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rent adjustment program > ellis act information > forms
 


Forms for Ellis Act Conversions


The following forms are used to apply to withdraw a unit from the rental market under the provisions of the Ellis Act, and for tenants to respond to Ellis Act notices.

Consult the Instructions and Checklist for more information.

 

Form 1: Notice of Termination of Tenancy | PDF

Form 2: Notice of Tenant Rights | PDF

Form 3: Notice of Interest in Re-renting Rental Unit | PDF

Form 4: Notice to Rent Adjustment Program of Intent to Withdraw Rental Unit from Rental Market | PDF

Form 5: Certificate and Summary of Notice of Intent to Withdraw Rental Units From Rental Market | PDF

Form 6: Notice of Entitlement to Extension Due to Disability or Age | PDF

Form 7: Owner Notice to Rent Adjustment Program of Tenant Claim for Extension Due to Disability or Age | PDF

Form 8: Owner Request for Information to Tenant Concerning Claim for Extension Due to Disability or Age | PDF

Form 9: Tenant Response to Owner Request for Information Concerning Claim for Extension Due to Disability or Age | PDF

Form 10: Notice to Tenant and Rent Adjustment Program of Extension of Date of Withdrawal of Rental Unit From Rental Market | PDF

Form 11: Proof of Service | PDF

Form 12: Notice to Owner of Entitlement to Relocation Benefit Payment | PDF

Form 13: Owner Request for Documentation to Tenant Concerning Relocation Benefit Claim | PDF

Form 14: Tenant Response to Owner Request for Documentation Concerning Relocation Benefit Claim | PDF

Form 15: Notice of Payment of Relocation Benefit to Tenant | PDF

Form 16: Notice of Intent to Re-offer Withdrawn Rental Units for Rent | PDF

Form 17: Notice to Rent Adjustment Program of Constraints on Real Property | PDF

Form 18: Notice of Constraints on Real Property (filed by Rent Adjustment Program) | PDF

Form 19: Request for Expungement of Constraints Upon Satisfaction of Constraints | PDF

Form 20: Notice to Rent Adjustment Program of Rescission of Notice to Rent Adjustment Program of Intent to Withdraw Rental Unit From Rental Market | PDF

 

 

 
   
 
     


City of Oakland
Community and Economic Development Agency
Housing and Community Development Division
250 Frank Ogawa Plaza  Suite 5313  |   Oakland, CA 94612
Tel:
510.238.3015 | Fax: 510-238-3691 | TDD: 238-3254
2002 All Rights Reserved

Last updated January 23, 2008
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It is the policy of the City of Oakland not to discriminate on the basis of race, ethnicity, religion, family status,
sexual orientation, or disability in employment or any of its programs, activities, or services. 

City of Oakland is an equal opportunity housing provider