Common use of and Older Clause in Contracts

and Older. Any person who obtains or attempts to obtain, or who establishes or attempts to establish, eligibility for and any person who knowingly or intentionally aids or abets such person in obtaining or attempting to obtain housing, or a reduction in public housing rental charges, or any rent subsidy, to which such person would not otherwise be entitled, by means of a false statement, failure to disclose information, impersonation, or other fraudulent scheme or devise shall be guilty of a crime. Upon conviction, such person may be fined and/or imprisoned under the laws and statutes of the State of Georgia. Z:\2016\Authority Plans and Policies\Non Partners\Blue Ridge, GA\Authority Policies\ACOP\Final Lease for HA City of Blue Ridge on 7.15.16.docx By the signatures below I/we also acknowledge that the Provisions of Part I of this Lease Agreement have been received and thoroughly explained to me/us. Tenant Date Spouse or Co-Tenant Date Other Adult Household Member Date Manager Date Witness Date Tenant’s Certification I, hereby certify that I, and other members of my Household, have not committed any fraud in connection with any federal housing assistance program, unless such fraud was fully disclosed to PHA before execution of this Lease or before PHA approval for occupancy of the unit by the Household member. I further certify that all information or documentation submitted by myself of other Household members to PHA in connection with any federal housing program (before and during the Lease term) are true and complete to the best of my knowledge and belief. Tenant’s Signature Date Attachments If indicated by an (X) below, PHA has provided Tenant with the following attachments and information: [ ] Part I of this Lease Agreement [ ] Lease Renewal Addendum [ ] Schedule of Maintenance and Other Charges (which may be updated by posting) [ ] Lead Hazard Information Pamphlet [ ] Lead Disclosure Addendum [ ] Other: Reference Current copies of the following policies, procedures and rules referenced in the Lease are posted in the PHA office and incorporated in the PHA Plan. These documents may be updated from time to time. They may be viewed during regular office hours. Single copies are available upon request. • Pet Policy • Community Service Policy • Housekeeping Standards • Grievance Procedure • Admissions and Continued Occupancy Policy • Schedule of Maintenance and Other Charges • Other: Part III. Disclosure Form for Target Housing Rentals and Leases Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor's Disclosure (initial)

and Older. Any person who obtains or attempts to obtain, or who establishes or attempts to establish, eligibility for and any person who knowingly or intentionally aids or abets such person in obtaining or attempting to obtain housing, or a reduction in public housing rental charges, or any rent subsidy, to which such person would not otherwise be entitled, by means of a false statement, failure to disclose information, impersonation, or other fraudulent scheme or devise shall be guilty of a crime. Upon conviction, such person may be fined and/or imprisoned under the laws and statutes of the State of GeorgiaArizona. Z:\2016\Authority Plans and Policies\Non Partners\Blue Ridge, GA\Authority Policies\ACOP\Final Lease for HA City of Blue Ridge on 7.15.16.docx By the signatures below I/we also acknowledge that the Provisions of Part I of this Lease Agreement have been received and thoroughly explained to me/us. Tenant Date Head of Household Spouse or Co-Tenant Head Date Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date PHA Manager Date Witness Date Tenant’s Certification I, hereby certify that I, and other members of my Household, have not committed any fraud in connection with any federal housing assistance program, unless such fraud was fully disclosed to PHA before execution of this Lease or before PHA approval for occupancy of the unit by the Household member. I further certify that all information or documentation submitted by myself of other Household members to PHA in connection with any federal housing program (before and during the Lease term) are true and complete to the best of my knowledge and belief. Tenant’s Head of Household Signature Date Attachments If indicated by an (X) below, PHA has provided Tenant with the following attachments and information: [ ] Part I of this Lease Agreement [ ] Lease Renewal Addendum Applicant/Tenant Certification [ ] Schedule of Maintenance Repairs and Other Charges (which may be updated by posting) [ ] Lead Hazard Information Pamphlet [ ] Lead Disclosure Addendum Addendum, if applicable [ ] Notice of Occupancy Rights under the Violence Against Women Act and Certification Form [ ] Community Service and Self-Sufficiency Requirement Policy [ ] Grievance Procedures [ ] House Rules [ ] Housekeeping Policy [ ] Pet Policy [ ] Assistance Animal Policy [ ] Family Choice of Rent Form [ ] Security Deposit Payment Agreement (if applicable) [ ] Smoke Free Policy [ ] Other: Reference Current copies of the following policies, procedures and rules referenced in the Lease are posted in the PHA office and incorporated in the PHA Plan. These documents may be updated from time to time. They may be viewed during regular office hours. Single copies are available upon request. • Pet Policy • Community Service Policy • Housekeeping Standards • Grievance Procedure • Admissions and Continued Occupancy Policy • Utility Allowance Schedule of Maintenance and Other Charges • Flat Rent Schedule • Other: Part III. Disclosure Form for Target Housing Rentals and Leases Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor's Disclosure (initial)

