Agreement to Conditions. I/We agree that a photocopy of this authorization may be used for the purposes stated above. I/We understand that I/We have the right to review this file and correct any information found to be incorrect. Applicant Signature Date Co-Applicant Signature Date Household Member (18 and over) Date Household Member (18 and over) Date Household Member (18 and over) Date Household Member (18 and over) Date This Instrument Prepared by: Xxxx X. Xxxxxx City Attorney’s Xxxxxx 0000 X. Xxxxxxxxxx Xxxx. Xxxxx 000 Xxxx Xxxxxxxxxx, XX 00000 THIS AGREEMENT is entered into this day of , 2020, by and between , whose mailing address is (the “LANDLORD”), and the City of Pembroke Pines, Florida, a Florida municipal corporation, whose mailing address is 000 Xxxx Xxxxxx Xxx, Xxxxxxxx Xxxxx, Xxxxxxx 00000 (the “CITY”).
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Samples: Covid 19 Emergency Rental Assistance and/or Utilities Program Application and Agreements, Covid 19 Emergency Rental Assistance and/or Utilities Program Application and Agreements, Covid 19 Emergency Rental Assistance and/or Utilities Program Application and Agreements