U.S.

Department of Housing
Housing Assistance Payments Contract and Urban Development
(HAP Contract) Office of Public and Indian Housing
Section 8 Tenant-Based Assistance
Contract Number: 870-Cv
Housing Choice Voucher Program
SMB:2021- Reference Number: 61061
Part A of the HAP Contract: Contract Information
(To prepare the contract, fill out all contract information in Part A.)
1. Contents of Contract
This HAP contract has three parts:
Part A: Contract Information
Part B: Body of Contract
Part C: Tenancy Addendum

2. Tenant

ROSA I MORENO CRUZ

3. Contract Unit
URB REXVILLE
CALLE 31 BJ-4
BAYAMON PR 00957

4. Household

The following persons may reside in the unit. Other persons may not be added to the household without prior writen approval of
the owner and the PHA.
ROSA I MORENO CRUz

2 JULIO C RENTAS ROSADO

3 CESIANN N RENTAS MORENO

4 CESAR JRENTAS MORENO

5. Initial Lease Term

The initial lease termbegins on (mm/dd/yyyy): 08/01/2022

The initial lease term ends on (mm/dd/yyyy): _ 11/30/2022
6. Initial Rent to Owner
The initial rent to owner is: $. $697.00
During the initial lease term, the owner may not raise the rent to owner.

7. Initial Housing Assistance Payment

The HAP contract term commences on the first day of the initial lease term. At the beginning of the HAP contract term, he amount
of the housing assistance payment by the PHA to the owner is $ $355.00 per month.
The amount of the monthly housing assistance payment by the PHA to the owner is subject to change during the HAP contract term
in accordance with HUD requirements.

Previous editions are obsolete Page 2 of 13 fom HUD-52641 (7/2019)

8. Utilities and Appliances
The owner shall provide or pay for the utilities/appliances indicated below by an "0". The tenant shall provide or pay for the
utilities/appliances indicated below by a "T". Unless otherwise specified below, the owner shall pay for all utilities and provide the
refrigerator and range/microwave.

Item Specify fuel type | Paid by

N/A
Heating | Natural gas Bottle gas Electric Heat Pump oil Other
T
Cooking U Natural gas Botle gas XElectric Other
Water Heating Natural gas Bottle gas Electric oil Other
T
Other Electric
T
Water
T
Sewer
N/A
Trash Collection
NA
Air Conditioning
Other (specify)
Provided by
T
Refrigerator
T
Range/Microwave
Signatures
Public Housing Agency Owner
ALBERTO ROLON ORTIZ (XXX-XX-8339)
MUNICIPALITY OF BAYAMON HOUSING DEPARTMENT MILDRE FRATICELLI TORRES (XXX-XX-2766)
Print or Type Name of PHA Print or Type lam of Owner

Signature Signature
Alexis Ellis Colón Owner
Print or Type Name and Title of Signatory Print or Type Name and Title of Signatory

07/29/2022 07/29/2022

Date (mm/dd/yyyy) Date (mm/dd/yyyy)

ALBERTO ROLON ORTIZ

Mail payments to:
MILDRE FRATICELLI TORRES
Name
URB EST CERRO GORDO
J2 CALLE 6
BAYAMON, PR 00957-6821

Address (street, city, state, zip code)

mildredfraticelli@yahoo.com
Email

Previous editions are obsolete Page 3 of 13 form HUD-52641 (7/2019)

 CIUDAD PR-2 Esquina Carretera PR- 1 74

SBAYAMON
VIVIENDA MUNICIPAL.
Marginal Residencial Virgilio Dovila
Bayamón, Puerto Rico 00960
Teléfono: (787) 786-1675 Fax: (787) 786-1032

lgualdad de Oportunidad en la Vivienda

Certificación
Yo, Alexis Ellis Colón, Directora del Departamento de la Vivienda del Municipio de Bayamón, Certifico
que el contrato suscrito por:

ALBERTO ROLON ORTIZ

URB EST CERRO

J2 CALLE 6
GORDO

BAYAMON, PR 00957-6821

dueño(s) de la propiedad antes mencionada. Esta propiedad fue arrendada al Sr.(a),

ROSA I MORENO CRUz ,satisface los requerimientos establecidos por el
Departamento de la Vivienda y Desarrollo Urbano de los Estados Unidos, en el programa de subvención bajo
la Sección 8 de la Ley de Vivienda y Desarrollo Comunal de 1974, según enmendada.
Los datos y términos de dicho contrato son los siguientes:
Número de Certificado y Vouchers: 870-CV
Número de Proyecto:
Número de Dormitorios: 3
Fecha Inicial del Contrato(mm/ddlyyyy): 08/01/2022
Fecha Final del Contrato(mm/dd/yyyy: 11/30/2022
Renta Contratada: $697.00
Aportación D.V.M. al Dueño: $355.00
Aportación del Inquilino al Dueño: $342.00
Pago de Utilidades al Inquilino: $0.00

El pago de subvención de renta se enviará a la siguiente dirrección postal:

Dueño: Inquilino:
ALBERTO ROLON ORTIZ ROSA I MORENO CRUZ
URB EST CERRO GORDO URB REXVILLE
J2 CALLE 6 BJ4 CALLE 31
BAYAMON, PR 00957-6821 BAYAMON PR 00957

A tales efectos, firmo la presente certificación, Hoy 29 de Julio de 2022

Atentamente,

Sra. Alexis Ellis Colón

Directora