
otherwise required by paragraph 4 of this Agreement.
b. The Tenant may request to meet with the Landlord to
discuss any change in rent or assistance payment resulting
from the recertification processing. If the Tenant requests
such a meeting, the Landlord agrees to meet with the
Tenant and discuss how the Tenant's rent and assistance
payment, if any, were computed.
See Exhibit "A".
10. Paragraph 17 of the Lease Agreement provides that:
Removal of Subsidy:
a. The Tenant understands that assistance made available on
his/her behalf may be terminated if events in either items 1 or 2
below occur. Termination of assistance means that the Landlord
may make the assistance available to another Tenant and the
Tenant's rent will be recomputed. In addition, if the Tenant's
assistance is terminated because of criterion (1) below, the Tenant
will be required to pay the HUD-approved market rent for the unit.
(1) The Tenant does not provide the Landlord with the
information or reports required by paragraphs 15 or 16
within 10 calendar days after receipt of the Landlord's
notice of intent to terminate the Tenant's assistance
payment.
(2) The amount the Tenant would be required to pay
toward rent and utilities under HUD rules and regulations
equals the Family Gross Rent shown on Attachment 1.
b. The Landlord agrees to give the Tenant written notice of the
proposed termination. The notice will advise the Tenant that,
during the ten calendar days following the date of notice, he/she
may request to meet with the Landlord to discuss the proposed
termination of assistance. If the Tenant requests a discussion of
the proposed termination, the Landlord agrees to meet with the
Tenant.
c. Termination of assistance shall not affect the Tenant's other
rights under this Agreement, including the right to occupy the unit.
Assistance may subsequently be reinstated if the Tenant submits
the income or other data required by HUD procedures, the
Landlord determines the Tenant is eligible for assistance, and
assistance is available.
See Exhibit "A".
11. Paragraph 23 of the Lease Agreement provides in part that:
c. The Landlord may terminate this Agreement for the following
reasons:
1. the Tenant's material noncompliance with the terms of
this Agreement;
The term material noncompliance with the lease includes: (1) one
or more substantial violations of the lease; (2) repeated minor
violations of the lease that (a) disrupt the livability of the project;
... (c) interfere with the management of the project, or (d) have
any adverse financial effect on the project; (3) failure of the tenant
to timely supply all required information on the income and
composition, or eligibility factors, of the tenant household
(including, but not limited to, failure to meet the disclosure and
verification requirements for Social Security Numbers, or failure to
sign and submit consent forms for the obtaining of wage and claim
information from State Wage Information Collection Agencies,
and (4) non-payment of rent or any other financial obligation due
under the lease beyond any grace period permitted under State law.
The payment of rent or any other financial obligation due under the
lease after the due date but within the grace period permitted under
State law constitutes a minor violation.
e. If the Landlord proposes to terminate this Agreement, the
Landlord agrees to give the Tenant written notice and the grounds
for the proposed termination....
f. If an eviction is initiated, the Landlord agrees to rely only upon
those grounds cited in the termination notice required by paragraph
e.
See Exhibit "A".
12. Paragraph 27 of the Lease Agreement provides in part that:
Attachments to the Agreement: The tenant certifies that he/she has
received a copy of this Agreement and the following Attachments
to this Agreement and understands that these Attachments are part
of this Agreement.
a) Attachment No. 1 - Certification and Recertification of Tenant
Eligibility. (59 Certification)
c) Attachment No. 3 - House Rules
See Exhibit "A".
13. Item Number 23 of the Boiling Springs Apartment House Rules provides
in part that:
Tenant is permitted to have guest(s) visit his/her household.
However, Tenant's who allow unauthorized persons to reside in their unit
will be in violation of their lease. The Landlord reserves the right to
request documents of such guest(s) to prove domicile at another location if
it is suspected that the guest(s) is/are an unauthorized household
occupant(s). Such suspicion may arise whenever an adult person(s) is/are
making recurring visits or one continuous visit of 7 days and/or nights in a
30-day period without prior notification to the Landlord. Should the
Tenant or person in question not provide the requested information needed
to confirm other domicile, or should the documents be provided but the
facts be sufficient to evidence domicile at the property, the Landlord may
consider such person(s) to be a member of the Tenant's household and
may enforce any lease covenants shown to be broken and/or require
certification.
A true and correct copy of the Boiling Springs Apartments House Rules is attached
hereto as Exhibit "B".
14. Item Number 55 of the Boiling Springs Apartment House Rules provides
that: "Tenant agrees that Landlord may receive reasonable attorney's fees, court filing
costs and sheriff fees as part of a court judgment in a lawsuit against Tenant for violation
of the lease agreement or from Tenants who wish to avoid or settle an eviction suit." See
Exhibit "B".
15. On or about September 2007, Plaintiff suspected that Defendant's mother,
Denise Gottshall, was residing at the Leased Premises as a result of: (a) Denise
Gottshall's recurring visits to the Leased Premises; (b) the fact that Denise Gottshall
would be present at the Leased Premises on numerous occasions when neither Defendant
nor her children were present; and (c) the fact that Denise Gottshall's presence at the
Premises was observed at hours of the day on both weekdays and weekends that
permitted Plaintiff to reasonably conclude that Denise Gottshall was spending numerous
evenings at the Leased Premises.
16. Denise Gottshall is not identified as an individual permitted to reside at the
Leased Premises on Defendant's Certification and Recertification of Tenant Eligibility.
A true and correct copy of Defendant's Certification and Recertification of Tenant
Eligibility is attached hereto as Exhibit "C".
17. As a result of the facts alleged in Paragraphs 15 and 16 above, Plaintiff
requested in a letter to Defendant dated September 28, 2007 that Defendant provide the
following documents necessary to confirm that Denise Gottshall was not residing at the
Leased Premises: (a) a copy of a current lease agreement showing individual's name on
lease; (b) drivers license; (c) current vehicle registration and vehicle insurance card; (d)
copy of current utility bill; (e) copy of her current personal tax receipt; and (f) copy of
current pay stub. A true and correct copy of Plaintiff's September 28, 2007
correspondence to Defendant is attached hereto as Exhibit "D".
18. Plaintiff's September 28, 2007 correspondence to Defendant required
Defendant to provide the above requested information by October 10, 2007 and further
specifically stated that "Failure to produce all of the above mentioned documents by
October 10, 2007 could result in termination from the rental assistance program." See
Exhibit "D".
19. Defendant failed and/or refused to provide to Plaintiff any of the
documentation requested in Plaintiff's September 28, 2007 correspondence by October
10, 2007, said failure and refusal to provide the aforementioned documentation being a
breach of the Lease Agreement and House Rules. See Exhibits "A" and "B".
20. On October 17, 2007, Plaintiff sent a Lease Violation Notice to Defendant
which in part stated that: "[Defendant] must provide PROOF that Denise Gottshall ... left
your residence immediately or your rental assistance will be terminated. [Defendant's]
subsidy will be terminated in 30 days from the date of this letter if this proof is not
provided to the office." Further, the October 17, 2007 Lease violation Notice states: "If
[Defendant fails] to report changes in your household, within 10 calendar days, according
to [Defendant's] lease, [Defendant's] HUD Subsidy will be terminated in 30 days,
effective 11/17/07 [Defendant's] rent will increase to Market Rent of $715.00 per month
for [Defendant's] unit. A true and correct copy of Plaintiff's October 17, 2007 Lease
Violation Notice to Defendant is attached hereto as Exhibit "E".
21. On or about November 5, 2007, Plaintiff received in its office drop box a
document referencing Denise Gottshall and subsequently issued an Office Memo to
Defendant that specifically stated: "this does not qualify as one of the six required
documents to prove domicile for [Defendant's] mother Denise Gottshall." A true and
correct copy of Plaintiff's November 5, 2007 Office Memo to Defendant is attached
hereto as Exhibit "F".
22. Defendant failed and/or refused to provide any of the documentation and
information requested in Plaintiff's September 28, 2007 correspondence by November
17, 2007, said failure and refusal to provide the aforementioned documentation being a
breach of the Lease Agreement and House Rules. See Exhibits "A" and "B".
23. Accordingly, on December 3, 2007, Plaintiff sent a Notice of Lease
Amendment to Defendant that notified Defendant that her "monthly rent has been
adjusted to $733 effective for the month beginning 12/1/2007 as a result of failure to
provide change of household composition." A true and correct copy of Plaintiff's
December 3, 2007 Notice of Lease Amendment to Defendant is attached hereto as
Exhibit "G".
24. On or about December 4, 2007, Plaintiff received a handwritten note from
Defendant that questioned why her rent was increased to the amount of $733. A true and
correct copy of the handwritten note received by Plaintiff on or about December 4, 2007
from Defendant is attached hereto as Exhibit "H".
25. On December 5, 2007, Plaintiff sent to Defendant a letter that: (a)
reviewed the reasons for the termination of Defendant's rental subsidy and the increase in
her monthly rent; and (b) specifically stated that "Termination of assistance does not
affect your other rights under the lease, including the right to occupy the unit. However,
failure to pay the increased rent could result in termination of tenancy, court hearings,
and additional late fees and court costs to [Defendant's] account." A true and correct
copy of Plaintiff's December 5, 2007 correspondence to Defendant is attached hereto as
Exhibit "I".
26. Since September 28, 2007, Defendant has failed and refused to provide all
the information requested by Plaintiff regarding the domicile of Denise Gottshall.
27. On March 3, 2008, Plaintiff and Defendant entered into a new lease
agreement for the Leased Premises effective March 1, 2008, which in part provided that
Defendant was to pay $733 per month in rent to Plaintiff. A true and correct copy of the
March 3, 2008 Lease Agreement (the "2008 Lease Agreement") is attached hereto as
Exhibit "J".
28. Paragraphs 23 (Termination of Tenancy) and 27 (Attachments to the
Agreement) of the 2008 Lease Agreement are identical to the Lease Agreement.
29. On August 29, 2008, Plaintiff sent a Termination of Lease Agreement
notice to Defendant as a result of Defendant's failure to pay the required monthly rents
and fees from March 2008 through August 2008. A true and correct copy of Plaintiff's
August 29, 2008 Termination of Lease Agreement notice to Defendant is attached hereto
as Exhibit "K".
30. Defendant's above failure to pay the rents as required under the terms of
the Lease Agreement, the Amendment thereto, and the 2008 Lease Agreement amounts
to a breach of the 2008 Lease Agreement.
31. To date, Defendant owes to Plaintiff the amount of $9,659.05 representing
Defendant's unpaid rents and fees as calculated under the terms of the Lease Agreement,
the Amendment thereto, and the 2008 Lease Agreement. A true and correct copy of
Plaintiff's Resident Ledger for Defendant is attached hereto as Exhibit "L".
32. Plaintiff has incurred reasonable attorneys' fees, filing fees and court costs
in seeking the eviction of Defendant from the Leased Premises which Plaintiff is entitled
to recover pursuant to Item Number 55 of the Boiling Springs Apartment House Rules.
WHEREFORE, Plaintiff Boiling Springs Associates, respectfully requests that
this Honorable Court enter judgment in its favor and against Defendant Jennifer Gottshall
and further ORDER and DECREE that: (1) Defendant is liable to Plaintiff in the amount
of $9,695.05 representing unpaid rent and late fees as calculated under the terms of the
Lease Agreement, the Amendment thereto, and the 2008 Lease Agreement for the time
period beginning March 2008 through present; and (2) Plaintiff's costs and reasonable
attorneys fees incurred in this matter.
NIKOLA & H E A L, LLP
Robert S. Cronin Jr., Esq ire
Attorney I.D. No. 87810
212 North Queen Street
Lancaster, PA 17603
(717) 299-3726
(717) 299-1811 (fax)
Attorneys for Plaintiff
Boiling Springs Associates
APPENDIX 4-A
MODEL LEASE FOR SUBSIDIZED PROGRAMS
1. Parties and The parties to this Agreement are BOILING SPRINGS
Dwelling ASSOCIATES referred to as the Landlord, and
Unit:
referred to as the Tenant. The Landlord leases to the Tenant unit
number , located at 297 Plaza Drive, Boiling Springs, PA
17007 in the project known as Boiling Springs Apartments.
2. Length of Time The initial term of this Agreement shall begin
(Term) : on and end on L:S r After
the initial term ends, the Agreement will
continue for successive terms of one month each unless
automatically terminated as permitted by paragraph 23 of this
Agreement.
3. Rent: The Tenant agrees to pay $ ti fi for the
partial month ending on ji'A After
that, Tenant agrees to pay a rent of $ E?per
month. This amount is due on the first day of the month at Office
located at 297 Plaza Drive, Boiling Springs, PA 17007
The Tenant understands that this monthly rent is less than the
market (unsubsidized) rent due on this unit. This lower rent is
available either because the mortgage on this project is subsidized
by the Department of Housing and Urban Development (HUD) and/or
because HUD makes monthly payments to the Landlord on behalf of the
Tenant. The amount, if any, that HUD makes available monthly on
behalf of the Tenant is called the tenant assistance payment and is
shown on the "Assistance Payment" line of the Certification and
Recertification of Tenant Eligibility Form which is Attachment
No. 1 to this Agreement.
4. Changes in the The Tenant agrees that the amount of rent the
Tenant's Share Tenant pays and/or the amount of assistance that
of the Rent: HUD pays on behalf of the Tenant may be changed
during the term of this Agreement if:
a. HUD or the Contract Administrator (such as a .Public Housing
Agency) determines, in accordance with HUD procedures, that an
increase in rents is needed;
b. HUD or the Contract Administrator changes any allowance for
utilities or services considered in computing the Tenant's
share of the rent;
C. the income, the number of persons in the Tenant's household or
other factors considered in calculating the Tenant's rent
change and HUD procedures provide that the Tenant's rent or
assistance payment be adjusted to reflect the change;
d. changes in the Tenant's rent or assistance payment are required
by HUD's recertification or subsidy termination procedures;
e. HUD's procedures for computing the Tenant's assistance payment
2005 Page 1 of 13 , ,
or rent change; or
f. the Tenant fails to provide information on his/her income,
family composition or other factors as required by the
Landlord.
The Landlord agrees to implement changes in the Tenant's rent or
tenant assistance payment only in accordance with the time frames
and administrative procedures set forth in HUD's handbooks,
instructions and regulations related to administration of
multifamily subsidy programs. The Landlord agrees to give the
Tenant at least 30 days advance written notice of any increase in
the Tenant's rent except as noted in paragraphs 11, 15 or 17. The
Notice will state the new amount the Tenant is required to pay, the
date the new amount is effective, and the reasons for the change in
rent. The Notice will also advise the Tenant that he/she may meet
with the Landlord to discuss the rent change.
5. Charges for Late If the Tenant does not pay the full amount of
Payments and the rent shown in paragraph 3 by the end of
Returned Checks: the 5th day of the month, the Landlord may
Collect a fee of $5 on the 6th day of the
month. Thereafter, the Landlord may collect $1
for each additional day the rent remains
unpaid during the month it is due.
The Landlord may not terminate this Agreement for failure to pay
late charges, but may terminate this Agreement for non-payment of
rent, as explained in paragraph 23. The Landlord may collect a fee
of $20.00 on the second or any additional time a check is not
honored for payment (bounces). The charges discussed in this
paragraph are in addition to the regular monthly rent payable by
the Tenant.
6. Condition of By signing this Agreement, the Tenant
Dwelling acknowledges that the unit is safe, clean and
Unit: in good condition. The Tenant agrees that all
Appliances and equipment in the unit are in
good working order, except as described on the
Unit Inspection Report which is Attachment
No. 2 to this Agreement. The Tenant also
agrees that the Landlord has made no promises to decorate, alter,
repair or improve the unit, except as listed on the Unit Inspection
Report.
7. Charges for The following charts describe how the cost of
Utilities and utilities and services related to occupancy
Services: of the unit will be paid. The Tenant agrees
that these charts accurately describe the
utilities and services paid by the Landlord and those paid by the
Tenant.
a. The Tenant must pay for the utilities in column (1). Payments
should be made directly to the appropriate utility company.
The items in column (2) are included in the Tenant's rent.
(2c 2005 Page 2 of 13 jVc, -1
(1)
Put "x" by any
Utility Tenant
pays directly
X
X
X
Type of
Utility
Heat
Lights, Electric
Cooking
Water
Other (Specify.
Sewer & Trash
Y
X
b. The Tenant agrees to pay the Landlord the amount shown in
column (3) on the date the rent is due. The Landlord certifies
that HUD had authorized him/her to collect the type of charges
shown in column (3) and that the amounts shown in column (3) do
not exceed the amounts authorized by HUD.
(3)
Show $ Amount Tenant
Pays to Landlord in
Addition to Rent
8.
Parking $ N/A
other (Specify.) 2
$
Security Deposits: The Tenant has deposited $.' with the
Landlord. Paid Security Deposit monies will be deposited at:
Fulton Bank
6520 Carlisle Pike
Mechaniosbwg, PA 17055
The Landlord will hold this security deposit for the period the
Tenant occupies the unit. After the Tenant has moved from the
unit, the Landlord will determine whether the Tenant is eligible
for a refund of any or all of the security deposit. The amount of
the refund will be determined in accordance with the following
conditions and procedures.
a. The Tenant will be eligible for a refund of the security
Deposit only if the Tenant provided the Landlord with the 30-
day written notice of intent to move required by paragraph 23,
unless the Tenant was unable to give the notice for reasons
beyond his/her control.
b. After the Tenant has moved from the unit, the Landlord will
inspect the unit and complete another Unit Inspection Report.
The Landlord will permit the Tenant to participate in the
inspection, if the Tenant so requests.
c. The Landlord will refund to the Tenant the amount of the
2005 Paae 3 of 13 ?0cp
(2)
Put "x" by any
Utility Included
in Tenant Rent
security deposit plus interest computed at N/A %, (Note:
interest percentages will vary but will be computed annually
and in accordance with State law), beginning at lease effective
date,less any amount needed to pay the cost of:
(1) unpaid rent;
(2) damages that are not due to normal wear and tear and are
not listed on the Unit Inspection Report;
(3) charges for late payment of rent and returned checks, as
described in paragraph 5; and
(4) charges for unreturned keys, as described in paragraph 9.
d. The Landlord agrees to refund the amount computed in paragraph
8c within 30 days after the Tenant has permanently moved
out of the unit, returned possession of the unit to the
Landlord, and given his/her new address to the Landlord. The
Landlord will also give the Tenant a written list of charges
that were subtracted from the deposit. If the Tenant
disagrees with the Landlord concerning the amounts deducted
and asks to meet with the Landlord, the Landlord agrees to
meet with the Tenant and informally discuss the disputed
charges.
e. If the unit is rented by more than one person, the Tenants
agree that they will work out the details of dividing any
refund among themselves. The Landlord may pay the refund to
any Tenant identified in Paragraph 1 of this Agreement.
f. The Tenant understands that the Landlord will not count the
Security Deposit towards the last month's rent or towards
repair charges owed by the Tenant in accordance with
paragraph 11.
9. Keys and Locks: The Tenant agrees not to install additional
or different locks or gates on any doors or
windows of the unit without the written
permission of the Landlord. If the Landlord
approves the Tenant's request to install such locks, the Tenant
agrees to provide the Landlord with a key for each lock. When
this Agreement ends, the Tenant agrees to return all keys to the
dwelling unit to the Landlord. The Landlord may charge the Tenant
$ 10.00 for each key not returned.
10. Maintenance:
a. The Landlord agrees to:
(1) regularly clean all common areas of the project;
(2) maintain the common areas and facilities in a safe
condition;
(3) arrange for collection and removal of trash and garbage;
2005 Page 4 of 13
(4) maintain all equipment and appliances in safe and working
order;
(5) make necessary repairs with reasonable promptness;
(6) maintain exterior lighting in good working order:
(7) provide extermination services, as necessary; and
(8) maintain grounds and shrubs.
b. The Tenant agrees to:
(1) keep the unit clean;
(2) use all appliances, fixtures and equipment in a safe
manner and only for the purposes for which they are
intended;
(3) not litter the grounds or common areas of the project;
(4) not destroy, deface, damage or remove any part of the
unit, common areas, or project grounds;
(5) give the Landlord prompt notice of any defects in the
plumbing, fixtures, appliances, heating and cooling
equipment or any other part of the unit or related
facilities; and
(6) remove garbage and other waste from the unit in a clean
and safe manner.
