In accordance with Section 11.102.070(e) of the Relocation Ordinance, a Landlord shall within three business days of providing a Tenant with a Temporary Relocation Payment, a Rent Differential Payment or a Permanent Relocation Payment file with the Rent Board a proof of service with the time and date when the Landlord made such Payment.
Please list the name(s) of any other individuals on the lease or rental agreement.
Attach a copy of the cashier's check or personal check addressed to the Tenant.
Under penalty of perjury under the laws of the state of California, I hereby certify that the foregoing information and that contained in any attached sheets is true and correct to the best of my knowledge and belief.
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