Rental Assistance Program
LANDLORD FUNDING AGREEMENT
CITY OF INDIANAPOLIS COVID-19 RENTAL ASSISTANCE PROGRAM
, am the landlord or the authorized agent of the landlord for the
rental unit located at [address] (the “Rental
I understand that if I agree to participate in the COVID-19 Rental Assistance Program, I
will receive an amount representing up to three months’ local fair market rent for a Rental Unit
of its size (the “Program Funds”). I understand that I will be informed of the exact amount of
Program Funds being offered to me before I am required to agree to the below terms.
If I choose to accept the Program Funds, I will comply with the following terms and conditions:
I understand that if I violate any of the commitments listed above for a period of three years starting on the date I sign this Agreement, I may be required to forfeit the Program Funds I am receiving.
I understand that this Agreement is binding on not only me, but on all persons and entities on whose behalf I act, all persons and entities acting on my behalf, and anyone to whom I transfer my rights in connection with this Rental Unit, for a period of three years starting on the date I sign this Agreement.
I understand that the tenant of this Rental Unit is a third-party beneficiary of this Agreement. The tenant may use this Agreement as evidence of the commitments I have made above if I attempt to take an action against the tenant that violates the commitments I have made above.
This form is to be completed by the person authorized to exercise any aspect of the
property address listed above. The information requested is to complete the rental
eligibility process and document monthly rental obligations and/or delinquency. Submission
information does not guarantee financial assistance. An authorized agent for the assisting
provide official documentation to confirm or deny assistance. Please complete the entire
incomplete submissions may delay in the review of the assistance application.
I will review and sign the City Agreement to receive payment. This agreement will not become legally binding until I accept payment. My signature agrees and confirms that by signing this agreement and accepting the rental payment, I agree to the following:
This is to confirm that rent for , for
the property at , with a monthly
rent amount of $, was due on
, the total amount currently owed is $.
I attest that I , am a person
authorized to exercise any aspect of the management
the property listed above. Furthermore by signing I acknowledge that the payment will
guarantee residency for an additional 45 days.