11. Damages: Whenever damage is caused by carelessness,
misuse, or neglect on the part of the Tenant,
his/her family or visitors, the Tenant agrees to pay:
a. the cost of all repairs and do so within 30 days after
receipt of the Landlord's demand for the repair charges; and
b. rent for the period the unit is damaged whether or not the
unit is habitable. The Tenant understands that HUD will not
make assistance payments for any period in which the unit is
not habitable. For any such period, the Tenant agrees to
pay the HUD-approved market rent rather than the Tenant rent
shown in paragraph 3 of this agreement.
12. Restrictions on No alteration, addition, or improvements shall
Alterations: be made in or to the premises without the
prior consent of the Landlord in writing. The
Landlord agrees to provide reasonable accommodation to an
otherwise eligible tenant's disability, including making changes
to rules, policies, or procedures, and making and paying for
structural alterations to a unit or common areas. The Landlord
is not required to provide accommodations that constitute a
fundamental alteration to the Landlord's program or which would
pose a substantial financial and administrative hardship. See
2005 Page 5 of 13
NOV-10-2008 11:42 FROM:BOILING SPRINGS APAR C717)258-8250 TO:2991811 P.2/2
the regulations at 24 CFR Part B. In addition, if a requested
structural modification does pose a substantial financial and
administrative hardship, the Landlord must then allow the tenant
to make and pay for the modification in accordance with the Fair
Housing Act.
13. General The Tenant must live in the unit and the
Restrictions: unit must be the Tenant's only place of
residence. The Tenant shall use the
premises only as a private dwelling for
himself/herself and the individuals listed on the Certification
and Recertification of Tenant Eligibility. The Tenant agrees to
permit other individuals to reside in the unit only after
obtaining the prior written approval of the Landlord. The Tenant
agrees not to:
a. sublet or assign the unit, or any part of the unit;
b. use the unit for unlawful purposes;
C. engage in or permit unlawful activities in the unit, in the
common areas or on the project grounds;
d. have pets or animals of any kind in the unit without the
prior written permission of the Landlord, but the landlord
will allow the tenant to keep an animal needed as a
reasonable accommodation to the tenant's disability, and
will allow animals to accompany visitors with disabilities
who need such animals as an accommodation to their
disabilities; or
e. make or permit noises or acts that will disturb the rights or
comfort of neighbors. The Tenant agrees to keep the volume
of any radio, phonograph, television or musical instrument at
a level which will not disturb the neighbors.
14. Rules: The Tenant agrees to obey the House Rules which are
Attachment No. 3 to this Agreement. The tenant agrees
to obey additional rules established after the effective
date of this Agreement if:
a. the rules are reasonably related to the safety, care and
cleanliness of the building and the safety, comfort and
convenience of the Tenants; and
b. the Tenant receives written notice of the proposed rule at
least 30 days before the rule is enforced.
15. Regularly Scheduled Every year around the I" day of"November
Recertifications: the Landlord will request the
Tenant to report the income and composition
of the Tenant's household and to supply any
other information required by HUD for the
purposes of determining the Tenant's rent and assistance payment,
if any. The Tenant agrees to provide accurate statements of this
information and to do so by the date specified in the Landlord's
request. The Landlord will verify the information supplied by
\-05
2005 Page 6 of 13C-1 _?? %
the Tenant and use the verified information to recompute the
amount of the Tenant's rent and assistance payment, if any.
a. If the Tenant does not submit the required recertification
information by the date specified in the Landlord's request,
the Landlord may impose the following penalties. The
Landlord may implement these penalties only in accordance
with the administrative procedures and time frames specified
in HUD's regulations, handbooks and instructions related to
the administration of multifamily subsidy programs.
(1) Require the Tenant to pay the higher, HUD-approved
market rent for the unit.
(2) Implement any increase in rent resulting from the
recertification processing without providing the 30-day
notice otherwise required by paragraph 4 of this
Agreement.
b. The Tenant may request to meet with the Landlord to discuss
any change in rent or assistance payment resulting from the
recertification processing. If the Tenant requests such a
meeting, the Landlord agrees to meet with the Tenant and
discuss how the Tenant's rent and assistance payment, if any,
were computed.
16. Reporting Changes Between Regularly Scheduled
Recertifications:
a. If any of the following changes occur, the Tenant agrees
to advise the Landlord immediately.
(1) Any household member moves out of the unit.
(2) An adult member of the household who was reported
as unemployed on the most recent certification or
recertification obtains employment.
(3) The household's income cumulatively increases by
$200 or more a month.
b. The Tenant may report any decrease in income or any
change in other factors considered in calculating the
Tenant's rent. Unless the Landlord has confirmation
that the decrease in income or change in other factors
will last less than one month, the Landlord will verify
the information and make the appropriate rent reduction.
However, if the Tenant's income will be partially or
fully restored within two months, the Landlord may delay
the certification process until the new income is known,
but the rent reduction will be retroactive and the
Landlord may not evict the Tenant for nonpayment of rent
due during the period of the reported decrease and the
completion of the certification process. The Tenant has
thirty days after receiving written notice of any rent
due for the above described time period to pay or the
Landlord can evict for nonpayment of rent. (Revised
2005
Page 7of13
3/22/89)
C. If the Tenant does not advise the Landlord of these
interim changes, the Landlord may increase the Tenant's
rent to the HUD-approved market rent. The Landlord may
do so only in accordance with the time frames and
administrative procedures set forth in HUD's
regulations, handbooks and instructions on the
administration of multifamily subsidy programs.
d. The Tenant may request to meet with the Landlord to
discuss how any change in income or other factors
affected his/her rent or assistance payment, if any.
If the Tenant requests such a meeting, the Landlord
agrees to meet with the Tenant and explain how the
Tenant's rent or assistance payment, if any, was
computed.
17. Removal of Subsidy:
a. The Tenant understands that assistance made available
on his/her behalf may be terminated if events in either
items 1 or 2 below occur. Termination of assistance
means that the Landlord may make the assistance
available to another Tenant and the Tenant's rent will
be recomputed. In addition, if the Tenant's assistance
is terminated because of criterion (1) below, the
Tenant will be required to pay the HUD-approved market
rent for the unit.
(1)The Tenant does not provide the Landlord with
the information or reports required by
paragraph 15 or 16 within 10 calendar days
after receipt of the Landlord's notice of
intent to terminate the Tenant's assistance
payment.
(2)The amount the Tenant would be required to pay
towards rent and utilities, under HUD rules and
regulations equals the Family Gross Rent shown on
Attachment 1.
b. The Landlord agrees to give the Tenant written notice
of the proposed termination. The notice will advise
the Tenant that, during the ten calendar days following
the date of the notice, he/she may request to meet with
the Landlord to discuss the proposed termination of
assistance. If the Tenant requests a discussion of the
proposed termination, the Landlord agrees to meet with
the Tenant.
C. Termination of assistance shall not affect the Tenant's
other rights under this Agreement, including the right
to occupy the unit. Assistance may subsequently be
reinstated if the Tenant submits the income or other
data required by HUD procedures, the Landlord
determines the Tenant is eligible for assistance, and
2005 Page 8 of 13
assistance is available.
18. Tenant If the tenant submits false information on
obligation any application, certification or request
To Repay: for interim adjustment or does not report
interim changes in family income or other
factors as required by paragraph 16 of this
Agreement, and as a result, is charged a rent less than the
amount required by HUD's rent formulas, the Tenant agrees to
reimburse the Landlord for the difference between the rent he/she
should have paid and the rent he/she was charged. The Tenant is
not required to reimburse the Landlord for undercharges caused
solely by the Landlord's failure to follow HUD's procedures
for computing rent or assistance payments.
19. Size of The Tenant understands that HUD requires the
Dwelling Landlord to assign units according to the
size of the household and the age and sex of
the household members. If the Tenant is or becomes eligible for
a different size unit, and the required size unit becomes
available, the Tenant agrees to:
a. move within 30 days after the Landlord notifies him/her that
unit of the required size is available within the project; or
b. remain in the same unit and pay the HUD-approved market rent.
20. Access by The Landlord agrees to enter the unit only
Landlord: during reasonable hours, to provide
reasonable advance notice of his/her intent
to enter the unit, and to enter the unit only
after receiving the Tenant's consent to do so, except when
urgency situations make such notices impossible or except under
paragraph (c) below.
a. The Tenant agrees to permit the Landlord, his/her agents or
other persons, when authorized by the Landlord, to enter the
unit for the purpose of making reasonable repairs and
periodic inspections.
b. After the Tenant has given a notice of intent to move, the
Tenant agrees to permit the Landlord to show the unit to
prospective tenants during reasonable hours.
C. If the Tenant moves before this Agreement ends, the Landlord
may enter the unit to decorate, remodel, alter or otherwise
prepare the unit for re-occupancy.
21. Discrimination The Landlord agrees not to discriminate
Prohibited: based upon race, color, religion, creed,
National origin, sex, age, familial status,
and disability.
22. Change in Rental The Landlord may, with the prior approval of
Agreement: HUD, change the terms and conditions of this
Agreement. Any changes will become
effective only at the end of the initial
2005 Page 9 of 13
term or a successive term. The Landlord must notify the Tenant
of any change and must offer the Tenant a new Agreement or an
amendment to the existing Agreement. The Tenant must receive
the notice at least 60 days before the proposed effective date
of the change. The Tenant may accept the changed terms and
conditions by signing the new Agreement or the amendment to the
existing Agreement and returning it to the Landlord. The Tenant
may reject the changed terms and conditions by giving the
Landlord written notice that he/she intends to terminate
the tenancy. The Tenant must give such notice at least 30 days
before the proposed change will go into effect. If the Tenant
does not accept the amended agreement, the Landlord may require
the Tenant to move from the project, as provided in
paragraph 23.
23. Termination of
Tenancy:
a. To terminate this Agreement, the Tenant must give the
Landlord 30-days written notice before moving from the unit.
If the Tenant does not give the full 30-day notice, the
Tenant shall be liable for rent up to the end of the 30 days
for which notice was required or to the date the unit is re-
rented, whichever date comes first.
b. Any termination of this Agreement by the Landlord must be
carried out in accordance with HUD regulations, State and
local law, and the terms of this Agreement.
C. The Landlord may terminate this Agreement for the following
reasons:
1. the Tenant's material noncompliance with the terms of
this Agreement;
2. the Tenant's material failure to carry out obligations
under any State Landlord
and Tenant Act;
3. drug related criminal activity engaged in on or near
the premises, by any tenant, household member, or
guest, and any such activity engaged in on the
premises by any other person under the tenant's
control;
4. determination made by the Landlord that a household
member is illegally using a drug;
5. determination made by the Landlord that a pattern of
illegal use of a drug interferes with the health,
safety, or right to peaceful enjoyment of the
premises by other residents;
6. criminal activity by a tenant, any member of the
tenant's household, a guest or another person under the
tenant's control:
2005 Page 10 of 13
(a) that threatens the health, safety, or right to
peaceful enjoyment of the premises by other
residents (including property management staff
residing on the premises); or
(b) that threatens the health, safety, or right to
peaceful enjoyment of their residences by persons
residing in the immediate vicinity of the
premises;
7. if the tenant is fleeing to avoid prosecution, or
custody or confinement after conviction, 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;
8. if the tenant is violating a condition of probation or
parole under Federal or State law;
9. determination made by the Landlord that a household
member's abuse or pattern of abuse of alcohol threatens
the health, safety, or right to peaceful enjoyment of
the premises by other residents;
10. if the Landlord determines that the tenant, any member
of the tenant's household, a guest or another person
under the tenant's control has engaged in the criminal
activity, regardless of whether the tenant, any member
of the tenant's household, a guest or another person
under the tenant's control has been arrested or
convicted for such activity.
d., The Landlord may terminate this Agreement for other good
cause, which includes, but is not limited to, the tenant's
refusal to accept change to this agreement. Terminations for
"other good cause" may only be effective as of the end of any
initial or successive term.
The term material noncompliance with the lease includes: (1)
one or more substantial violations of the lease; (2) repeated
minor violations of the lease that (a) disrupt the livability of
the project; (b) adversely affect the health or safety of any
person or the right of any tenant to the quiet enjoyment to the
leased premises and related project facilities, (c) interfere
with the management of the project, or (d) have an adverse
financial effect on the project (3) failure of the tenant to
timely supply all required information on the income and
composition, or eligibility factors, of the tenant household
(including, but not limited to, failure to meet the disclosure
and verification requirements for Social Security Numbers, or
failure to sign and submit consent forms for the obtaining of
wage and claim information from State Wage Information Collection
Agencies), and (4) Non-payment of rent or any other financial
obligation due under the lease beyond any grace period permitted
2005 Page 11 of 13
under State law. The payment of rent or any other financial
obligation due under the lease after the due date but within the
grace period permitted under State law constitutes a minor
violation.
e. If the Landlord proposes to terminate this Agreement, the
Landlord agrees to give the Tenant written notice and the
grounds for the proposed termination. If the Landlord is
terminating this agreement for "other good cause," the
termination notice must be mailed to the Tenant and hand-
delivered to the dwelling unit in the manner required by HUD
at least 30 days before the date the Tenant will be required
to move from the unit and in accordance with State law
requirements. Notices of proposed termination for other
reasons must be given in accordance with any time frames set
forth in State and local law. Any HUD-required notice period
may run concurrently with any notice period required by State
or local law. All termination notices must:
• specify the date this Agreement will be terminated;
• state the grounds for termination with enough detail for
the Tenant to prepare a defense;
• advise the Tenant that he/she has 10 days within which to
discuss the proposed termination of tenancy with the
Landlord. The 10-day period will begin on the earlier of
the date the notice was hand-delivered to the unit or the
day after the date the notice is mailed. If the Tenant
requests the meeting, the Landlord agrees to discuss the
proposed termination with the Tenant; and
• advise the Tenant of his/her right to defend the action in
court.
f. If an eviction is initiated, the Landlord agrees to rely
only upon those grounds cited in the termination notice
required by paragraph e.
24. Hazards: The Tenant shall not undertake, or permit his/her
family or guests to undertake, any hazardous acts
or do anything that will increase the project's insurance
premiums. Such action constitutes a material non-compliance.
If the unit is damaged by fire, wind, or rain to the extent that
the unit cannot be lived in and the damage is not caused or made
worse by the Tenant, the Tenant will be responsible for rent
only up to the date of the destruction. Additional rent
will not accrue until the unit has been repaired to a
livable condition.
25. Penalties for Knowingly giving the Landlord false
Submitting False information regarding income or other
Information: factors considered in determining
Tenant's eligibility and rent is a
material noncompliance with the lease subject to termination of
tenancy. In addition, the Tenant could become subject to
2005 Page 12 of 13 V
penalties available under Federal law. Those penalties include
fines up to $10,000 and imprisonment for up to five years.
26. Contents of this This Agreement and its Attachments make
Agreement: up the entire agreement between the
Landlord and the Tenant regarding the unit.
If any Court declares a particular provision of this
Agreement to be invalid or illegal, all other terms of this
Agreement will remain in effect and both the Landlord and the
Tenant will continue to be bound by them.
27. Attachments to The Tenant certifies that he/she has
the Agreement: received a copy of this Agreement and the
following Attachments to this Agreement
and understands that these Attachments are part of this
Agreement.
a) Attachment No. 1 - Certification and Recertification of
Tenant Eligibility. (59 Certification)
b) Attachment No. 2 - Unit Inspection Report
c) Attachment No. 3 - House Rules
d) Attachment No. 4 - Rural Development 515 Certification Addendum
28. Tenants, rights to organize: Landlord agrees to allow tenant
and tenant organizers to conduct on the property the activities
related to the establishment or operation of a tenant
organization set out in accordance with HUD requirements.
29. Tenant Income Verification: The Tenant must promptly provide the
Landlord with any letter or other notice by HUD to a member of
the family that provides information concerning the amount or
verification of family income in accordance with HUD
requirements.
30. The lease agreement will terminate automatically, if the Section
8 Housing Assistance contract terminates for any reason.
31. Signatures:
2005
TENANT
}`{? a
BY:
Date Signed
2.
Date Signed
3.
LANDLORD Date Signed
Date Signed
Page 13 of 13
Y
• EXHIBIT
ATTACHMENT3 P-
BOILING SPRINGS APARMENTS HOUSE RULES
Tenant agrees to obey all rules and regulations for the leased premises. The term Tenant, when referred to in
these rules, applies to Tenant household and Tenant's guest(s). If Tenant or Tenant's guest(s) violates any rules
or regulations for the leased premises, Tenant violates the lease.
MAI NTENANCE/CLEANING/INSPECTIONS
In order to retard and/or prevent mold and mildew, Tenant has a responsibility to provide appropriate
climate control, keep the unit clean, and take any other measures necessary such as promptly
removing visible moisture accumulation, including moisture on walls, windows, windowsills, floors,
ceilings, closets, storage areas, and bathroom fixtures. Spills should be mopped up and the area
thoroughly dried as soon as possible. Tenant agrees not to block or cover any of the heating,
ventilation or air conditioning ducts in the unit. Tenant also agrees to immediately report to the
management office: (1) any evidence of a water leak or excessive moisture in the unit and/or storage
area; (2) any evidence of mold or mildew-like growth that cannot be removed by applying a common
household cleaner and wiping the area clean; (3) any failure or malfunction in the heating, ventilation or
air conditioning system in the unit; and (4) any inoperable doors or windows. It is important to use the
exhaust fans in the kitchen and bathroom. Tenant agrees to cooperate with all requirements made by
GN Management, inc. staff or persons authorized concerning the use of equipment, such as
dehumidifiers, to eliminate or maintain a mold/mildew free environment. You may be held responsible
for property damages and any health problems that could result if you fail to follow these rules.
2. All maintenance requests for the unit or common area must be reported to the Community Manager.
Manager will notify Maintenance Technician or cleaning personnel to schedule correction of the
problem. If problem exists in Tenant's unit, Tenant will be notified verbally or in writing when the
problem has been corrected, or the approximate schedule for completion based on receiving parts,
scheduling a sub-contractor, or other delay in the repair. Additional special instructions will be provided
for emergency maintenance issues.
3. All apartments are equipped with smoke detection devices. Tenant shall not disable the smoke
detectors or other fire warning devices. Tenant shall notify Manager if smoke detector or fire warning
device is not in working order.
4. Tenant agrees that failure to permit the Landlord, his/her agents or other persons, when authorized by
the Landlord, to enter the unit, for purposes of making reasonable repairs, periodic inspections,
including required annual inspections, providing services for the Health and Safety of residents, such as
extermination of premises and performing duties in connection with the general upkeep of the
apartment, will be in violation of the lease. Tenants will receive advance notice of inspections,
extermination services, and any planned work that Landlord wishes to do in the apartment, however by
reporting needed repairs in the apartment, residents have given permission to enter the unit during
normal business hours. No further notification will be given to schedule time for repairs.
5. No electrical or carpentry work is to be performed inside or outside the unit. No outside contractor
should perform any work without the prior written approval of the Landlord. No electrical, telephone or
television cables or wires may be run along the baseboard of the exterior or interior woodwork or wails.
6. it is the Tenant's responsibility to keep the outside of hislher door and entrance to their unit clean and
free of items that would pose a safety risk when entering or exiting the unit or building.
7. Upon termination of the lease agreement, Tenant shall surrender the unit to Landlord in compliance
with the following conditions:
a) No damage to the unit, beyond normal wear and tear, is acceptable. Lack of cleaning
is not considered normal wear and tear. Damages noted on move in inspection that
were not repaired during tenancy, will not be charged to tenant at move out, however
all damages must be noted to avoid those charges.
2005
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ic:I?clc'?
W(A
ATTACHMENT 3
BOILING SPRINGS APAR TENTS HOUSE RULES
b) The entire unit, including all appliances, bathroom(s), closets and cabinets must be
clean. The refrigerator must be defrosted and the carpet must be shampooed.
Evidence of carpet cleaning must be presented to avoid charges at move out.
c) No stickers, scratches, or holes larger than a picture nail should appear in the walls.
d) No stains, indentations, scratches or burn marks should be on -the countertops,
cabinetry, flooring material or appliances.
e) All burned out light bulbs should be replaced at Tenant's expense.
f) All keys must be returned to the rental office.
g) All trash must be properly discarded.
h) By State law, a forwarding address must be left at the rental office if there is Security
Deposit to be refunded.
i) At the termination of the lease agreement, Tenant must remove all personal property
from their unit not belonging to the Landlord. Any property not removed will be
considered abandoned and the Landlord will dispose or donate the items in accordance
with State law.
8. Tenant must keep the unit, common area patios/porches, entrance walks and other portions to
which he/she has sole access in an uncluttered and sanitary condition. Clothing, rugs or other articles
shall not be placed at any window of the unit or hung, dried or cleaned anywhere outside the unit,
unless clotheslines have been provided for that purpose. Nothing should be placed outside or upon
any windowsill or thrown or dropped from any window. Refrigerators that are not frost-free should be
defrosted on a regular basis. All floor coverings are to be clean and free of stains and damage.
Cleaning of carpet is at the Tenant's expense.
PARKING LOTS
9. There are no parking assignments. Tenant will be permitted to park only two (2) vehicles in the parking
lot. A11 vehicles must have current registration and inspection. No boats, trailers, campers, ATVs,
snowmobiles or abandoned vehicles will be permitted on the premises. Tenants are not permitted to
wash their vehicle(s) or do automobile repair on the premises.
10. Tenant agrees to park vehicles in areas designated for that purpose. Tenant is not permitted to park in
front of garbage receptacles, on the lawn or any other area that would cause damage to the property or
affect another Tenant in any way. Vehicles belonging to guests should be parked in areas not normally
occupied by other Tenant vehicles, if space permits.
11. Those persons parking in spaces designated for Disabled persons must display proper permit(s).
12. Landlord or local law may enforce the parking rules as noted in 9. And 11. of these House Rules by
towing the vehicle and/or fining the vehicle owner.
13. Tenant is responsible for damage to the parking lot caused by fluids leaking from his/her vehicle.
14. If posted, speed limit signs must be obeyed when driving through the parking lot.
COMMON AREAS/STORAGE
15. All personal items (including bicycles, toys, etc.) are to be stored in storage areas provided and not in
the apartment or common area hallways, doorways, sidewalks or parking lots. No toys, including
bicycles, should be left outside after 8:00 PM. Tenants violating these rules risk the removal and/or
disposal of their personal property.
16. No loitering or playing will be permitted in the hallways. No loitering after hours on property grounds in
accordance with local ordinances.
2005
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)R? i?(ZC?c:tc
ATTACHMENT 3
BOILING SPRINGS APARMENTS HOUSE RULES
17. All walks, entryways and parking lots should be used only as access to and from the unit. These areas
must be kept clear of bicycles, toys, waste receptacles and other items at all times.
18. No alcoholic beverages are permitted in the common areas or grounds of the property. Smoking is not
permitted in the common areas of the building. Smoking is permitted outside the building, however all
cigarette butts must be put in ashtrays and not discarded on the walkways and grounds. No littering or
trash disposal of any kind is permitted in areas other than those designated specifically for that
purpose.
19. No barbeque grills are permitted other than those provided by the Landlord.
20. Tenants are not permitted to feed stray animals that come on to the property or entice an animal to
come on to the property. Any sighting of a stray animal should be reported to the Community Manager
immediately.
21. Appropriate attire is required in the common areas of the building and on the property grounds.
Appropriate attire should be interpreted to mean clothes and footwear that would be worn in any public
setting, such as a restaurant or store.
22. Sunbathing is not permitted on the property grounds.
23. Tenant is permitted to have a guest(s) visit his/her household. However, Tenant's who allow
unauthorized persons to reside in their unit will be in violation of their lease. The Landlord reserves the
right to request documents of such guest(s) to prove domicile at another location if it is suspected that
the guest(s) is/are an unauthorized household occupant(s). Such suspicion may arise whenever an
adult person(s) is/are making recurring visits or one continuous visit of 7 days and/or nights in a 30-day
period without prior notification to the Landlord. Should the Tenant or person in question not provide
the requested information needed to confirm other domicile, or should the documents be provided but
the facts be sufficient to evidence domicile at the property, the Landlord may consider such person(s) to
be a member of the Tenant's household and may enforce any lease covenants shown to be broken
and/or require certification.
Tenant may add adult persons to the Lease only after completing a written application and execution of
a Lease Amendment. A minor may be added to the Lease with proper documentation with an executed
Lease Amendment.
24. Tenants, with permission from Community Manager, may plant flowers in front of their apartments,
where the layout of the property is conducive to this, or in areas on the property designated for that
purpose. Landlord retains the right to request plants to be removed should they become unsightly,
interfere with the property landscaping and/or negatively affect the overall appearance of the property.
Vegetable plants are not permitted to be grown on the property unless a garden area has been
designated for that purpose.
25. The roof and any mechanical areas of the building are for the use of GN Management, Inc. staff and
authorized persons only. Tenants are forbidden to enter these areas.
APARTMENT POLICIES
26. Tenant is not permitted to use the apartment as a place of business. The apartment is for residential
purposes only. Exceptions must be in writing from GN Management, Inc. Main Office staff.
27. Energy conservation is encouraged. Tenants will be provided with a listing of ways in which they can
conserve energy. Tenants may make suggestions in writing to the Community Manager on additional
ways to conserve energy on the property. Those suggestions will be discussed with the Owner and
given consideration. Tenant must abide by all State, local or Landlord imposed water conservation
measures.
2005
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ATTACHMENT 3
BOILING SPRINGS APARMENTS HOUSE RULES
28. The Tenant may not be absent from the unit in excess of a sixty (60) continuous day period, or for
longer than 180 continuous days for medical reasons. Long term absences from the property or more
than one (1) sixty (60) continuous day absence in a twelve (12) month period, including but not limited
to, incarceration, may be considered abandonment of the unit and grounds for termination of the lease.
Consideration will be given on a case-by-case basis for extenuating circumstances. This unit must be
Tenant's sole residence.
29. A unit will be considered abandoned in accordance with State law. In regards to personal property left
by the Tenant, a letter will be sent certified mail to the last known address, listing the items and their
condition. All perishables and anything that could present a Health and Safety issue for the Owner's
property or other Tenants will be destroyed immediately. The Tenant may claim all other items within
30 days by scheduling a time with the Community Manager to retrieve all items. After 30 days, the
items will be destroyed or donated to charity, in accordance with State law.
30. Should the Tenant not be able to occupy the unit because of fire or other disaster, abandoned property
or personal possessions of the Tenant will be handled or disposed of in accordance with State law.
31. Tenant household is encouraged to obtain Renter's Insurance for their personal property, personal
injuries of others as a result of negligence on Tenant's part, and/or property damages that may occur in
which the Tenant household members or guests are negligent. Tenant understands that neither the
property Owner nor GN Management, Inc. is responsible for damage to Tenant's personal property or
damage to the property caused by negligence of the household members or their guests. If Tenant
does not have insurance and the property's insurance must pay a claim in which a member of the
resident household or guest was negligent, the lease gives us the right to require repayment of any
expenses incurred, such as the policy deductible, which is currently $5,000.00.
32. After one (1) lockout occurs during nonworking hours, a fifteen dollar ($15.00) charge will be billed to
the Tenant with payment due in thirty (30) days from date of invoice. In the case of lockout or lost key,
we will require the Tenant or co-tenant to pick up a new key and a signature will be required. Under no
circumstances will GN Management, Inc. personnel allow any person into the apartment that is not on
the lease and no minors will be allowed into the apartment without parental permission.
33. Children 10 years of age or under must be supervised at all times, including outside supervision. This
rule includes using playground equipment.
34. No waterbeds are permitted without the prior written permission of GN Management, Inc. Main Office.
35. No pets (either to live or visit) are permitted on the premises. These animals include, but are not limited
to; cats, dogs, hamsters, gerbils, mice, snakes, ferrets, rabbits, guinea pigs and any animal which could
be considered to be a farm animal. Animals that are used to assist the handicapped are not considered
pets; however, notification must be made to the Community Manager if such an animal is expected to
be on the property. If the need for the animal is not obvious, documentation may be requested as proof
that the animal is indeed a service or support animal.
36. All radio, television and other electronic or electrical equipment installed or used in the unit shall fully
comply with rules, regulations and requirements of the public authorities having jurisdiction. The
Tenant shall be liable for any damage or injury caused by any radio, television or other electric or
electrical equipment owned by Tenant or as a result of Tenant's negligence.
37. If blinds are provided in the unit, Tenant agrees not to change any of the blinds and further agrees and
acknowledges that the blinds are the property of the Landlord. Damaged or missing blinds will be
replaced and Tenant will be charged.
38. If blinds are not provided, Tenant is required to have curtains or blinds at all windows within 30 days of
move in.
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ATTACHMENT 3
BOILING SPRINGS APARMENIS HOUSE RULES
39. Tenant may not change the locks or install additional locks, chains or other fasteners or alarms.
40. Tenants with firearms must declare legal ownership and register the make, model and serial number
with the Community Manager. A gun lock must be on at all times while on the premises. All firearms,
including but not limited to, BB guns and paintball guns, must be kept in a locked case while
transporting in the common areas and grounds of the property.
41. Health and safety rules require windows and doors to be free of any items that would cause undue
delay in vacating the unit in the event of fire or other impending danger.
GENERAL POLICIES
42. The Office is located at 297 Plaza Drive, Boiling Springs, PA 17007, and is open to tenants and
applicants on Monday, Wednesday and Friday from 8:00 AM - 3:30 PM. During office hours,
emergencies should be called into (717) 258-8387. The phone number for after hour emergencies is 1-
800-510-6036. Emergencies are considered to be problems such as no heat, no water, no electricity,
or water overflowing. to the event.of an extreme emergency, such as a fire, the fire department should
be called before placing a tali to property maintenance.
43. Public transportation and/or community schedules are not available. Copies of community notices
received by this office will be posted in each building and laundry room.
44. Loud, boisterous noises and disturbances, inside or outside the unit, including fighting and public
drunkenness, will not be permitted. Threats to the health and/or safety, use of profanity, threats of
violence, or comments of an ethnic or racial nature to the on-site staff or other Tenants and/or their
guests are not permitted. The Tenant shall not at any time conduct themselves in anyway which would
disturb any other tenant or would interfere with the rights, comforts, quiet enjoyment or conveniences of
any other tenant. No musical or sound reproducing instruments shall be placed in windows or outside
premises. Musical or sound reproducing instruments, or singing within the unit must be inaudible from
one unit to another at all times, and from outside the unit between the hours of 10:00 PM and 8:00 AM.
45. No tents, swimming or wading pools or similar items are permitted on the property.
46. Due to risk of fire, Insurance regulations state that lit candies are prohibited on the property.
47. Tenant is not permitted to store or use flammable substances, toxic or hazardous chemicals, or
products that would emit injurious or harmful odors. Tenant is not permitted to use heavy, noisy,
dangerous, or fume-producing equipment (with the exception of legally registered automobiles or
motorcycles) on the grounds or within the leased premises.
48. There is no soliciting permitted on the property, including Tenants soliciting other tenants.
49. Tenant shall not place signs, advertising matter, awnings, satellite dishes, electronic reception devices,
or fences on or about the property and common area, including the mailboxes and interior windows,
without written permission from GN Management Main Office staff.
50. GN Management, Inc. employees are not responsible to accept deliveries for Tenant household. If
requested and agreeable with Community Manager, Manager may accept deliveries for Tenant;
however Manager is not responsible for any damage that may arise while the package is in Manager's
possession.
51. Landlord may begin eviction proceedings if Tenant or persons under Tenant's control have been
arrested or convicted for unlawful activity, regardless of where activity took place. Unlawful activities,
2005 5 of 7
I ,
ATTACHMENT 3
BOILING SPRINGS APARMENTS HOUSE RULES
such as, but not limited to, assault, burglary, theft, domestic violence, and any drug activity or sexual
offense, would result in Landlord initiating eviction proceedings.
52. A Tenant or applicant must request, complete, and return a Reasonable Accommodation Request Form
to the Community Manager in order for a request to be considered. Once received, the request will be
placed on the Reasonable Accommodation Log and all actions and outcomes will be noted on the log. if
necessary, the need for the accommodation will be verified by the Manager with the Tenant or
applicant's physician or qualified person. Generally, the Owner will provide the reasonable
accommodation unless doing so would result in a fundamental alteration to the nature of the project and
its operations or cause an undue financial or administrative burden.
LEGAURENTAL PAYMENTS
53. Cash will not be accepted for payment. Payments will be accepted in the form of a personal check,
money order or cashiers check. No personal checks will be accepted after two non-sufficient funds
checks have been received.
54. No personal checks will be accepted after legal proceedings have begun. Money orders and cashiers
checks will be the only acceptable method of payment until the legal proceedings have been resolved.
55. Tenant agrees that Landlord may receive reasonable attorney's fees, court filing costs and sheriff fees
as part of a court judgment in a lawsuit against Tenant for violation of the lease agreement or from
Tenants who wish to avoid or settle an eviction suit.
56. In the event rent is not paid by the due date, Tenant agrees to waive the demand for payment notice.
57. If any portion of the Tenant's rent is paid directly to the Tenant by an outside source, it is the Tenant's
responsibility to submit that portion to the rental office in order to meet the total Tenant rent obligation.
58. Repeated minor violations such as, but not limited to, disrupting the livability of the property; acts that
adversely affect the Health or Safety of any person, or the right of any Tenant to the peaceful
enjoyment of the property; interfering with the management of the property; or acts that have an
adverse financial effect on the property, will be grounds for eviction.
59. Tenant agrees to waive the State requirement to receive the interest on security deposit on the annual
anniversary and agrees to receive this interest annually at calendar year end, or in the case of a move
out, with the security deposit disposition.
UTILITY/SERVICES/APPLIANCES
60. Tenant agrees to be responsible for the payment of the following services: electric, telephone, cable,
heat and where applicable, air conditioning. The utility company will bill each unit individually for these
services and tenant agrees to pay these charges directly to the appropriate utility company. Tenant
further understands and agrees that if he/she fails to pay these charges to the utility company, the utility
company may terminate services. Electric bills are required to be placed in the name of Head of
Household or Co-Head or Spouse.
61. Tenant is responsible to keep heat/electric services on in the unit at all times. Allowing the heat and/or
electric service to be shut off in the unit for any reason will be considered a violation of these rules.
62. All trash must be placed in the appropriate receptacles, using securely fastened plastic bags. Do not
put trash on top of or along side the receptacles. All cardboard boxes must be broken down prior to
discarding. No furniture is permitted to be placed in the trash. Trash must be placed in dumpster by
adults only. Tenant must make arrangements with the trash hauler to remove bulk items and must
notify the Community Manager of the arrangements made. When necessary, Tenant is responsible to
provide appropriate refuse tags.
2005 6 of 7 {{
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ATTACHMENT 3
BOILING SPRINGS APARMENTS HOUSE RULES
63. Recycling procedures must be followed in accordance with city/township/borough regulations.
Recyclables are to be clean and hand carried to the designated recyclable container for proper
disposal.
64. The Tenant shall use only the laundry facilities and any other appliances furnished by the Landlord for
the express purpose for which the equipment was intended. The Tenant shall not bring any
refrigerator, freezer or other major appliances into the unit without written permission of the Community
Manager. Installation of window air conditioners must be approved by the Community Manager prior to
installation. Any damage to the property or personal injury to any persons arising from the use of a
Tenant-owned window air conditioner is the sole responsibility of the Tenant. Units should be cleaned
and in good working condition. Window air conditioners are not permitted in apartments that have
central air conditioning supplied.
65. The Tenant shall use the plumbing and electrical installations for their intended purpose and shall be
fully responsible for maintenance costs if abuse occurs. The Tenant shall be responsible for the cost to
clear any stoppage in waste water lines due to abuse.
66. Tenant shall use only those systems installed in the unit by the Landlord for heating. No additional
heating systems (such as kerosene, catalytic, and/or any other type of secondary heating system) are
permitted.
Tenant agrees that Landlord may change these policies from time to time, in accordance with any required
regulations, in order to protect the unit or a Landlord's property, or to add to the comforts and conveniences of
all Tenants in the community. A
Head of Household Signature Date
Co-Head, Spouse or Other Household Member Date
Household Member 18 or Older
gent for O ner
Date
Z?D Odd
Date
2005 7 of 7
Owner's Certification of Com- 'ance U. S. Department of Housing For Personal Records ONLY - Not fc
and Urban Development Submission to the Federal Governme
with HUD's Tenant Eligibility Office of Housing
and Rent Procedures Federal Housing Commissioner (exp. 12131!200'
Section B. Summary Information
1. Project Name 13. Effective Date 10/20/2006 25. Unit Number 1 215
Boiling Springs Apartments 14. Anticipated Voucher Date 1210112006 26. No. of Bedrooms 2
*
Subsidy Type 1 (Section 8)
2 15. Next Recertification Date 03/01/2007 Future
27. Building ID
.
3. Secondary Subsidy Type 16. Project Move-In Date 03/03/2004 de Y
2928•
Unit Previous Transfer Unit CoNo
3 2
4. Property ID *Future 17. Unit Move-In Date *Future .
.
5
30. Security Deposit it 25
5. Project Number 18. Certification Type UT Market Rent 0
31
6. Contract Number PA26R000020 19. Action Processed .
Contract Rent 650
32
7. TRACSMaiI 1D tracm02228 20. Correction Type .
33. Utility Allowance 72
8. Plan of Action Code 21. Cert. Correction Date *Future Gross Rent 722
34
9. HUD-Owned Project? N 22. Previous Subsidy Type .
Conversion Date Code
35
10. Region Code *Future
11. Field Office Code *Future 23. Previous Housing Code
Displacement Status
24 .
36. Age 62 at Conversion Indicator
12. FIPS County Code *Future . 37. Continuous Section 8 Indicator
Section C. Household' Information
38.
No 39.
Last Name 40.
First Name 41.
MI 42.
Rel. 43.
Sex' 44.
Race 45.
Eth. 46.
Birth Date 47.
pecia 48.
ID Code 49.
Elig. 50.
Alien Reg. 51.
Age at 52.
Work
. Status (SSN) Code Number Cert. Code!
1 GOTTSHALL JENNIFER R H F 1 (White 2(N 07/29/1984 189-66-7865 EC 22
2 GOTTSHALL TANAYIA A D F *Future *F 10/0312003 161-82-7062 EC 3
3 Gottshall Jakyra D D F *Future *F 3/07/2005 187-82-8681 EC 1
53. Family is Mobility Impaired? No 56. Number of Family Members 3 60. Expected Family Addition - Adoption 0
54. Family is Hearing Impaired? No 57, Number of Non-Family Memb 0 61. Expected Family Addition - Pregnancy 0
55. Family is Visually Impaired? No 58. Number of Dependents 2 62. Expected Family Addition - Foster Children 0
59. Number of Eligible Members 3
63. Previous Head Last Name 66. Previous Effective Date
64. Previous Head First Name 67. Previous Head ID
65. Previous Head Middle Initial 68. Previous Head Birth Date
Section D. Inco me Information Section E. Asset Information
69. 70. 71. 72. 78. 79. 80. 81. 82. 83.
Mbr, income Type Code Amount SSN Benefits Mbr. Description Status Cash Value Actual Yearly Date
No. Claim No. No. Income Divested
1 W (Non-Fed. Waqe) 7,754 *Future 1 Members First CU Sa C 5 0 *Future
1 G (Gen. Assist.) 996 *Future
73. Total Employment Income 7,754 84. Cash Value of Assets 5
74. Total Pension Income 0 85. Actual Income from Assets 0
75. Total Public Assistance Income 996 86. HUD Passbook Rate 2.0000%
76. Total Other income 0 87. Imputed Income from Assets 0
77. Total Non-Asset Income 8,750 88. Asset Income 0
Section F. Allowances & Rent Calculations
89. Total Annual Income 8,750 100. Allowance for Dependents 960 111. Total Tenant Payment 195
90. Lower Income Limit 46,300 101. Child Care Expense (work) 0 112• Tenant Rent 123
91. Very Low Income Limit 28,950 102. Child Care Expense (school) 0 113. Utility Reimbursement 0
92. Extremely Low Income Limit 17,350 103. 3% of Income 263 114. Assistance Payment 527
93. Current Income Status 3 (Extr. Low) 104. Disability Expense 0 115. Welfare Rent 0
94. Eligibility Universe Code 2 (after 81) 105. Disability Allowance 0 116. HCDA Percentage 30.00
95. Section 8 Assist. 1984 Indicatc 106. Medical Expense 0 117. Percentage Actually Charged 0.30
96. Income Exception Code 107. Medical Allowance 0 118. Hardship Exemption
97. Police 1 Security Tenant? N 108. Elderly Household Allowance 0 119. Waiver Type Code *Future
98. Survivor of Qualifier? N 109. Total Allowances 960
99, Household Assistance Status E 110. Adjusted Annual Income 7,790
Previous versions of this form are obsolete. Page 2 of 2 s^. -^^-- -
This form also replaces HUD-50059-D, -E, -F, & -G. CLASSIC P-1 ?^«^?^ ?• -- -
Owner's Certification of Comp, 'ince U. S. Department of Housing
vAth HUD's Tenant Eligibility and Urban Development
Office of Housing
and Rent Procedures Federal Housing Commissioner
NOT for submission to the Federal Governmel
Landlord's Official Record of Certificatic
OMB Approval Number 2502-02C
(exp. 121311200;
Section A. Acknowledgements
Read this before you complete and sign this form HUD-50059
Public Reporting Burden. The reporting burden for this collection of information is estimated to average55 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information
including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(2502-0204),
Washington, DC 20503. The information is being collected by HUD to determine an applicant's eligibility, the recommended unit size, and
the amount the tenant(s) must pay toward rent and utilities. HUD uses this information to assist in managing certain HUD properties, to
protect the Government's financial interest, and to verify the accuracy of the information furnished. HUD or a Public Housing Authority (PHA)
may conduct a computer match to verify the information you provide. This information may be released to appropriate Federal, State, and
local agencies, when relevant, and to civil, criminal, or regulatory investigators and prosecutors. However, the information will not be
otherwise disclosed or released outside of HUD, except as permitted or required by law. You must provide all of the information requested,
including the Social Security Numbers (SSNs) you, and all other household family members age six (6) years and older, have and use.
Giving the SSNs of all family members age six (6) years and older is mandatory; not providing the SSNs will affect your eligibility. Failure to
provide any information may result in a delay or rejection of your eligibility approval.
Privacy Act Statement The Department of Housing and Urban Development (HUD) is authorized to collect this information by the U.S.
Housing Act of 1937, as amended (42 U.S.C. 1437 et. seq.); the Housing and Urban-Rural Recovery Act of 1983 (P.L. 98-181?; the Housing
and Community Development Technical Amendments of 1984 (P.L. 98-479); and by the Housing and Community Development Act of 1987
(42 U.S.C. 3543).
Tenant(s)' Certification -1/We certify that the information in Sections C, D, and E of this form are true and complete to the best of my/our
knowledge and belief. I/We understand that Vwe can be fined up to $10,000, or imprisoned up to five years, or lose the subsidy HUD pays
and have my/our rent increased, if Vwe furnish false or incomplete information.
Owner's Certification -1 certify that this Tenant's eligibility, rent and assistance payments have been computed in accordance with HUD's
regulations and administrative procedures and that all required verifications were obtained.
Warning to Owners and Tenants. By signing this form, you are indicating that you have read the above Privacy Act Statement and are
agreeing with the applicable Certification.
False Claim Statement. Warning: U.S. Code, Title 31, Section 3729, False Claims, provides a civil penalty of not less than $5,000 and not
more than $10,000, plus 3 times the amount of damages for any person who knowingly presents, or causes to be presented, a false or
fraudulent claim; or who knowingly makes, or caused to be used, a false record or statement; or conspires to defraud the Government by
getting a false or fraudulent claim allowed or paid.
I Certification Summarv from Paae 2
Name of Project
Boiling Springs Apartments Unit Number
1 215 Effective Date
10/20/2006 Certification Type
UT
Head of Household
JENNIFER R. GOTTSHALL Total Tenant Payment
195 Assistance Payment
527 Tenant Rent
123
Tenant Si gnatures
Head of Household t, Date
10/20/2006 Other Adult Date
Spouse/Co-Head " Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Owner/Agent Signature
er/ nt
1,
Date
10/20/2006
Check th' box if Tenant is nable to sign for a legitimate reason Anticipated Voucher Date
12/01/2006
Previous versions of this form are obsolete. Page 1 of 2 f,,..., uJ 11 -- -- -
-•- -
This fnrm alsn fPnInrf Q HI in-ronFO_n c c 0
Owner's Certification of Corr
wit; HUD's Tenant Eligibility
and Rent Procedures
1. Project Name
Boiling Springs Apartments
2. Subsidy Type
3. Secondary Subsidy Type
4. Property ID
5. Project Number
6. Contract Number
7. TRACSMailID
8. Plan of Action Code
9. HUD-Owned Project?
10. Region Code
11. Field Office Code
12. FIPS County Code
38. 39.
No. Last Name
ance
1 (Section 8)
*Future
PA26R000020
tracm02228
U. S. Department of Housinr
and Urban Development
Office of Housing
Federal Housing Commissioner
ction B. Summary information
13. Effective Date 08/01/2007
14. Anticipated Voucher Date 08/01/2007
15. Next Recertification Date 03/01/2008
16. Project Move-In Date 03/03/2004
17. Unit Move-In Date *Future
18. Certification Type IR
19. Action Processed
20. Correction Type
21 Cert Correction D t
N a V Future
*Future 22. Previous Subsidy Type
*Future 23. Previous Housing Code
*Future 24. Displacement Status
Section C. Household Information
40. 41. 42. 43. 44. 45. 46. 47.
First Name MI Rel. Sex Race Eth. Birth Date Special
1 GOTTSHALL JENNIFER R H F ]l (White 2(N 07/29/1984
2 GOTTSHALL TANAYIA A D F *Future *F 10/03/2003
3 Gottshall Jakyra D D F *Future *F 3/07/2005
25. Unit Number 1 215
26. No. of Bedrooms 2
27. Building ID *Future
28. Unit Transfer Code
29. Previous Unit No.
30. Security Deposit 195
31. Market Rent 0
32. Contract Rent 715
33. Utility Allowance 72
34. Gross Rent 787
35. Conversion Date Code
36. Age 62 at Conversion Indicator
37. Continuous Section 8 Indicator
48. 49.
ID Code Elig.
(SSN) CodE
189-66-7865 EC
161-82-7062 EC
187-82-8681 EC
50. 51. 52.
Alien Reg. Age at Work
Number Cert. Code:
23
3
2
53. Family is Mobility Impaired? No 56. Number of Family Members 3
54. Family is Hearing Impaired? No 57. Number of Non-Family Memb 0 60. Expected Family Addition - Adoption p
55. Family is Visually Impaired? No 58. Number of Dependents 2 61. Expected Family Addition- Pregnancy 0
59. Number of Eligible Members 3 62. Expected Family Addition -Foster Children 0
63. Previous Head Last Name 66. Previous Effective Date
64. Previous Head First Name 67. Previous Head ID
65. Previous Head Middle Initial 68. Previous Head Birth Date
Section D. Income Information Section E. Asset Information
69.
Mbr. Income Type Code Amo71. 72. 78. unt SSN Benefits Mbr. Description Status Cash Value Actual Yearly Date
1 W (Non-Fed. Waqe) 17,680 *Future 1 Members First CU Sa% C Income Divested
42 0 *Future
73. Total Employment Income
74. Total Pension Income
75. Total Public Assistance Income
76. Total Other Income
77. Total Non-Asset Income
89. Total Annual Income 17,680
90. Lower Income Limit 47,250
91. Very Low Income Limit 29,500
92. Extremely Low Income Limit 17,750
93. Current Income Status 3 (Extr. Low
94. Eligibility Universe Code 2 (after 81
95. Section 8 Assist. 1984 Indicato
96. Income Exception Code
97. Police / Security Tenant? N
98. Survivor of Qualifier? N
99. Household Assistance Status E
Previous versions of this form are obsolete.
This form also replaces HUD-50059-D, -E, -F, & -G.
17,680
0 84. Cash Value of Assets 42
0 85. Actual Income from Assets 0
0 86. HUD Passbook Rate 2.0000%
87. Imputed income from Assets
17,680 0
88
Asset Income
.
0
Section F. Allowances & Rent Calculations
100. Allowance for Dependents
101. Child Care Expense (work) 960
0 111. Total Tenant Payment
102. Child Care Expense (schooD 0
103. 3% of Income 112. Tenant Rent
113. Utility Reimbursement
104. Disability Expense 530
0 114. Assistance Payment
115
Welfare Rent
105. Disability Allowance
106. Medical Expense 0 .
116. HCDA Percentage
107. Medical Allowance
108. Elderly Household Allowan 0
0 117. Percentage Actually Charged
118. Hardship Exemption
109. Total Allowances ce 0
960 119. Waiver Type Code
110. Adjusted Annual Income 16,720
Page 2 of 2
418
346
0
369
0
30.00
0.30
*Future
CLASSIC Real Estate Systems, LLC form HUD-50059 (04/200,1
HB 4350.3 Rev
For Personal Records ONLY - Not fc
Submission to the Federal Governme
(exp. 12/31/200;
uwner'S Lertltlcation of Corr ance U. S. Department of Housinf
with HQD's Tenant Eligibility and Urban Development
Office of Housing
and Rent Procedures Federal Housinq Commissioner
OMB Approval Number 2502-02C
(exp. 121311200.
Read this before you complete and sign this form HUD-50059
Public Reporting Burden. The reporting burden for this collection of information is estimated to average55 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information
including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(2502-0204),
Washington, DC 20503. The information is being collected by HUD to determine an applicant's eligibility, the recommended unit size, and
the amount the tenant(s) must pay toward rent and utilities. HUD uses this information to assist in managing certain HUD properties, to
protect the Government's financial interest, and to verify the accuracy of the information furnished. HUD or a Public Housing Authority (PHA)
may conduct a computer match to verify the information you provide. This information may be released to appropriate Federal, State, and
local agencies, when relevant, and to civil, criminal, or regulatory investigators and prosecutors. However, the information will not be
otherwise disclosed or released outside of HUD, except as permitted or required by law. You must provide all of the information requested,
including the Social Security Numbers (SSNs) you, and all other household family members age six (6) years and older, have and use.
Giving the SSNs of all family members age six (6) years and older is mandatory; not providing the SSNs will affect your eligibility. Failure to
provide any information may result in a delay or rejection of your eligibility approval.
Privacy Act Statement The Department of Housing and Urban Development (HUD) is authorized to collect this information by the U.S.
Housing Act of 1937, as amended (42 U.S.C. 1437 et. seq.); the Housing and Urban-Rural Recovery Act of 1983 (P.L. 98-181); the Housing
and Community Development Technical Amendments of 1984 (P.L. 98-479); and by the Housing and Community Development Act of 1987
(42 U.S.C. 3543).
Tenant(s)' Certification -I/We certify that the information in Sections C, D, and E of this form are true and complete to the best of my/our
knowledge and belief. I/We understand that Vwe can be fined up to $10,000, or imprisoned up to five years, or lose the subsidy HUD pays
and have my/our rent increased, if Vwe furnish false or incomplete information.
Owner's Certification -1 certify that this Tenant's eligibility, rent and assistance payments have been computed in accordance with HUD's
regulations and administrative procedures and that all required verifications were obtained.
Warning to Owners and Tenants. By signing this form, you are indicating that you have read the above Privacy Act Statement and are
agreeing with the applicable Certification.
False Claim Statement. Warning: U.S. Code, Title 31, Section 3729, False Claims, provides a civil penalty of not less than $5,000 and not
more than $10,000, plus 3 times the amount of damages for any person who knowingly presents, or causes to be presented, a false or
fraudulent claim; or who knowingly makes, or caused to be used, a false record or statement; or conspires to defraud the Government by
getting a false or fraudulent claim allowed or paid.
I Certification Summarv from Page 2
Name of Project
Boiling Springs Apartments Unit Number
1 215 Effective Date
08/01/2007 Certification Type
IR
Head of Household
JENNIFER R. GOTTSHALL Total Tenant Payment
418 Assistance Payment
369 Tenant Rent
346
Tenant Si natures
o s I ` Q Date Other Adult Date
Spouse / Co-Hea ; Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Owner/Agent Signature
Owne t
/J/ 6A
D 7
Chec his box if Ten At is unable to sign for a le
gitimate reason Antib ated V cher Date
nR/n1 /9nn7
NU I for submission to the Federal Governmei
Landlord's Official Record of Certificatic
Previous versions of this form are obsolete. Page 1 of 2 form HUD-50059 (041200!
This form also replaces HUD-50059-D, -E, -F, & -G. CLASSIC Real Estate Systems, LLC HB 4350.3 Rev
Owner's,Certificat -.. n o =omr ; LC U. S. Department of Housing
with HUD's Tenant -!¢g' ilty and Urban Development
and Rent Procedut
S Office of Housing
_ Federal Housing Commissioner
_ Section B. Summary Information
1. Project Name 13. Effective Date 10/18/2007
Boiling Springs Apartw ants _ 14. Anticipated Voucher Date 01/01/2008
2. Subsidy Type 1 (Section. 8) 15. Next Recertification Date 03/01/2008
3.
4. Secondary Subsidy Ty:_.e
Property ID 16. Project Move-In Date 03/03/2004
"Fut
;r?
5.
Project Number _
17. Unit Move-In Date "Future
6.
Contract Number _ 18. Certification Type GR
= A26R00002 ; 19
Action Processed
7.
8. TRACSMail ID
Plan of Action Code .
tracm022,28 20. Correction Type
t
9.
HUD-Owned Project? 21. Cert. Correc
ion Date 'Future
1,
10.
11.
Region Code
Field Office Code 22. Previous Subsidy Type
'Futan' 23. Previous Housing Code
'Fut
,re
12.
FIPS County Code _ _
24. Displacement Status
Future
_ ;ection C.' Household Information 44
45
46. No. I Last Name rirstr -e MI "e- 1. 43 Sex R ace IE h. Birth Date k47 p c
1 GOTTSHALL J= iNIFE'
2 GOTTSHALL T ` !A-IA
3 Gottshall J_. /ra
53. Family is Mobility Imp<: -s,d? 0
54. Family is Hearing Imp;:' ed? 0
55. Family is Visually Imp,, :-d? o
63. Previous Head Last N_, -e
64. Previous Head First Name
65. Previous Head Middle I mtial
Section D. Incom_., nformaticn
For Personal Records ONLY - Not for
Submission to the Federal Government
(exp. 12/31/2007)
25. Unit Number 1 215
26. No. of Bedrooms 2
27. Building ID " Future
28. Unit Transfer Code
29. Previous Unit No.
30. Security Deposit 195
31. Market Rent 0
32. Contract Rent 733
33. Utility Allowance 72
34. Gross Rent 805
35. Conversion Date Code
36. Age 62 at Conversion Indicator
37. Continuous Section 8 Indicator
48. 49.
ID Code Elig.
(SSN) Code
189-66-7865 EC
161-82-7062 EC
187-82-8681 EC
50. 51. 52.
Alien Reg. Age at Work
Number Cert. Codes
23
4
2
3 60. Expected Family Addition - Adoption 0
0 61. Expected Family Addition - Pregnancy 0
3 62. Expected Family Addition - Foster Children 0
2
Mbr. 70. 71. 72. 78.
Income Type Corr mount `-5N Benefits Mbr
No.
1
vv w4on-rea. vvage)
I
73. Total Employme neon
74. Total Pension In -ne
75. Total Public Asc nce
76. Total Other Incc
77. Total Non-Asset come
89. Total Annual Income
90. Lower Income Limit
91. Very Low Income Limi,
92. Extremely Low Income: _imit
93. Current Income Statu, 3
94. Eligibility Universe Co
95. Section 8 Assist. 198- dicatf
96. Income Exception Co,
97. Police / Security Tena
98. Survivor of Qualifier?
99. Household Assistance. >'atus
Previous versions of this forma obsol
This form also replaces HUD-5 59-D, -
17,680
56. 1:u -ber of Family Members
57. f _ :ber of Non-Family Meml:
58. 1•'_ nber of Dependents
59. 1;_ber of Eligible Members
Claim No. No.
'Future 1
66. Previous Effective Date
67. Previous Head ID
68. Previous Head Birth Date
Section E. Asset Information
79. 82.
Description Status Cash Value Actual Yearly
Income
Members First CU Sa C 42 0
83.
Date
Divested
`Future
,680 84. Cash Value of Assets 42
0 85. Actual Income from Assets 0
)me 0 86. HUD Passbook Rate 2.0000%
0 87. Imputed income from Assets 0
680 88. Asset Income 0
Sec._an F. Allowances '& Rent Calculations
17,680
47,250
29,500
17,750
tr. Low)
fter 81)
N
N
E
_u. Allowance for Dependents 960
1 Ci 1. Child Care Expense (work) 0
1 C2. Child Care Expense (school) 0
3% of Income 530
Disability Expense 0
Disability Allowance 0
. Medical Expense 0
. Medical Allowance 0
3. Elderly Household Allowance 0
1 C . Total Allowances 960
_ 1 i. Adjusted Annual Income 16,720
Page 2 of 2
F & -G. CLASSIC Real Estate Systems. LLC
R 11 1 F (White (N) 07/29/1984
A F "Future "F 10/03/2003
D
1 F "Future "F 03/07/2005
111. Total Tenant Payment 418
112. Tenant Rent 346
113. Utility Reimbursement 0
114. Assistance Payment 387
115. Welfare Rent 0
116. HCDA Percentage 30
00
117. Percentage Actually Charged .
0
30
118. Hardship Exemption .
119. Waiver Type Code "Future
form HUD-50059 (04/2005)
HB 4350.3 Rev 1
OvKner's Certificant !_,n c _ .omr ",ince U. S. Department of Housing
with H U D?'s Te n! E ;C f7 k f ity - and Urban Development
Office of Housing
and Rent Procedures Federal Housing Commissioner
NOT for submission to the Federal Government
Landlord's Official Record of Certification
OMB Approval Number 2502-0204
(exp. 12/3112007)
Section A.
Read this before you complete and sign this form HUD-50059
Public Reporting Burden. l he re; :u Ling burden for this collection of information is estimated to average 55 minutes per response, including
the time for reviewing instructions 3arching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of informat' r. Send comments regarding this burden estimate or any other aspect of this collection of information
including suggestions fcr reducing . is burden, to the Office of Management and Budget, Paperwork Reduction Project (2502-0204),
Washington, DC 20503. The inforr,. ,tin is being collected by HUD to determine an applicant's eligibility, the recommended unit size, and
the amount the tenant(s) must pay o,.vard rent and utilities. HUD uses this information to assist in managing certain HUD properties, to
protect the Government's financial , tarest, and to verify the accuracy of the information furnished. HUD or a Public Housing Authority (PHA)
may conduct a computer ma-,ch to , , rify the information you provide. This information may be released to appropriate Federal, State, and
local agencies, when relevEnt, and 'D civil, criminal, or regulatory investigators and prosecutors. However, the information will not be
otherwise disclosed or released or, clde of HUD, except as permitted or required by law. You must provide all of the information requested,
including the Social Sec_ rit; Numi (SSNs) YOU and all other household family members age six (6) years and older, have and use.
Giving the SSNs of all farri', me 0. age six (8) years and older is mandatory; not providing the SSNs will affect your eligibility. Failure to
provide any information ma; esu!, a delay or rejection of your eligibility approval.
Privacy Act Statement. The Depa: ,rent of Housing and Urban Development (HUD) is authorized to collect this information by the U.S.
Housing Act of 1937, as amended ?22 U.S.C. 1437 et. seq.); the Housing and Urban-Rural Recovery Act of 1983 (P.L. 98-181); the Housing
and Community Developme; t Tee --al Amendments of 1984 (P.L. 98-479); and by the Housing and Community Development Act of 1987
(42 U.S.C. 3543).
Tenant(s)' Certification -[/ .'e ce;' that the information in Sections C, D, and E of this form are true and complete to the best of my/our
knowledge and belief. INV: _inders d that I/we can be fined up to $10,000, or imprisoned up to five years, or lose the subsidy HUD pays
and have my/our rent incre -.sea, furnish false or incomplete information.
Owner's Certification -l certify tha' this Tenant's eligibility, rent and assistance payments have been computed in accordance with HUD's
regulations and administrative proc _uures and that all required verifications were obtained.
Warning to Owners and Tcr;ants 3: signing t its form, you are indicating that you have read the above Privacy Act Statement and are
agreeing with the applicah'f_ -erti- -_A on.
False Claim Statement. ',; v ning .S. Code, Title 31, Section 3729, False Claims, provides a civil penalty of not less than $5,000 and not
more than $10,000, plus 3 times C amount of damages for any person who knowingly presents, or causes to be presented, a false or
fraudulent claim; or who knc; n ing{y ,,tikes, or caused to be used, a false record or statement; or conspires to defraud the Government by
getting a false or fraudulent claim _:D, Ned or paid.
Name of Project Unit Number Effective Date Certification I
Boiling Springs Apartme,- 1 215 10/18/2007 GR
Head of Household Total Tenant Payment Assistance Payment Tenant Rent
JENNIFER R. GOTTS 418 387 346
Tenant Si natures
Head of Household Date Other Adult Date
Fur
Spouse / Co-Head Date
urpo! Other Adult Date
Other Adult Cate Other Adult Date
Other Adult irate Other Adult n?+e
to
date I Other Adult
L rte
Owner/AgentSignature
Owner/Agent
Voucher
Check this box if Tenant i, unabi sign for a fecitio-gate reason Anticipated 01/01/2008
Previous versions of this form , r obsol : Page 1 of 2 form HUD-50059 (04/2005)
This form also replaces HUD-5'_ 9-0, & -G. CLASSIC Real Estate Systems, LLC HB 4350.3 Rev 1
Owner's Certification of Corr 3nc
wth HUD's Tenant Eligibility
and Rent Procedures
Se
1. Project Name
2. Subsidy Type 1 (Section 8)
3. Secondary Subsidy Type
4. Property ID *Future
5. Project Number
6. Contract Number PA26R000020
7. TRACSMail ID tracm02228
8. Plan of Action Code
9. HUD-Owned Project? N
10. Region Code *Future
11. Field Office Code *Future
12. FIPS County Code *Future
c
e U. S. Department of Housinc
and Urban Development
Office of Housing
Federal Housing Commissioner
ction B. Summary Information
For Personal Records ONLY - Not fc
Submission to the Federal Governmei
(exp. 12/31/200-,
13. Effective Date 11/30/2007
14. Anticipated Voucher Date 01/01/2008
15. Next Recertification Date 03/01/2008
16. Project Move-In Date 03/03/2004
17. Unit Move-In Date *Future
18. Certification Type TM
19. Action Processed
20. Correction Type
21. Cert. Correction Date *Future
22. Previous Subsidy Type
23. Previous Housing Code
24. Displacement Status
usehold
38.
No. 39.
Last Name 40.
First Name 41.
MI 42.
Rel. 43.
Sex 44.
Race
1 GOTTSHALL JENNIFER R H F 1 (White
2 GOTTSHALL TANAYIA A D F *Future
3 Gottshall Jakyra D D F *Future
53. Family is Mobility Impaired? No
54. Family is Hearing Impaired? No
55. Family is Visually Impaired? No
63. Previous Head Last Name
64. Previous Head First Name
65. Previous Head Middle Initial
Seetitiri D.__Inco
69. 70.
Mbr. Income Type Code
No.
1 W (Non-Fed. Waqe)
47
Birth Date pec
07/29/1984
10/03/2003
'/07/2005
25. Unit Number 1 215
26. No. of Bedrooms 2
27. Building ID *Future
28. Unit Transfer Code
29. Previous Unit No.
30. Security Deposit 195
31. Market Rent 0
32. Contract Rent 733
33. Utility Allowance 72
34. Gross Rent 805
35. Conversion Date Code
36. Age 62 at Conversion Indicator
37. Continuous Section 8 Indicator
48. 49. 50. 51. 52
ID Code
Elig.
Alien Reg.
Age at .
Work
(SSN) Code Number Cert. Code:
189-66-7865 EC 23
161-82-7062 EC 4
187-82-8681 EC 2
56. Number of Family Members 3 60. Expected Family Addition - Adoption
57. Number of Non Family Memb 0
0 61. Expected Family Addition - Pre g 0
58. Number of Dependents 2 9 Y
59. Number of Eligible Members 3 62. Expected Family Addition -Foster Children 0
66. Previous Effective Date
67. Previous Head ID
68. Previous Head Birth Date
Information Section E. Asset Information
71. 72. 78. 82. 83.
Amount SSN Benefits Mbr. Description St80. atus Cash Value Actual Yearly Date
Claim No. No. Income Divested
17,680 *Future 1 Members First CU Sa C 42 0 *Future
73. Total Employment Income
74. Total Pension Income
75. Total Public Assistance Income
76. Total Other Income
77. Total Non-Asset Income
89. Total Annual Income 17,680
90. Lower Income Limit 47,250
91. Very Low Income Limit 29,500
92. Extremely Low Income Limit 17,750
93. Current Income Status 3 (Extr. Low)
94. Eligibility Universe Code 2 (after 81)
95. Section 8 Assist. 1984 Indicato
96. Income Exception Code
97. Police / Security Tenant? N
98. Survivor of Qualifier? N
99. Household Assistance Status E
Previous versions of this form are obsolete.
This form also replaces HUD-50059-D, -E, -F, & -G.
17,680 84. Cash Value of Assets
0 85. Actual Income from Assets
0 86. HUD Passbook Rate
0 87. Imputed Income from Assets
17,680 88. Asset Income
traI
, i
CU1
100.
Allowance for Dependents 960
101. Child Care Expense (work) 0
102. Child Care Expense (school) 0
103. 3% of Income
104. Disability Expense 530
105. Disability Allowance 0
0
106. Medical Expense 0
107. Medical Allowance 0
108. Elderly Household Allowance 0
109. Total Allowances 960
110. Adjusted Annual Income 16,720
Page 2 of 2
CLASSIC Real Estate Systems, LLC
42
0
2.0000%
0
0
111. Total Tenant Payment 805
112. Tenant Rent 733
113. Utility Reimbursement 0
114. Assistance Payment 0
115. Welfare Rent 0
116. HCDA Percentage 30
00
117. Percentage Actually Charged .
0
30
118. Hardship Exemption .
119. Waiver Type Code *Future
form HUD-50059 (04/200,1
HB 4350.3 Rev
Owner's Certification of Corr; 3nce U. S. Department of Housinc NOT for submission to the Federal Governmei
Landlord's Official Record of Certificatic
m+ith'HUDrs Tenant Eligibility and Urban Development
Office of Housing OMB Approval Number 2502-02C
and Rent Procedures Federal Housing Commissioner (exp. 12/31/200.
Section A. Acknowledgements
Read this before you complete and sign this form HUD-50059
Public Reporting Burden. The reporting burden for this collection of information is estimated to average55 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information
including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(2502-0204),
Washington, DC 20503. The information is being collected by HUD to determine an applicant's eligibility, the recommended unit size, and
the amount the tenant(s) must pay toward rent and utilities. HUD uses this information to assist in managing certain HUD properties, to
protect the Government's financial interest, and to verify the accuracy of the information furnished. HUD or a Public Housing Authority (PHA)
may conduct a computer match to verify the information you provide. This information may be released to appropriate Federal, State, and
local agencies, when relevant, and to civil, criminal, or regulatory investigators and prosecutors. However, the information will not be
otherwise disclosed or released outside of HUD, except as permitted or required by law. You must provide all of the information requested,
including the Social Security Numbers (SSNs) you, and all other household family members age six (6) years and older, have and use.
Giving the SSNs of all family members age six (6) years and older is mandatory; not providing the SSNs will affect your eligibility. Failure to
provide any information may result in a delay or rejection of your eligibility approval.
Privacy Act Statement The Department of Housing and Urban Development (HUD) is authorized to collect this information by the U.S.
Housing Act of 1937, as amended (42 U.S.C. 1437 et. seq.); the Housing and Urban-Rural Recovery Act of 1983 (P.L. 98-1811; the Housing
and Community Development Technical Amendments of 1984 (P.L. 98-479); and by the Housing and Community Development Act of 1987
(42 U.S.C. 3543).
Tenant(s)' Certification -I/We certify that the information in Sections C, D, and E of this form are true and complete to the best of my/our
knowledge and belief. I/We understand that Vwe can be fined up to $10,000, or imprisoned up to five years, or lose the subsidy HUD pays
and have my/our rent increased, if Vwe furnish false or incomplete information.
Owner's Certification -1 certify that this Tenant's eligibility, rent and assistance payments have been computed in accordance with HUD's
regulations and administrative procedures and that all required verifications were obtained.
Warning to Owners and Tenants. By signing this form, you are indicating that you have read the above Privacy Act Statement and are
agreeing with the applicable Certification.
False Claim Statement. Warning: U.S. Code, Title 31, Section 3729, False Claims, provides a civil penalty of not less than $5,000 and not
more than $10,000, plus 3 times the amount of damages for any person who knowingly presents, or causes to be presented, a false or
fraudulent claim; or who knowingly makes, or caused to be used, a false record or statement; or conspires to defraud the Government by
getting a false or fraudulent claim allowed or paid.
Gertification Summary from Paae 2
Name of Project
Boiling Springs Apartments
Head of Household
JENNIFER R. GOTTSHALL Unit Number
1 215
Total Tenant Payment
805 Effective Date
11/30/2007
Assistance Payment
0 Certification Type
TM
Tenant Rent
733
Tenant Si natures
Head of Household Date
V Other Adult
Date
pouse / Co-Head Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult
Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult
Date
Owner/Agent " " Signature
Ow gent
I J ev Date
eck this box enant is unable to sign for a legitimate reason Antici ate
ouc r Date
e-6 -
01/01/2008
Previous versions of this form are obsolete. Page 1 of 2 form HUD-50059 (04/200,1
This form also replaces HUD-50059-D, -E, -F, & -G. CLASSIC Real Estate Systems, LLC HB 4350.3 Rev
Owner's Certification of Comb; Ace U. S. Department of Housing For Personal Records ONLY- Not fc
and Urban Development Submission to the Federal Governmei
with HUD's Tenant Eligibility Office of Housing
an`d-F kent Procedures Federal Housing Commissioner (exp. 03/311201
Section B. Summary Information
1. Project Name 13. Effective Date 10118/2008 25. Unit Number 1 215
Boiling Springs Apartments 14. Anticipated Voucher Date 11/01/2008 26. No. of Bedrooms 2
Subsidy Type 1 (Section 8)
2 15. Next Recertification Date 03/01/2009 27. Building ID *Future
.
3. Secondary Subsidy Type
* 16. Project Move In Date 03/03/2004 28. Unit Transfer Code
Previous Unit No
29
Future
4. Property ID
17. Unit Move-In Date Future .
.
30. Security Deposit 195
5. Project Number
6. Contract Number PA26R000020 18. Certification Type TM
Action Processed
19 31. Market Rent 0
7. TRACSMail ID tracm02228 .
20. Correction Type 32. Contract Rent 751
33. Utility Allowance 72
8. Plan of Action Code
HUD-Owned Project? N
9 21. Cert. Correction Date *Future 34. Gross Rent 823
.
10. Region Code *Future 22. Previous Subsidy Type
Previous Housing Code
23 35. Conversion Date Code
11. Field Office Code *Future
* .
24. Displacement Status 36. Age 62 at Conversion Indicator
37
Continuous Section 8 Indicator
Future
12. FIPS County Code .
S ection C. Household Information
38 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52.
.
No Last Name First Name MI Rel. Sex Race Eth. Birth Date Special ID Code Elig. Alien Reg. Age at Work
. Status (SSN) Code Number Cert. Code!
1 GOTTSHALL JENNIFER R H F 1 (White 2(N 07/29/1984 189-66-7865 EC 24
2 GOTTSHALL TANAYIA A D F *Future *F 10/03/2003 161-82-7062 EC 5
3 Gottshall Jakyra D D F *Future *F 3/07/2005 187-82-8681 EC 3
53. Family is Mobility Impaired? No 56. Number of Family Members 3 60. Expected Family Addition - Adoption 0
54. Family is Hearing Impaired? No 57. Number of Non-Family Memb 0 61. Expected Family Addition- Pregnancy 0
55. Family is Visually Impaired? No 58. Number of Dependents 2 62. Expected Family Addition - Foster Children 0
59. Number of Eligible Members 3
63. Previous Head Last Name 66. Previous Effective Date
64. Previous Head First Name 67. Previous Head ID
65. Previous Head Middle Initial 68. Previous Head Birth Date
SSgtion D. "Income Information Section E. et Information
69. 70. 71. 72. 78. 79. 80 81 82. 83.
Mbr. Income Type Code Amount SSN Benefits Mbr. Description .
Status .
Cash Value Actual Yearly Date
No. Claim No. No. Income Divested
1 W (Non-Fed. Waqe) 17,680 *Future 1 Members First CU Sa% C 42 0 *Future
73. Total Employment Income 17,680 84. Cash Value of Assets 42
74. Total Pension Income 0 85. Actual Income from Assets 0
75. Total Public Assistance Income 0 86. HUD Passbook Rate 2.0000%
76. Total Other Income 0 87. Imputed income from Assets 0
77. Total Non-Asset Income 17,680 88. Asset Income 0
Section F. Allowances & Rent Calculations
89. Total Annual Income 17,680 100. Allowance for Dependents 960 111. Total Tenant Payment 823
90. Lower Income Limit 48,600 101. Child Care Expense (work) 0 112, Tenant Rent 751
91. Very Low Income Limit 30,400 102. Child Care Expense (school) 0 113. Utility Reimbursement 0
92. Extremely Low Income Limit 18,250 103. 3% of Income 530 114. Assistance Payment 0
93. Current Income Status 3 (Extr. Low) 104. Disability Expense 0 115. Welfare Rent 0
94. Eligibility Universe Code 2 (after 81) 105. Disability Allowance 0 116. HCDA Percentage 30.00
95. Section 8 Assist. 1984 Indicato 106. Medical Expense 0 117. Percentage Actually Charged 0.30
96. Income Exception Code 107. Medical Allowance 0 118. Hardship Exemption
97. Police / Security Tenant? N 108. Elderly Household Allowance 0 119. Waiver Type Code *Future
98. Survivor of Qualifier? N 109. Total Allowances 960
99. Household Assistance Status E 110. Adjusted Annual Income 16,720
Previous versions of this form are obsolete. Page 2 of 2 form HUD-50059 (04/200!
This form also replaces HUD-50059-D, -E, -F, & -G. Yardi CLASSIC HB 4350.3 Rev
Owner's Certification of Com*ce
with HUD's Tenant Eligibility
an'd Rent Procedures
U. S. Department of Housing NOT for submission to the Federal Governmei
and Urban Development Landlord's Official Record of Certificatic
Office of Housing OMB Approval Number 2502-02C
Federal Housing Commissioner (exp. 03131/201
r Section A. Acknowledgements
Read this before you complete and sign this form HUD-50059
Public Reporting Burden. The reporting burden for this collection of information is estimated to average55 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information
including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(2502-0204),
Washington, DC 20503. The information is being collected by HUD to determine an applicant's eligibility, the recommended unit size, and
the amount the tenant(s) must pay toward rent and utilities. HUD uses this information to assist in managing certain HUD properties, to
protect the Government's financial interest, and to verify the accuracy of the information furnished. HUD or a Public Housing Authority (PHA)
may conduct a computer match to verify the information you provide. This information may be released to appropriate Federal, State, and
local agencies, when relevant, and to civil, criminal, or regulatory investigators and prosecutors. However, the information will not be
otherwise disclosed or released outside of HUD, except as permitted or required by law. You must provide all of the information requested,
including the Social Security Numbers (SSNs) you, and all other household family members age six (6) years and older, have and use.
Giving the SSNs of all family members age six (6) years and older is mandatory; not providing the SSNs will affect your eligibility. Failure to
provide any information may result in a delay or rejection of your eligibility approval.
Privacy Act Statement The Department of Housing and Urban Development (HUD) is authorized to collect this information by the U.S.
Housing Act of 1937, as amended (42 U.S.C. 1437 et. seq.); the Housing and Urban-Rural Recovery Act of 1983 (P.L. 98-187); the Housing
and Community Development Technical Amendments of 1984 (P.L. 98-479); and by the Housing and Community Development Act of 1987
(42 U.S.C. 3543).
Tenant(s)' Certification -1/We certify that the information in Sections C, D, and E of this form are true and complete to the best of my/our
knowledge and belief. I/We understand that Vwe can be fined up to $10,000, or imprisoned up to five years, or lose the subsidy HUD pays
and have my/our rent increased, if Uwe furnish false or incomplete information.
Owner's Certification -1 certify that this Tenant's eligibility, rent and assistance payments have been computed in accordance with HUD's
regulations and administrative procedures and that all required verifications were obtained.
Warning to Owners and Tenants. By signing this form, you are indicating that you have read the above Privacy Act Statement and are
agreeing with the applicable Certification.
False Claim Statement. Warning: U.S. Code, Title 31, Section 3729, False Claims, provides a civil penalty of not less than $5,000 and not
more than $10,000, plus 3 times the amount of damages for any person who knowingly presents, or causes to be presented, a false or
fraudulent claim; or who knowingly makes, or caused to be used, a false record or statement; or conspires to defraud the Government by
getting a false or fraudulent claim allowed or paid.
Cetication Summary from Page 2
Name of Project
Boiling Springs Apartments Unit Number
1 215 Effective Date
10/18/2008 Certification Type
TM
Head of Household
JENNIFER R. GOTTSHALL Total Tenant Payment
823 Assistance Payment
0 Tenant Rent
751
Tenant Si natures
Head of Household Date Other Adult Date
Spouse / Co-Head Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Other Adult Date Other Adult Date
Owner/Ag ent Signature
Owner/Agent Date
Check this box if Tenant is unable to sign for a legitimate reason
Anticipated Voucher Date
4 4 1n4 r7nn4
11/V I/LVVV
Previous versions of this form are obsolete. Page 1 of 2 form HUD-50059 (04/200:
This form also replaces HUD-50059-D, -E, -F, & -G. Yardi CLASSIC HB 4350.3 Rev
-mow
BOILING SPRINGS APARTMENTS
297 Plaza Drive, Boiling Springs, PA 17007
Telephone (717) 258-8387 Fax (717) 258-8250
September 28, 2007
Jennifer Gottshall
215 Plaza Drive
Boiling Springs, PA 17007
Jennifer:
It has been observed that your mother, Denise Gottshall, has been residing in
your unit. You are required to prove that Denise is not living at BSA, or to
have her sign the lease and required paperwork in our office within 10 days.
As you are aware, the only individuals permitted to reside in your unit are
those listed on your Certification and Recertification of Tenant Eligibility.
An individual not listed on the Certification and Recertification of Tenant
Eligibility residing in your unit is a violation of your lease and family
obligation and is cause for termination from the rental assistance program.
To avoid having an immediate problem concerning this issue, please limit
overnight stays to no more than one per week and submit the following
documents to our office by October 10, 2007 proving that this individual is
not residing in your unit. These documents must be current and contain the
individual's name with their current address. This address may not be a post
office box; it must be a street address. All information given will be verified
with the proper agencies. Please submit copies of all of the following
documents:
(1) Copy of a current lease showing individual's name on lease
(2) Drivers License
(3) Current vehicle registration and vehicle insurance card
(4) Copy of current utility bill
(5) Copy of her current personal tax receipt
(6) Copy of current pay stub
Failure to produce all of the above mentioned documents by October 10,
2007 could result in termination from the rental assistance program.
Melissa Baranishyn
Property Manager
Cc: GN MG
TTY 800-280-2880 TTY Espanol800-280-2884 L?
Boiling Springs Apartments is an equal opportunity provider and employer and does not discriminate on the basis of race,
color, religion, sex, ancestry, national origin, age, familial status or disability.
To file a complaint of discrimination write to GN Management, Inc. Senior Asset Manager, 2316 Dairy Road,
Lancaster, PA 17601 or call (717) 898-2292 extension 232.
0
GN MANAGEMENT, INC.
Boiling Springs Apartments
297 Plaza Drive
Boiling Springs, PA 17007
(717) 258-8387/FAX (717) 258-8250
TDD 800-334-3286
LEASE VIOLATION NOTICE
10/17/07
Jennifer Gottshall
215 Plaza Dr.
Boiling Springs, PA 17007
Dear Ms. Gottshall:
We have sent you notification that your mother, Denise Gottshall, was observed living in your
apartment, along with a dog. We notified you on September 28, 2007 that you had 10 days to provide
current documentation proving this individual is not living in your unit or add this individual to your
Certification and Recertification of Tenant Eligibility. Please be advised that this situation is a
violation of your House Rules and Lease at this property. You have been given notice that you have
chosen to ignore.
You must provide PROOF that Denise Gottshall and the dog have left your residence immediately or
your rental assistance will be terminated. Your subsidy will be terminated in 30 days from the date of
this letter if this proof is not provided to the office.
You have also received two Lease Violations concerning the dog in your unit, first violation sent
9/21/07 and the next on 9/28/07. This animal MUST BE REMOVED FROM BSA PROPERTY
IMMEDIATELY. We do not permit dogs at BSA. Pets may not live or visit the premises.
Item 14 of your Lease Agreement states: The Tenant agrees to obey the House Rules that are
Attachment No. 3 to this Agreement.
Item 4 of the Lease states: Changes in Tenants Share of the Rent: The Tenant agrees that the amount
of rent the Tenant pays and/or the amount of assistance that HUD pays on behalf of the Tenant may
be changed during the term of this Agreement if. f. the Tenant fails to provide information on his/her
income, family composition or other factors as required by the Landlord.
Item 13 d of your Lease states: The Tenant must live in the unit and the unit must be the Tenant's
only place of residence. The Tenant shall use the premises only as a private dwelling for
himself/herself and the individuals listed on the **Owner's Certification of Compliance with HUD's
Tenant Eligibility and Rent Procedures, Attachment 1**. The Tenant agrees to permit other
individuals to reside in the unit only after obtaining the prior written approval of the Landlord. The
Tenant agrees not to:
d. have pets or animals of any kind in the unit without the prior written permission of the Landlord,
but the landlord will allow the tenant to keep an animal needed as a reasonable accommodation to the
tenant's disability, and will allow animals to accompany visitors with disabilities who need such
animals as an accommodation to their disabilities.
Item 35 of your House Rules states: No pets (either to live or visit) are permitted on the premises.
These animals include, but are not limited to; cats, dogs, hamsters, gerbils, mice, snakes, ferrets,
rabbits, guinea pigs and any animal which could be considered to be a farm animal. Animals that are
used to assist the handicapped are not considered pets; however, notification must be made to the
Community Manager if such an animal is expected to be on the property. If the need for the animal is
not obvious, documentation may be requested as proof that the animal is indeed a service or support
animal.
The Landlord agrees to implement changes in the Tenant's rent or tenant assistance payment only
in accordance with the time frames and administrative procedures set forth in HUD's handbooks,
instructions and regulations related to administration of multifamily subsidy programs. The Landlord
agrees to give the Tenant at least 30 days advance written notice of any increase in the Tenant's rent
except as noted in paragraphs 11, 15 or 17. The Notice will state the new amount the Tenant is
required to pay, the date the new amount is effective, and the reasons for the change in rent. The
Notice will also advise the Tenant that he/she may meet with the Landlord to discuss the rent change.
Item 23 Termination of Tenancy subparagraph d. (1) one or more substantial violations of the lease
(2) of your lease states: material non-compliance includes repeated minor violations of the lease that:
(a) disrupt the livability of the project, (b) adversely affect the health or safety of any person or the
right of any tenant to the quiet enjoyment of the leased premises and related project facilities, (c)
interfere with the management of the project, or (d) have an adverse financial effect on the project.
Please take a moment to read your Lease and House Rules one more time. If you have any questions
concerning the Rules or Lease please contact the office. If this behavior continues we will have no
choice but to begin eviction proceedings on your household. This is a family property and the Lease
and House Rules must be followed to allow everyone to have an enjoyable place to reside. Please
have this animal removed from our property immediately. You have been in violation of the Lease,
and have received prior notices, this behavior is not acceptable. You were given the Lease and House
Rules to review, and a copy to take with you, plus we explained that no one else was permitted to
move into your unit without permission form management, you have chosen to ignore this, thus
putting your residency in jeopardy. This behavior must change immediately. This is not the first time
you have violated the same Rule, prior to this you had a male living in your unit and knowingly
provided false documents for his residency.
If you fail to report changes in your household, within 10 calendar days, according to your lease, your
HUD Subsidy will be terminated in 30 days, effective 11/17/07 your rent will increase to Market Rent
of $715.00 per month for your unit.
You are hereby advised that you have ten (10) days in which to discuss this violation with the
Property Manager.
Be advised your lease will be terminated should this behavior continue.
Sincerely,
Manager
GN Management, Inc.
Cc: File
GN Mgt.
GN MANAGEMENT, INC.
Boiling Springs Apartments
297 Plaza Drive
Boiling Springs, PA 17007
(717) 258-8387/FAX (717) 258-8250
TTY 800-855-2880
Date: November 5, 2007
Office Memo to Resident
Name: Jennifer Gottshall
Unit: 215
Message: We received the attached receipt this morning in our drop box.
We believe your mother dropped it into our box by accident, so we are
returning it to you for your mother.
If this is in regards to the letter sent to you 9/28/07 and 10/17/07 this does not
qualify as one of the six required documents to prove domicile for your mother
Denise Gottshall.
Please call if you have any questions, or need additional time.
Thank you in advance for your cooperation. If you have any questions feel free
to call the office at 258-8387.
Thank You,
M ei4scv 3ara4V?vyw
Melissa Baranishyn
Property Manager
EQUAL HOUSING OPPORTUNITY 6.
COSTOPOULOS BONDING
10 SOUTH COURTHOUSE AVENUE - SUITE 103
CARLISLE, PENNSYLVANIA 17013
TELEPHONE - 243-3414
?l
? Z C.V
-- - ? 00 ?_
1? "I •
NOTICE OF LEASE AMENDMENT
12/3/2007
JENNIFER GOTTSHALL
215 Plaza Drive,
Boiling Springs, PA 17007
Dear Tenant:
Your monthly rent has been adjusted to $733 effective for the month beginning 12/1/2007 as a
result of -ta; ;,? k .,-, 4, 0 This notification amends Paragraph 3 of your lease agreement which sets forth the amount of rent
you pay each month.
Please report to the Rental Office within ten days from the date of this letter to sign the
certification and complete the recertification process. HUD requires all household members age
18 and over to sign these documents.
At that time, you will receive a copy of the Form 50059 Owner's Certification of Compliance
with HUD's Tenant Eligibility for your records. You should substitute the form in place of the
previous 50059 that is attached to your lease. The 50059 shows you the income we used to
calculate your new rent and the amount of rental assistance, if any, that HUD pays monthly on
your behalf.
If you do not sign the certification within the ten days, your lease gives us the right to terminate
your subsidy and increase your rent.
You may call me at (717) 258-8387 if you wish to arrange a meeting to discuss the above.
Sincerely,
Melissa af'a?ni
Occupancy Manager
t?l &
Equal Housing Opportunity
Mai a?
C\\MtV
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GN MANAGEMENT, INC.
Boiling Springs Apartments
297 Plaza Drive
Boiling Springs, PA 17007
(717) 258-8387/FAX (717) 258-8250
TTY 800-855-2880/Para Espanol 1-800-855-2884
December 5, 2007
Jennifer Gottshall
215 Plaza Drive
Boiling Springs, PA 17007
Dear Ms. Gottshall;
This letter is in response to the note you dropped off at the office last night. You inquired as
to why the rent had changed on your account. Your subsidy has been terminated effective
11/30/2007 as indicated in the letter sent to you on October 17, 2007. This letter stated that
the subsidy would be terminated effective 11/17/07 if you failed to report changes in your
household. You have failed to provide the required documentation.
We have sent you letters, and all go without response. It is imperative that you respond to
any violation letter for your household. We graciously gave you additional time to provide
the documentation, still no response. You gave us no alternative but terminating the subsidy
for your unit.
I will attach copies of the violation letters sent to you on September 27, 2007 and October 17,
2007. The letter dated September 28, 2007 has the detailed list of items that are required to
prove domicile for Denise Gottshall.
Termination of assistance does not affect your other rights under the lease, including the right
to occupy the unit. However, failure to pay the increased rent could result in termination of
tenancy, court hearings, and additional late fees and court costs to your account.
Sincerely, -
Melissa Bar *sh
Boiling Springs Apts.
EQUAL HOUSING OPPORTUNITY (51
? ,_T ,
EXHIBIT
1. Parties and
Dwelling Unit:
2. Length of Time
(Term):
3. Rent: * *
4. Changes in the
Tenant's Share
of the Rent:
MODEL LEASE FOR SUBSIDIZED PROGRAMS
The parties to this Agreement are Boiling Springs Associates , referred to as he Landlord,
and TEA I ff- mek7r-itfin C L referred to
as the Tenant. The Landlord leases to the Tenant(s) unit number, -'?J.??locaiad at 2f,-i- Plaza
Drive, Boiling Springs, PA 17007 in the project known as Boiling Springs tpartments.
The initial term of this Agreement shall begin ort `a, and end on A' ` `. After the
initial term ends, the Agreement will continue for successive terms of one me nth each unless
automatically terminated as permitted by paragraph 23 of this Agreement.
The Tenant agrees to pay $ IV ? for the partial month ending on Z l? .. After that,
'
Tenant agrees to pay a rent of $ e
per month. This amount is due or, the first day of
the month at the office located at 297 Plaza Drive Boiling Springs PA 17007.
The Tenant understands that this monthly rent is less than the market (unsubs idized) rent due
on this unit. This lower rent is available either because the mortgage on this project is
subsidized by the Department of Housing and Urban Development (HUD) and/or because
HUD makes monthly payments to the Landlord on behalf of the Tenant. The amount, if any,
that HUD makes available monthly on behalf of the Tenant is called the tenart assistance
payment and is shown on the "Assistance Payment" line of the **Owner's Certification of
Compliance with HUD's Tenant Eligibility and Rent Procedures** form which is Attachment
No. 1 to this Agreement.
The Tenant agrees that the amount of rent the Tenant pays and/or the amount of assistance
that HUD pays on behalf of the Tenant may be changed during the term of this Agreement if:
a. HUD or the Contract Administrator (such as a Public Housing Agency) determines,
in accordance with HUD procedures, that an increase in rents is needed;
b. HUD or the Contract Administrator changes any allowance for utilities or services
considered in computing the Tenant's share of the rent;
c. the income, the number of persons in the Tenant's household or other factors
considered in calculating the Tenant's rent change and HUD procedures provide that
the Tenant's rent or assistance payment be adjusted to reflect the change;
d. changes in the Tenant's rent or assistance payment are required by HUD's
recertification or subsidy termination procedures;
e. HUD's procedures for computing the Tenant's assistance payment or rent change; or
f. the Tenant fails to provide information on his/her income, family composition or
other factors as required by the Landlord.
The Landlord agrees to implement changes in the Tenant's rent or tenant assistance payment
1 of 12
Chg. 2 Lease
only in accordance with the time frames and administrative procedures set forth in HUD's
handbooks, instructions and regulations related to administration of multifamily subsidy
programs. The Landlord agrees to give the Tenant at least 30 days advance written notice of
any increase in the Tenant's rent except as noted in paragraphs 11, 15 or 17. The Notice will
state the new amount the Tenant is required to pay, the date the new amount is effective, and
the reasons for the change in rent. The Notice will also advise the Tenant that he/she may
meet with the Landlord to discuss the rent change.
5. Charges for Late If the Tenant does not pay the full amount of the rent shown in paragraph 3 by the end of the
Payments and 5th day of the month, the Landlord may Collect a fee of $5 on the 6th day of the month.
Returned Thereafter, the Landlord may collect $1 for each additional day the rent remains unpaid
Checks: during the month it is due.
The Landlord may not terminate this Agreement for failure to pay late charges, but may
terminate this Agreement for non-payment of rent, as explained in paragraph 23. The
Landlord may collect a fee of $20.00 on the second or any additional time a check is not
honored for payment (bounces). The charges discussed in this paragraph are in addition to the
regular monthly rent payable by the Tenant.
6. Condition of By signing this Agreement, the Tenant acknowledges that the unit is safe, clean and in good
Dwelling Unit: condition. The Tenant agrees that all Appliances and equipment in the unit are in good
working order, except as described on the Unit Inspection Report, which is Attachment No. 2
to this Agreement. The Tenant also agrees that the Landlord has made no promises to
decorate, alter, repair or improve the unit, except as listed on the Unit Inspection Report.
7. Charges for The following charts describe how the cost of utilities and services related to occupancy of
Utilities and the unit will be paid. The Tenant agrees that these charts accurately describe the utilities and
Services: services paid by the Landlord and those paid by the Tenant.
a. The Tenant must pay for the utilities in column (1). Payments should be made
directly to the appropriate utility company. The items in column (2) are included in
the Tenant's rent.
(1) (2)
Put "x" by any Utility Type of Utility Put an "x" by any utility
Tenant pays directly included in Tenant Rent
X Heat
X Lights, Electric
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Chg. 2 Lease
X Cooking
Water X
Other - Specify X
Sewer & Trash X
b. The Tenant agrees to pay the Landlord the amount shown in column (3) on the date
the rent is due. The Landlord certifies that HUD had authorized him/her to collect
the type of charges shown in column (3) and that the amounts shown in column (3)
do not exceed the amounts authorized by HUD.
(3)
Show Amount Tenant Pays to
Landlord in Addition to Rent
Parking $ N/A
Other (Specify) $ N/A
8. Security The Tenant has deposited $a with the Landlord. The Landlord will hold this security
Deposits:** deposit for the period the Tenant occupies the unit. After the Tenant has moved from the unit,
the Landlord will determine whether the Tenant is eligible for a refund of any or all of the
security deposit. The amount of the refuted will be determined in accordance with the
following conditions and procedures.
a. The Tenant will be eligible for a refund of the security Deposit only if the Tenant
provided the Landlord with the 30-day written notice of intent to move required by
paragraph 23, unless the Tenant was unable to give the notice for reasons beyond
his/her control.
b. After the Tenant has moved from the unit, the Landlord will inspect the unit and
complete another Unit Inspection Report. The Landlord will permit the Tenant to
participate in the inspection, if the Tenant so requests.
c. The Landlord will refund to the Tenant the amount of the security deposit plus
interest computed at **actual % paid by financial institution, beginning the first day
of the lease**, less any amount needed to pay the cost of:
(1) unpaid rent;
(2) damages that are not due to normal wear and tear and are not listed on the Unit
Inspection Report;
(3) charges for late payment of rent and returned checks, as described in paragraph
5; and
(4) charges for unreturned keys, as described in paragraph 9.
d. The Landlord agrees to refund the amount computed in paragraph 8c within 30
3of12
Chg. 2 Lease
days after the Tenant has permanently moved out of the unit, returned possession of
the unit to the Landlord, and given his/her new address to the Landlord. The
Landlord will also give the Tenant a written list of charges that were subtracted from
the deposit. If the Tenant disagrees with the Landlord concerning the amounts
deducted and asks to meet with the Landlord, the Landlord agrees to meet with the
Tenant and informally discuss the disputed charges.
e. If the unit is rented by more than one person, the Tenants agree that they will work
out the details of dividing any refund among themselves. The Landlord may pay the
refund to any Tenant identified in Paragraph 1 of this Agreement.
f. The Tenant understands that the Landlord will not count the Security Deposit
towards the last month's rent or towards repair charges owed by the Tenant in
accordance with paragraph 11.
9. Keys and Locks: The Tenant agrees not to install additional or different locks or gates on any doors or
windows of the unit without the written permission of the Landlord. If the Landlord approves
the Tenant's request to install such locks, the Tenant agrees to provide the Landlord with a
key for each lock. When this Agreement ends, the Tenant agrees to return all keys to the
dwelling unit to the Landlord. The Landlord may charge the Tenant $10.00 for each key not
returned.
10. Maintenance: a. The Landlord agrees to:
(1) regularly clean all common areas of the project;
(2) maintain the common areas and facilities in a safe condition;
(3) arrange for collection and removal of trash and garbage;
(4) maintain all equipment and appliances in safe and working order;
(5) make necessary repairs with reasonable promptness;
(6) maintain exterior lighting in good working order:
(7) provide extermination services, as necessary; and
(8) maintain grounds and shrubs.
b. The Tenant agrees to:
(1) keep the unit clean;
(2) use all appliances, fixtures and equipment in a safe manner and only for the
purposes for which they are intended;
(3) not litter the grounds or common areas of the project;
(4) not destroy, deface, damage or remove any part of the unit, common areas, or
project grounds;
(5) give the Landlord prompt notice of any defects in the plumbing, fixtures,
4of12
Chg. 2 Lease
appliances, heating and cooling equipment or any other part of the unit or
related facilities; and
(6) remove garbage and other waste from the unit in a clean and safe manner.
11. Damages: Whenever damage is caused by carelessness, misuse, or neglect on the part of the Tenant,
his/her family or visitors, the Tenant agrees to pay:
a. the cost of all repairs and do so within 30 days after receipt of the Landlord's
demand for the repair charges; and
b. rent for the period the unit is damaged whether or not the unit is habitable. The
Tenant understands that HUD will not make assistance payments for any period in
which the unit is not habitable. For any such period, the Tenant agrees to pay the
HUD-approved market rent rather than the Tenant rent shown in paragraph 3 of this
agreement.
12. Restrictions on No alteration, addition, or improvements shall be made in or to the premises without the prior
Alterations: consent of the Landlord in writing. The Landlord agrees to provide reasonable
accommodation to an otherwise eligible tenant's disability, including making changes to
rules, policies, or procedures, and making and paying for structural alterations to a unit or
common areas. The Landlord is not required to provide accommodations that constitute a
fundamental alteration to the Landlord's program or which would pose a substantial financial
and administrative hardship. See the regulations at 24 CFR Part 8. In addition, if a requested
structural modification does pose a substantial financial and administrative hardship, the
Landlord must then allow the tenant to make and pay for the modification in accordance with
the Fair Housing Act.
13. General The Tenant must live in the unit and the unit must be the Tenant's only place of residence.
Restrictions:** The Tenant shall use the premises only as a private dwelling for himself/herself and the
individuals listed on the **Owner's Certification of Compliance with HUD's Tenant
Eligibility and Rent Procedures, Attachment 1**. The Tenant agrees to permit other
individuals to reside in the unit only after obtaining the prior written approval of the
Landlord. The Tenant agrees not to:
a. sublet or assign the unit, or any part of the unit;
b. use the unit for unlawful purposes;
c. engage in or permit unlawful activities in the unit, in the common areas or on the
project grounds;
d. have pets or animals of any kind in the unit without the prior written permission of
the Landlord, but the landlord will allow the tenant to keep an animal needed as a
5of12
Chg. 2 Lease
reasonable accommodation to the tenant's disability, and will allow animals to
accompany visitors with disabilities who need such animals as an acconnnodation to
their disabilities; or
e. make or permit noises or acts that will disturb the rights or comfort of neighbors.
The Tenant agrees to keep the volume of any radio, phonograph, television or
musical instrument at a level which will not disturb the neighbors.
14. Rules: The Tenant agrees to obey the House Rules which are Attachment No. 3 to this Agreement.
The tenant agrees to obey additional rules established after the effective date of this
Agreement if:
a. the rules are reasonably related to the safety, care and cleanliness of the building and
the safety, comfort and convenience of the Tenants; and
b. the Tenant receives written notice of the proposed rule at least 30 days before the
rule is enforced.
15. Regularly Every year around the first day of V , the Landlord will request the Tenant to report the
Scheduled income and composition of the Tenant's household and to supply any other information
Recertifications: required by HUD for the purposes of determining the Tenant's rent and assistance payment, if
any. The Tenant agrees to provide accurate statements of this information and to do so by the
date specified in the Landlord's request. The landlord will verify the information supplied by
the Tenant and use the verified information to re-compute the amount of the Tenant's rent and
assistance payment, if any.
a. If the Tenant does not submit the required recertification information by the date
specified in the Landlord's request, the Landlord may impose the following
penalties. The Landlord may implement these penalties only in accordance with the
administrative procedures and time frames specified in HUD's regulations,
handbooks and instructions related to the administration of multifamily subsidy
programs.
(1) Require the Tenant to pay the higher, HUD-approved market rent for the unit.
(2) Implement any increase in rent resulting from the recertification processing
without providing the 30-day notice otherwise required by paragraph 4 of this
Agreement.
b. The Tenant may request to meet with the Landlord to discuss any change in rent or
assistance payment resulting from the recertification processing. If the Tenant
requests such a meeting, the Landlord agrees to meet with the Tenant and discuss
how the Tenant's rent and assistance payment, if any, were computed.
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Chg. 2 Lease
16. Reporting a. If any of the following changes occur, the Tenant agrees to advise the Landlord
Changes immediately.
Between (1) Any household member moves out of the unit.
Regularly (2) An adult member of the household who was reported as unemployed on the
Scheduled most recent certification or recertification obtains employment.
Recertifications: (3) The household's income cumulatively increases by $200 or more a month.
b. The Tenant may report any decrease in income or any change in other factors
considered in calculating the Tenant's rent. Unless the Landlord has confirmation
that the decrease in income or change in other factors will last less than one month,
the Landlord will verify the information and make the appropriate rent reduction.
However, if the Tenant's income will be partially or fully restored within two
months, the Landlord may delay the certification process until the new income is
known, but the rent reduction will be retroactive and the Landlord may not evict the
Tenant for nonpayment of rent due during the period of the reported decrease and
the completion of the certification process. The Tenant has thirty days after
receiving written notice of any rent due for the above described time period to pay or
the Landlord can evict for nonpayment of rent. (Revised 3/22/89)
c. If the Tenant does not advise the Landlord of these interim changes, the Landlord
may increase the Tenant's rent to the HUD-approved market rent. The Landlord may
do so only in accordance with the time frames and administrative procedures set
forth in HUD's regulations, handbooks and instructions on the administration of
multifamily subsidy programs.
d. The Tenant may request to meet with the Landlord to discuss how any change in
income or other factors affected his/her rent or assistance payment, if any. If the
Tenant requests such a meeting, the Landlord agrees to meet with the Tenant and
explain how the Tenant's rent or assistance payment, if any, was computed.
17. Removal of a. The Tenant understands that assistance made available on his/her behalf may be
Subsidy: terminated if events in either items 1 or 2 below occur. Termination of assistance
means that the Landlord may make the assistance available to another Tenant and
the Tenant's rent will be re-computed. In addition, if the Tenant's assistance is
terminated because of criterion (1) below, the Tenant will be required to pay the
HUD-approved market rent for the unit.
(1) The Tenant does not provide the Landlord with the information or reports
required by paragraph 15 or 16 within 10 calendar days after receipt of the
Landlord's notice of intent to terminate the Tenant's assistance payment.
(2) The amount the Tenant would be required to pay towards rent and utilities under
7of12
Chg. 2 Lease
HUD rules and regulations equals the Family Gross Rent shown on Attachment
1.
b. The Landlord agrees to give the Tenant written notice of the proposed termination.
The notice will advise the Tenant that, during the ten calendar days following the
date of the notice, he/she may request to meet with the Landlord to discuss the
proposed termination of assistance. If the Tenant requests a discussion of the
proposed termination, the Landlord agrees to meet with the Tenant.
c. Termination of assistance shall not affect the Tenant's other rights under this
Agreement, including the right to occupy the unit. Assistance may subsequently be
reinstated if the Tenant submits the income or other data required by HUD
procedures, the Landlord determines the Tenant is eligible for assistance, and
assistance is available.
18. Tenant If the tenant submits false information on any application, certification or request for interim
Obligation To adjustment or does not report interim changes in family income or other factors as required
Repay: by paragraph 16 of this Agreement, and as a result, is charged a rent less than the amount
required by HUD's rent formulas, the Tenant agrees to reimburse the Landlord for the
difference between the rent he/she should have paid and the rent he/she was charged. The
Tenant is not required to reimburse the Landlord for undercharges caused solely by the
Landlord's failure to follow HUD's procedures for computing rent or assistance payments.
19. Size of The Tenant understands that HUD requires the Landlord to assign units **in accordance with
Dwelling:** the Landlord's written occupancy standards. These standards include consideration of unit
size, relationship of family members, age and sex of family members and family
preference.** If the Tenant is or becomes eligible for a different size unit, and the required
size unit becomes available, the Tenant agrees to:
a. move within 30 days after the Landlord notifies him/her that unit of the required size
is available within the project; or
b. remain in the same unit and pay the HUD-approved market rent.
20. Access by a. The Landlord agrees to enter the unit only during reasonable hours, to provide
Landlord:** reasonable advance notice of his/her intent to enter the unit, and to enter the unit
only after receiving the Tenant's consent to do so, except when urgency situations
make such notices impossible or except under paragraph (c) below.
b. The Tenant consents in advance to the following entries into the unit:
(i) The tenant agrees to permit the Landlord, his/her agents or other persons, when
authorized by the Landlord, to enter the unit for the purpose of making
8of12
Chg. 2 Lease
reasonable repairs and periodic inspections.
(ii) After the Tenant has given a notice of intent to move, the Tenant agrees to permit
the Landlord to show the unit to prospective tenants during reasonable hours.**
c. If the Tenant moves before this Agreement ends, the Landlord may enter the unit to
decorate, remodel, alter or otherwise prepare the unit for re-occupancy.
21. Discrimination The Landlord agrees not to discriminate based upon race, color, religion, creed, National
Prohibited: origin, sex, age, familial status, and disability.
22. Change in Rental The Landlord may, with the prior approval of HUD, change the terms and conditions of this
Agreement: Agreement. Any changes will become effective only at the end of the initial term or a
successive term The Landlord must notify the Tenant of any change and must offer the
Tenant a new Agreement or an amendment to the existing Agreement. The Tenant must
receive the notice at least 60 days before the proposed effective date of the change. The
Tenant may accept the changed terms and conditions by signing the new Agreement or the
amendment to the existing Agreement and returning it to the Landlord. The Tenant may reject
the changed terms and conditions by giving the Landlord written notice that he/she intends to
terminate the tenancy. The Tenant must give such notice at least 30 days before the proposed
change will go into effect. If the Tenant does not accept the amended agreement, the
Landlord may require the Tenant to move from the project, as provided in paragraph 23.
23. Termination of a. To terminate this Agreement, the Tenant must give the Landlord 30-days written
Tenancy:** notice before moving from the unit.**
b. Any termination of this Agreement by the Landlord must be carried out in
accordance with HUD regulations, State and local law, and the terms of this
Agreement.
c. The Landlord may terminate this Agreement for the following reasons:
1. the Tenant's material noncompliance with the terms of this Agreement;
2. the Tenant's material failure to carry out obligations under any State Landlord
and Tenant Act;
3. drug related criminal activity engaged in on or near the premises, by any tenant,
household member, or guest, and any such activity engaged in on the premises
by any other person under the tenant's control;
4. determination made by the Landlord that a household member is illegally using
a drug;
5. determination made by the Landlord that a pattern of illegal use of a drug
interferes with the health, safety, or right to peaceful enjoyment of the premises
9of12
Chg. 2 Lease
by other residents;
6. criminal activity by a tenant, any member of the tenant's household, a guest or
another person under the tenant's control:
(a) that threatens the health, safety, or right to peaceful enjoyment of the
premises by other residents (including property management staff residing
on the premises);
(b) or that threatens the health, safety, or right to peaceful enjoyment of their
residences by persons residing in the immediate vicinity of the premises;
7. if the tenant is fleeing to avoid prosecution, or custody or confinement after
conviction, for a crime, or attempt to commit a crime, that is a felony under the
laws of the place from which the individual or that in the case of the State of
New Jersey is a high misdemeanor;
8. if the tenant is violating a condition of probation or parole under Federal or State
law;
9. determination made by the Landlord that a household member's abuse or pattern
of abuse of alcohol threatens the health, safety, or right to peaceful enjoyment of
the premises by other residents;
10. if the Landlord determines that the tenant, any member of the tenant's
household, a guest or another person under the tenant's control has engaged in
the criminal activity, regardless of whether the tenant, any member of the
tenant's household, a guest or another person under the tenant's control has been
arrested or convicted for such activity.
d. The Landlord may terminate this Agreement for other good cause, which includes,
but is not limited to, the tenant's refusal to accept change to this agreement.
Terminations for "other good cause" may only be effective as of the end of any
initial or successive term.
The term material noncompliance with the lease includes: (1) one or more substantial
violations of the lease; (2) repeated minor violations of the lease that (a) disrupt the livability
of the project; (b) adversely affect the health or safety of any person or the right of any tenant
to the quiet enjoyment to the leased premises and related project facilities, (c) interfere with
the management of the project, or (d) have an adverse financial effect on the project (3)
failure of the tenant to timely supply all required information on the income and composition,
or eligibility factors, of the tenant household (including, but not limited to, failure to meet the
disclosure and verification requirements for Social Security Numbers, or failure to sign and
submit consent forms for the obtaining of wage and claim information from State Wage
Information Collection Agencies), and (4) Non-payment of rent or any other financial
obligation due under the lease beyond any grace period permitted under State law. The
10 of 12
Chg. 2 Lease
payment of rent or any other financial obligation due under the lease after the due date but
within the grace period permitted under State law constitutes a minor violation.
e. If the Landlord proposes to terminate this Agreement, the Landlord agrees to give
the Tenant written notice and the grounds for the proposed termination. If the
Landlord is terminating this agreement for "other good cause," the termination
notice must be mailed to the Tenant and hand-delivered to the dwelling unit in the
manner required by HUD at least 30 days before the date the Tenant will be required
to move from the unit and in accordance with State law requirements. Notices of
proposed termination for other reasons must be given in accordance with any time
frames set forth in State and local law. Any HUD-required notice period may run
concurrently with any notice period required by State or local law. All termination
notices must:
• specify the date this Agreement will be terminated;
• state the grounds for termination with enough detail for the Tenant to prepare a
defense;
• advise the Tenant that he/she has 10 days within which to discuss the proposed
termination of tenancy with the Landlord. The 10-day period will begin on the
earlier of the date the notice was hand-delivered to the unit or the day after the
date the notice is mailed. If the Tenant requests the meeting, the Landlord agrees
to discuss the proposed termination with the Tenant; and
• advise the Tenant of his/her right to defend the action in court.
f. If an eviction is initiated, the Landlord agrees to rely only upon those grounds cited
in the termination notice required by paragraph e.
24. Hazards: The Tenant shall not undertake, or permit his/her family or guests to undertake, any
hazardous acts or do anything that will increase the project's insurance premiums. Such action
constitutes a material non-compliance. If the unit is damaged by fire, wind, or rain to the
extent that the unit cannot be lived in and the damage is not caused or made worse by the
Tenant, the Tenant will be responsible for rent only up to the date of the destruction.
Additional rent will not accrue until the unit has been repaired to a livable condition.
25. Penalties for Knowingly giving the Landlord false information regarding income or other factors
Submitting False considered in determining Tenant's eligibility and rent is a material noncompliance with the
Information: lease subject to termination of tenancy. In addition, the Tenant could become subject to
penalties available under Federal law. Those penalties include fines up to $10,000 and
imprisonment for up to five years.
11 of 12
Chg. 2 Lease
26. Contents of this This Agreement and its Attachments make up the entire agreement between the Landlord and
Agreement: the Tenant regarding the unit. If any Court declares a particular provision of this Agreement
to be invalid or illegal, all other terms of this Agreement will remain in effect and both the
Landlord and the Tenant will continue to be bound by them.
27. Attachments to The Tenant certifies that he/she has received a copy of this Agreement and the following
the Agreement: Attachments to this Agreement and understands that these Attachments are part of this
* * Agreement.
a. Attachment No. 1 - Owner's Certification of Compliance with HUD's Tenant
Eligibility and Rent Procedures, form HUD-50059**
b. Attachment No. 2 - Unit Inspection Report.
c. Attachment No. 3 - House Rules.
d. Attachment No. 4 - Rural Development 515 Certification Addendum
28. Tenants' rights to Landlord agrees to allow tenant and tenant organizers to conduct on the property the activities
organize: related to the establishment or operation of a tenant organization set out in accordance with
HUD requirements.
29. Tenant Income The Tenant must promptly provide the Landlord with any letter or other notice by HUD to a
Verification: member of the family that provides information concerning the amount or verification of
family income in accordance with HUD requirements.
30. The lease agreement will terminate automatically, if the Section 8 Housing Assistance contract terminates for any
reason.
31. Signatures:
TENAN
JAY,
2.
3.
tea4
Date Signed
Date Signed
Date Signed Z
of l.3 ,Q E,,
Date Signed
12 of 12
Chg. 2 Lease
BOILING SPRINGS APARTMENTS
297 Plaza Drive, Boiling Springs, PA 17007
Telephone (717) 258-8387 Fax (717) 258-8250
August 29, 2008
Jennifer Gottshall
215 Plaza Drive
Boiling Springs, PA 17007
RE: TERMINATION OF LEASE AGREEMENT
Dear Ms. Gottshall:
This letter shall serve as your 10 day notice of termination of your lease agreement in accordance
with Pennsylvania State Law.
THIS AGREEMENT WILL BE TERMINATED ON: September 8, 2008
You have violated the lease when you did not make payment(s) for:
March Rent $232.99
April Rent 733.00
May Rent 733.00
June Rent 733.00
July Rent 733.00
August Rent 733.00
Maintenance Fees 438.05
"Late Fees 204.00 * add $1 for each additional day until paid.
TOTAL: $3,398.04
If you do not pay the total amount listed above by the termination date you must leave the leased
premises. If you do not leave the leased premises and give possession of the leased premises to
Landlord within 10 days, the Landlord will begin a lawsuit in court to have you removed from the
leased premises. If payment is received on or before the termination date no legal action will be
taken.
You have the right as a tenant to defend this action in court if any action is brought.
You are hereby advised that you have ten (10) days in which to discuss this proposed termination
with the Landlord. The ten days will end September 8, 2008.
AFFIDAVIT OF SERVICE
I, the undersigned individual, state that I did serve a copy of the attached Notice To Quit upon
Jennifer Gottshall, the Tenant, by mailing and posting a copy of the Notice To Quit on the Leased
Premises, 215 Plaza Drive, Boiling Springs, PA 17007, and a copy mailed to Grace E. D'Alo,
MidPenn Legal Services, 401 E Louther Street, Suite 103, Carlisle, PA 17013 on August 29,
2008.
Sincerely,
Property Manager
TTY 800-855-2880 TTY Espanol 800-855-2884
L?
Boiling Springs Apartments is an equal opportunity provider and employer and does not discriminate on the basis of race,
color, religion, sex, ancestry, national origin, age, familial status or disability.
To file a complaint of discrimination write to USDA, Director, Office of Civil Rights, 1400 Independence Ave., SW,
Washington, DC 20250-9410 or call (800) 795-3272 of TDD (202) 720-6382.
? I
NOV-20-2008 12:24 FROM:BOILING SPRINGS APAR C717)258-8250 T0: 2991811
' P.2i7
Resident Ledger
Boiling Springs Apartments
297 Plaza Drive
Boiline Spines. PA 17007
Run Date : 11/20/2008
Resident Name : JENNIFER GOTTSHALL
Unit Number : 1-215
Unit Address: 215 Plaza Drive, Boiling Springs, PA 17007
Lease Begin Date : 10/18/2008
Move In Date :
03/03/2004
Lease End Date : 11/06/2008
Move Out Date : 11/06/2008
Refundable Deposits
Deposit Type Amount
Security Deposit 195.00
Total Deposits 195.00
Resident Historical Transactions
Home Phone :
Work Phone : (717) 243-9669
Number of Occupants : 3
Rent Due Day : 1
Base Rent: 751.00
Tenant Total $8,391.55
Trans Date service Date T-Type Description Charge Payment Credit Adjustment Balance
Tenant
06/29/2004 03103/2004 Charge Security Deposit 25
00
06/30/2004
03/03/2004
Payment (Check Security Deposit . 25,00
(Pensonal/FriendTamily)) 25.00
0.00
S2004-063
10/01/20M 10/01/2004 Charge Rent
10/0512004
10/01/2004
Payment (Money Order) 0 Rent ReR 036716732 1 1100
11.04
1100
11101/2004 11/01/2004 Charge Rent
11/05/2004
11/0112004
Payment (Money Order) 3 Rent Refll: 0366794613 11.00
11.00
12101/2004
12/01/2004
Charge Rent 1100
0.00
12110/2004
1210112004
Payment (Money Order) 7 Rent Refl1: 033111792 9 11.00
1100
01/01/2005
01/01/2005
Charge Rent 11.00
0,00
01/0512005
01/01/2005
Payment (Money Order) Rent Re0Y:0331119693 1100
11.00
10 11,00 0.00
02/0112005 02/01/2005 Charge Rent
02/02/2005
02/01/2005
Payment (Money Order) Rent ReBi: 033112139 4 1100
1100
15 11.00 0.00
02/08/2005 02/08/2005 Charge Maintenance Charges 20,40
03/01/2005
03/0112005
Charge Rent 20.40
03/07/2005
03/01/2005
P
yment (Money Order) Rent Rcfii: 033112255 5 11.00
3].40
a 11.00 20,40
03124/2005 02/08/2005 Payment (Money Order) Maintenance Charges Refit: 033112427 4
22 10.00 10.40
04/01/2005 04/01/2005 Charge Rent
04105/2005
02/09/2005
Payment (Morey Order) Maintenance Charges RefN; 033112493 1 1100
21.40
25 10.40
11.00
04/05/2005 04/01/2005 Payment (Money Order) Rent RefH: 033112494 9
25 11,00 0.00
Page 1 of 6
4 NOV-i20-2008 12:24 FROM:BOILINGa SPRINGS APAR (717)258-8250 TO:2991811 P.3/7
Resident Ledger
Boiling Springs Apartments
297 Playa Drive
BoilineSorines. PA 17007
Run Date : 11/20/2008
Resident Name : JENNIFER GOTTSHALL
Unit Number : 1-215
Trans Date Service Date TransTypa Description Charge Payment Credit Adjustment Balance
Tenant
0510112005 05/01/2005 Charge Rent 25.00 25.00
05/09/2005 0510112005 Payment(Moaey Order) Rent Reft z 039085638 3 25.00 0.00
29
06/0112005 06101/2005 Payment (Money Order) Rent Refll: z 039085783 2 25.00 -25.00
31
06M1/2005 06/01/2005 Charge Rent 25.00 0.00
0612311005 05/0112005 Credit (Regular) Rent 25.00 -25.00
06127/2005 05/01/2005 Adjustment (Regular) Rent 147.00 122.00
061232005 06/01/2005 Credit (Regular) Rent 25.00 97.00
06232005 06/012005 Adjustment (Regular) Rent 147.00 244.00
07/012005 07/012005 Charge Rent 147.00 391.00
071052005 05/012005 Payment (Money order) Rent ReR z 039085950 6 12250 269.00
37
0710512005 06/012005 Payment (Money Order) Rent Reg: z 0390859218 147.00 122.00
37
07262005 07101/2005 payment (Money Order) Rem Refn: z 039086014 5 122.00 Ono
40
081012005 08/012005 Charge Rent 147.00 147.00
0822120OS 0210112006 Payment (Money Order) Rent Re01: z 039086235 9 158.00 .11.00
42
08/302005 00112005 Credit (Regular) Rent 147.00 -158.00
09/012005 00112005 Adjustment (Regular) Rem 25.00 -133.00
09/012005 091012005 Charge Rent 25.00 -108.00
09/082005 09/01/2005 payment (Money order) Rent Refll: z 039086399 7 25.00 -133,00
44
10/0112005 10/012005 Charge Rcnt 25.00 -108.00
111012005 11101/2005 Charge Rent 25.00 -83.00
12/0112005 12/012005 Charge Rent 25.00 -58.00
01/0112006 011012006 Charge Rent 25.00 -33.00
02/012006 02/012006 Charge Rent 25.00 -8.00
031012006 03/012006 Charge Rent 25.00
03/06/2006 03/0112006 Payment (Money Order) Rent ReW 0946013 1767 17.00 o uG
72
041012006 04/0 112006 Charge Rent 25.00 25.00
04/062006 04/012006 Payment (Money Order) Rent RefN: z 048064205 7 25.00 0,00
77
05/0112006 051012006 Charge Rent 25.00 25.00
05/092006 05/012006 Payment (Money Order) Rent Reg: z 048064396 5 25.00 0.00
86
06/012006 061012006 Charge Rent 163.00 163.00
061092006 06/012006 Payment (Money Order) Rent RcfN: z 048064549 5 167,00 -4.00
90
07/012006 071012006 Charge Rent 163.00 159.00
07/102006 07/012006 Payment (Money Order) Rent ReHI: z 048064666 5 88.00
71.00
96
07/182006 07/012006 Credit (Regular) Rent 163.00 -92.00
07118/2006 071012006 Adjustment (Regular) Rent 123,00 31.00
Page 2 of 6
NOU720-2008 12:25 FROM:BOILING SPRINGS APAR (717)258-8250 TO:2991B11 P.4/7
Resident Ledger
Boiling Springs Apartments
297 Plaza Drive
Bolline Springs, PA 17007
Run Date: 1I/20/2008
Resident Name : JENNIFER GOTTSHALL
Unit Number : 1-215
Trans Dare Service Date TransType Description Charge Payment Credit Adjustment Balance
Tenant
07/1812006 0018006 Payment (Money Omer) Rent ReM z 048064688 1
97
08/01/2006 08/0112006 Charge Rent
08/04/2006 0810112006 Payment (Check Rem ReHI: 5% John Shope
(Personat/Friend/Family))
100
08/042006 0810V2006 Payment (Money Order) Rent RefN: z 048064738 5
100
08117/2006 09/01/2006 Payment (Check Rent Ref# z 048064808 7
(Personal/Friend(Family))
103
0098006 09/018006 Payment (Money Order) Rent Reg: z 048064868 1
104
09/01!2006 09/01/2006 Charge Rent
091118006 10/0112006 Payment (Money Order) Real Reffl: s 036877436 1
106
10/01/2006 10/01/2006 Charge Rent
10/05/2006 10/0112006 Payment (Money Order) Rent Ref#: z 04373738 2
115
10/10/2006 11/012006 Payment (Money Order) Rent Ref#: z 048373782 3
Its
10202006 101012006 Credit (Regular) Rent
1020/2006 101011/2006 Credit (Regular) Rent
1020/2006 10/01/2006 Adjustment (Regular) Rent
10/202006 10101/2006 Adjustment (Regular) Rent
10/308006 11/01/2006 Payment (Money Order) Rent RefN: s 049396340 7
119
11/012006 11/01/2006 Charge Rent
11/03/2006 11/03/2006 Charge Carpet Cleaning
11/03/2006 11/03/2006 Charge Cleaning
11/03/2006 11/032006 Charge Maintenance Charges
11/06/2006 11/03/2006 Payment (Money Order) Maintenance Charges Rcf#; s 049396403 7
121
1121/2006 10/20/2006 Payment (Money Order) Security Deposit Refit; s 0493964919
32
11/21/2006 11/03/2006 Payment (Money Order) Maintenance Charges ReM s 049396479 3
124
12/01/2006 12/0112006 Charge Rent
12/04/2006 12/01/2006 Payment (Money Order) Rent ReM: s 049396544 1
125
12222006 1210112006 Payment (Money Order) Maintenance Charges, Rent ReM. s 049396613
128 4
12222006 1222/2006 Payment (Check Security Deposit RcN; s 049396614 3
(Penonal/Friend(Family))
34
12228006 12828006 Charge Security Deposit
01/012007 01/012007 Charge Rent
01/022007 01/02/2007 Charge Maintenance Charges
01/058007 01 /01/2007 Payment (Money Order) Rent Rz% s 049396663 8
129
01/162007 10 NW% Payment (Money Order) Security Deposit Ref#: s 049396751 1
36
77.00
123.00
61,00
16.00
61,00
62.00
123.00
61.00
123.00
62.00
60.00
123.00
116.00
116.00
123.00
62.00
104.00
68.90
181.00
150,20
52,00
55.00
62.00
104.00
61.00
62.00
55.00
170.00
104,00
8.50
61.00
60.00
-46.00
77.00
16 00
0.00
-61.00
-123,00
0,00
-61.00
62.OC
0.00
-60.00
-183.00
-299.00
-183.00
-60,00
-122.00
-18.00
50,90
231.90
382.10
330.10
275.10
213 10
317.10
256.10
194.10
139.10
309.10
413,10
421.60
360.60
300.60
Page 3 of 6
_-- _ ?,?
NQV-?0-2008 12:25 FROM:BOILING SPRINGS APAR C717)258-8250 TO:2991811 P.5/7
Resident Ledger
Boiling Springs Apartments
297 Plaza Drive
Boilins Snrinss. PA 17007
Run Date : 11/20/2008
Resident Na3me : JENNIFER GOTTSHALL
Unit Number : 1-215
trans Date Service Date T-Type Description Charge Payment Credit Adjustment Balanec
Tenant
01/1612007 01101/2007 Payment (Money Order) Cleaning, Maintenance Charges, Rent Rent s 60,00 240.60
133 0493967529
01/16/2007 01/02007 Payment (Money Order) Maintenance Charges ReW s 049396694 4 8.50 232.10
133
02/01/2007 0210112007 Charge Rent 1000 336.10
02/05/2007 02101/2007 Payment (Money Order) Cleaning, Rent Reg; s 0493%92S 8 232.00 1 U.10
136
0211211007 11/03/2006 Payment (Money Order) Carpet Cleaning, Cleaning, Rent RA s 125.10 -21.00
138 049396895 1
0212612007 03/01/2007 Payment (Money Order) Rent ReW s 049396976 1 125.10 -146.10
142
0310112007 03/01/2007 Charge Rent 222.00 75.90
03/19/2007 03/01/2007 Payment (Money Order) Rent ReW s 049397082 3 125.00 -49,10
145
04/012007 04/01/2007 Charge Rent 22100 172.90
04/022007 04/012007 Payment (Money Order) Rent Ref#: s 049397176 8 125,00 47.90
147
04/112007 04/012007 Payment (Money Order) Rent Refk s 050069256 3 125.00 -77,10
149
04/25/2007 05/01/2007 Payment (Money Order) Rent RcK 5 050069323 8 125.00 .202.10
150
041302007 04/302007 Charge Maintenance Charges 92.72 -109.38
0S/012007 05/01/2007 Charge Rent 222.00 112.62
05/09/2007 031012007 Paymtnt(Muncy Order) Maintenance Charges, Rent Ret7k s 050069423 125.00 -12,38
153 7
0W012007 06101/2007 Payment (Money Order) Rent RetA: s 050069462 4 104.00 -116.38
155
06/0112007 06/01/2007 Charge Rent 222.00 105.62
06/0412007 06/01/2007 Payment (Money Order) Rent Refq: s 0500695317 104,00 1.62
156
06/2112007 06/01/2007 Credit (Regular) Rent 222.00 -220.38
07/1612007 08/01/2007 Payment (Money Order) Rent RcW s 050069702 7 63.00 -283.38
165
081012007 001/2007 Charge Rent 346.00 62.62
08/03/2007 06/01/2007 Payment (Money Order) Rent Reft s 050069748 6 62.63 -0.01
170
08122/2007 09/01/2007 Payment (Money Order) Rent ReW s 050069936 8 173.00 -173,01
175
09/01/2007 09!012007 Charge Rent 346,00 172,99
09/04/2007 09/012007 Payment (Money Order) Rent ReS: s 050069906 1 173.00 -0.01
176
09/2712007 1012007 Payment (Money Order) Rent Ref#: s 050070035 7 173.00 -1710t
181
09/27/2007 10/01/2007 Payment (Money Order) Rent RelW: s 050069989 8 17100 •346.01
181
10/012007 10/01/2007 Charge Rent 346.00 -0.01
In/In/2n07 11/0112007 Payment (Money Order) Rent Ref#:z0679237012 173.00 -173
01
184 ,
10292007 11/01/2007 Payment(Money Order) Rent Ref#: z067923738 1 173.00 -346
01
186 .
11/01/2007 11/01/2007 Charge Rent 346,00 -0 01
11/06/2007 12/012007 Payment (Money Order) Rent Reflh z 067823834 4 173.00 -173
01
187 .
Page 4 of 6
NqV-,P-0-2008 12:26 FROM:BOILING SPRINGS APAR (717)258-8250 TO:2991811 P.6/7
Resident Ledger
Boiling Springs Apartments
297 Plaza Drive
Boiling Shrines. PA 17007
Run Date : 11120/2008
Resident Name : JENNIFER GOTTSHALL
Unit Number : 1-215
tram Date Service Date TransType Description Charge Payment Credit Adjustment aalaw
Tenant
11/26/2007 12/01/2007 Payment (Money order) Rent RefN: z 067823936 1 173.00 -346.01
189
1210112007 12/01/2007 Charge Rent 346.00 401
12/032007 12101/2007 Credit (Regular) Rent 721.00 -72101
12/032007 12101/2007 Credit (Regular) Rent 346.00 -1067.01
12/032007 12/0112007 Adjustment (Regular) Rent 721.00 -34601
121032007 12/01/2007 Adjustment (Regular) Rent 733.00 386.99
12/10/2007 08/0112007 Payment (Money Order) Rein Rcf#: a 0369221418 173.00 213.99
192
01/01/2008 0110112008 Charge Rent 733.00 946.99
01/0212008 12/01/2007 Payment (Money Order) Rent ROD: z 067824064 8 173.00 773.99
194
01108/2008 12/01/2007 Payment (Money Order) Rent RefN: z 071013222 9 173.00 600.99
195
01/21/2008 01/01/2008 Payment (Money Order) Rent Re09; z 067824165 6 173.00 427.99
197
0210112008 02/0112006 Charge Rent 733.00 1160.99
02/142006 Ot/012008 Payment(Money Order) Rent ROW 0678242268 173.00 987.99
200
03/032008 03/0312008 Charge Late Fee 28.00 1015.99
03/05/2008 011012008 Payment (Money Order) Rent Reftl: z 067624292 5 173.00 842,99
201
03/182008 01/0112008 Payment (Money Order) Rent RefN: z 067824419 4 173.00 669.99
205
03272008 02/0112006 Payment (Money Order) Rent Rd#: z 067824470 7 173.00 496.99
206
04/0112008 03/01/2008 Charge Rent 733.00 1229.99
04/012008 04/012008 Charge Late Fee 30.00 1259,99
04/012008 041012008 Charge Rent 733.00 1992.99
04/172008 02/012008 Payment (Money Order) Rent Reffl: 0678245175 173.00 1819.99
209
041212008 041212008 Charge Maintenance Charges 438.05 2258.04
05/0112008 05/012008 Charge Rent 733.00 2991,04
05/022008 05/02/2008 Charge Late Fee 29.00 3020,04
05/052009 07/012008 Payment (Money Order) Rent RefN: x072291303 90 173.00 2847.04
211
05/05/2008 021012008 Payment (Money Order) Rent RefN: s 036910346 4 173,00
2674,04
212
06/012006 06/012008 Charge Rent 733.00 3407.04
06/022008 00022008 Charge Late Fee 30.00 3437.04
06/062008 03/0112008 Payment (Money Order) Rent RefN: 8200790639588 50,00
3387.04
21g
07/012008 07/012008 Charge Rent 73100 4120.04
07/022006 03/0112008 Payment (Money Order) Rent RefN: R200790643780 50.00 4070.04
222
071092008 031012008 Payment (Money Order) Rent Ref#: R200790648014 300,00 3770,04
223
07/1012008 071102008 Charge Late Fee 29.00 3799,04
08/012008 08/012008 Charge Rent 733.00 4532.04
08/042008 08/0412008 Charge Late Fee 30.00 4562.04
Page 5 of 6
OQU-r0-2008 12:27 FROM:BOILING SPRINGS APAR (717)258-8250 T0: 2991811 P.7/7
Resident Ledger
Boiling Springs Apartments
297 Plaza Drive
Boiline Shrines. PA 17007
Run Date : 11/20/2008
Resident Name : JENNIFER GOTTSHALL
Unit Number : 1-215
Trans Date Service Date T-Type Description Charge Payment Credit Adjustment Balance
renant
08/06/2008 03/01/2008 Payment (Money Order) Rent RefN: R200897192110
228
09/01/2008 09101/2008 Charge Rent
09102/2008 09/02/2008 Charge Late Fee
09105/2008 03/01/2008 Payment (Money Order) Rent ReRI: r 200887198468
234
10/01/2009 10/01/2008 Credit (Regular) Rent
10/01/2008 1010112008 Charge Rent
10/01/2008 10/01/2008 Adjustment (Regular) Rent
10/0112008 10/0l/2008 Charge Late Fee
10/10/2008 03/01/2008 Payment (Money Order) Rent ReM z 072292149 9
243
10/232008 10/23/2008 Charge Court Cast
10/28/2008 102912009 Charge Court Cost
10/28/2008 10/2911008 Charge Court Cost
11101/2008 11/012008 Charge Rent
11103/2008 11/03/2008 Charge Late Fee
11106/2008 11/01/2008 Credit (Regular) Rent
11/06/2008 11/012008 Adjustment (Regular) Rent
11/2012008 I 1/20/2008 Charge Maintenance Charges
11/20/2009 l1/20/2008 Charge Cleaning
le ?n VeeS
50.00 4512.04
733.00 5245.04
30.00 5275.04
25.00 5250.04
733.00 4517.04
733.00 5250.04
741.00 5991.04
29.00 6020.04
60.00 5960.04
159.04 6118.08
131.04 6249.12
875,00 7124.12
751.00 7875.12
30.00 7905,12
751.00 7154.12
150.00 7304.12
846.43 8150.55
241.00 8391 55
?96(95
Page 6 of 6
VERIFICATION
I, the undersigned, as the authorized agent for Plaintiff, Boiling Springs
Associates, verify that the statements made in the attached COMPLAINT are true and
convect. I understand that false statements herein are made subject to the penalties of 18
Pa.C.S. section 4904 relating to unsworn falsification to authorities.
DATE: '
Meliss " Sta e, authorized agent on
behalf of Boiling Springs Associates
t F , 4
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION LAW
BOILING SPRINGS APARTMENTS
Plaintiffs
No. 08-6521
V.
JENNIFER GOTSHALL,
Defendant
CERTIFICATE OF SERVICE
I, Robert S. Cronin, Jr., Esquire, hereby certify that I served the foregoing document
upon the person in the manner indicated below, which service satisfies the requirement of
Pennsylvania Rules of Civil Procedure.
SERVICE BY FIRST CLASS MAIL POSTAGE PREPAID
AS FOLLOWS:
Geoffrey M. Biringer, Esquire
401 East Lawler St, Suite 103
Carlisle, Pa 17013
Respectfully submitted,
NIKOLAUS & HOHENADEL, LLP
Date: (l??'l 6
By: 4?101
Robert S. Cronin, Jr. squire
Attorney I.D. No. 87810
Attorney for Plaintiff
212 North Queen Street
Lancaster, PA 17603
(717) 299-3726
P `;7
C::
d
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
BOILING SPRINGS APARTMENTS, :
Plaintiff
Docket No. 08-6521
V. :
JENNIFER GOTSHALL, CIVIL ACTION - LAW
Defendant
ANSWER
1. Admitted.
2. Admitted.
3. Denied. Defendant currently resides at 7 Pine Road, Apt.#304, Mt.Holly
Springs, PA 17065.
4. Admitted.
5. Admitted.
6. Admitted,
7. Admitted.
8. Admitted.
9. Admitted.
10. Admitted.
11. Admitted.
12. Admitted.
13. Admitted.
14. Admitted.
15. Denied. Defendant is without information sufficient to form a belief as to
the truth of the averment and strict proof thereof is demanded at trial. To
the extent that a further answer is required, Defendant's mother only made
occasional visits to the leased premises to visit her family and not so as to
be in violation of the lease.
16. Admitted.
17. Admitted in part. It is denied that this request was reasonable.
18. Admitted in part. It is denied that this request was reasonable.
19. Denied. Defendant supplied the documentation that was available to her
when it was available to her and used her best efforts to comply with the
request.
20. Admitted.
21. Admitted.
22. Denied. Defendant supplied the documentation she could find at the time
she could provide it and used her best efforts to comply with the request.
23. Admitted.
24. Admitted.
25. Admitted.
26. Denied. Defendant supplied the documentation that was available to her
when it was available to her and used her best efforts to comply with the
request.
27. Admitted.
28. Admitted.
29. Admitted.
30. Denied. Defendant's rent was improperly raised as her mother did not in
fact live with her and was not in violation of any lease provision or rules.
31. Denied. Defendant's rent was improperly raised. Defendant has paid all
rent that is due.
32. Denied. Defendant is without information sufficient to form a belief as to
the truth of the averment and strict proof thereof is demanded at trial.
WHEREFORE, Defendant demands that judgment be entered for Defendant and
that Plaintiff's Complaint be stricken.
/-,p /,7 //6 MIDPENN LEGAL SERVICES
Date: l
By:
Geoffrey M. Biringer
401 E. Louther Street
Carlisle, PA 17013
(717)243-9400
Supreme Court ID#18040
VERIFICATION
I, JENNIFER GOTTSHALL, make this verification that the facts set forth in the
foregoing Answer, are true and correct to the best of my knowledge, information and
belief. I understand that false statements herein are made subject to the penalties of 18
Pa. C.S. 4904 relating to unsworn falsification to authorities.
Date: /' & r/D
Jennifer Gottshall
Y
i
CERTIFICATE OF SERVICE
I, Geoffrey M. Biringer, being a member in good standing of the Bar of
Pennsylvania, hereby certify that I served a true and correct copy of the foregoing
Answer on this 8th day of January, 2009, by placing same in the United States mail,
first class, postage prepaid, addressed as follows:
Robert S. Cronin, Jr., Esquire
212 North Queen Street
Lancaster, PA 17063
MIDPENN LEGAL SERVICES
B
Geoffrey M. Biringer
Attorney for the Defendant
401 E. Louther Street
Carlisle, PA 17013
(717)243-9400
Supreme Court ID#18040
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION LAW
BOILING SPRINGS APARTMENTS
Plaintiffs
No. 08-6521
V.
JENNIFER GOTSHALL,
Defendant
AMENDED MOTION TO AMEND CAPTION
Plaintiff, by and through its attorneys Robert S. Cronin, Jr., of Nikolaus & Hohenadel,
LLP, hereby files this Amended Motion to Amend the Caption in the above captioned matter,
and in support hereof, aver as follows:
1. The Plaintiff in this matter is identified as "Boiling Springs Apartments".
2. It is respectively submitted that Boiling Springs Associates, a partnership organized and
existing under the laws of the Commonwealth of Pennsylvania, with principal place
of business located at 297 Plaza Drive, Boiling Springs, Pennsylvania, 17007, is the
record owner of the apartment community commonly known as "Boiling Springs
Apartments".
3. Accordingly, the parties jointly request that the caption in this matter be amended to
reflect that the Plaintiff be "Boiling Springs Associates".
4. This matter has not been previously assigned to a Judge nor has a Judge ruled upon any
other issue in this or a related matter.
5. Plaintiff's counsel has previously sought and obtain the concurrence of Defendant's
counsel as evidenced by Defendant's counsel joining in the filing of the original Joint
Motion to Amend Caption.
I
WHEREFORE, the parties jointly request that this Honorable Court enter an Order
amending the caption in this matter to indicate that the identified Plaintiff be Boiling Springs
Associates.
Date: "?d
Respectfully submitted,
NIKOL & NAD L, LLP
By:
Robert S. Cronin, Jr., Esquire
Attorney I.D. No. 87810
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION LAW
BOILING SPRINGS APARTMENTS
Plaintiffs
V.
JENNIFER GOTSHALL,
Defendant
No. 08-6521
CERTIFICATE OF SERVICE
I, Robert S. Cronin, Jr., Esquire, hereby certify that I served the foregoing document
upon the person in the manner indicated below, which service satisfies the requirement of
Pennsylvania Rules of Civil Procedure.
SERVICE BY FIRST CLASS MAIL POSTAGE PREPAID
AS FOLLOWS:
Geoffrey M. Biringer, Esquire
401 East Lawler St, Suite 103
Carlisle, Pa 17013
Respectfully submitted,
NIKOLAUS & HOHENADEL, LLP
Date: Z Z O
By:
Robert S. Cronin, Jr. squire
Attorney I.D. No. 87810
Attorney for Plaintiff
212 North Queen Street
Lancaster, PA 17603
(717) 299-3726
co
z
ORIGINALIz?
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -- LAW
BOILING SPRINGS APARTMENTS
Plaintiffs
No. 08-6521
V.
JENNIFER GOTSHALL,
Defendant
ORDER
Zao?
AND NOW, on this _11 It day of ? z n , 2008, upon consideration of
the parties' Joint Motion to Amend the Captioned, it is hereby ORDERED AND DECREED
that the caption in this matter shall be amended to make Boiling Springs Associates the named
Plaintiff.
Attest:
Copies to: bert S. Cronin, Jr., Esquire, 212 North Queen Street, Lancaster Pa 17603
/Geoffrey M. Biringer, Esquire, 401 East Lawler St, Suite 103, Carlisle, Pa 17013
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By the Court,
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