and Older. Any person who obtains or attempts to obtain, or who establishes or attempts to establish, eligibility for and any person who knowingly or intentionally aids or abets such person in obtaining or attempting to obtain housing, or a reduction in public housing rental charges, or any rent subsidy, to which such person would not otherwise be entitled, by means of a false statement, failure to disclose information, impersonation, or other fraudulent scheme or devise shall be guilty of a crime. Upon conviction, such person may be fined and/or imprisoned under the laws and statutes of the State of GeorgiaKentucky. Z:\2016\Authority Plans and Policies\Non Partners\Blue Ridge, GA\Authority Policies\ACOP\Final Lease for HA City of Blue Ridge on 7.15.16.docx By the signatures below I/we also acknowledge that the Provisions of Part I of this Lease Agreement have been received and thoroughly explained to me/us. Tenant Date Head of Household Spouse or Co-Tenant Head Date Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date PHA Manager Date Witness Date Tenant’s Certification I, hereby certify that I, and other members of my Household, have not committed any fraud in connection with any federal housing assistance program, unless such fraud was fully disclosed to PHA before execution of this Lease or before PHA approval for occupancy of the unit by the Household member. I further certify that all information or documentation submitted by myself of other Household members to PHA in connection with any federal housing program (before and during the Lease term) are true and complete to the best of my knowledge and belief. Tenant’s Head of Household Signature Date Attachments If indicated by an (X) below, PHA has provided Tenant with the following attachments and information: [ ] Part I of this Lease Agreement [ ] Lease Renewal Addendum Applicant/Tenant Certification [ ] Schedule of Maintenance Repairs and Other Charges (which may be updated by posting) [ ] Lead Hazard Information Pamphlet [ ] Lead Disclosure Addendum Addendum, if applicable [ ] Notice of Occupancy Rights under the Violence Against Women Act and Certification Form [ ] Community Service Requirements [ ] Grievance Procedures [ ] Housekeeping Policy [ ] Pet Policy [ ] Family Choice of Rent Form [ ] Security Deposit Payment Agreement (if applicable) [ ] Smoke Free Policy [ ] Other: Reference Current copies of the following policies, procedures and rules referenced in the Lease are posted in the PHA office and incorporated in the PHA Plan. These documents may be updated from time to time. They may be viewed during regular office hours. Single copies are available upon request. • Pet Policy • Community Service Policy • Housekeeping Standards • Grievance Procedure • Admissions and Continued Occupancy Policy • Utility Allowance Schedule of Maintenance and Other Charges • Flat Rent Schedule • Other: Part III. Disclosure Form for Target Housing Rentals and Leases Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor's Disclosure (initial)

and Older. Any person who obtains or attempts to obtain, or who establishes or attempts to establish, eligibility for and any person who knowingly or intentionally aids or abets such person in obtaining or attempting to obtain housing, or a reduction in public housing rental charges, or any rent subsidy, to which such person would not otherwise be entitled, by means of a false statement, failure to disclose information, impersonation, or other fraudulent scheme or devise shall be guilty of a crime. Upon conviction, such person may be fined and/or imprisoned under the laws and statutes of the State of GeorgiaArizona. Z:\2016\Authority Plans and Policies\Non Partners\Blue Ridge, GA\Authority Policies\ACOP\Final Lease for HA City of Blue Ridge on 7.15.16.docx By the signatures below I/we also acknowledge that the Provisions of Part I of this Lease Agreement have been received and thoroughly explained to me/us. Tenant Date Head of Household Spouse or Co-Tenant Head Date Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date PHA Manager Date Witness Date Tenant’s Certification I, hereby certify that I, and other members of my Household, have not committed any fraud in connection with any federal housing assistance program, unless such fraud was fully disclosed to PHA before execution of this Lease or before PHA approval for occupancy of the unit by the Household member. I further certify that all information or documentation submitted by myself of other Household members to PHA in connection with any federal housing program (before and during the Lease term) are true and complete to the best of my knowledge and belief. Tenant’s Head of Household Signature Date Attachments If indicated by an (X) below, PHA has provided Tenant with the following attachments and information: [ ] Part I of this Lease Agreement [ ] Lease Renewal Addendum Applicant/Tenant Certification [ ] Schedule of Maintenance Repairs and Other Charges (which may be updated by posting) [ ] Lead Hazard Information Pamphlet [ ] Lead Disclosure Addendum Addendum, if applicable [ ] Notice of Occupancy Rights under the Violence Against Women Act and Certification Form [ ] Community Service and Self-Sufficiency Requirement Policy [ ] Grievance Procedures [ ] House Rules [ ] Housekeeping Policy [ ] Pet Policy [ ] Assistance Animal Policy [ ] Family Choice of Rent Form [ ] Security Deposit Payment Agreement (if applicable) [ ] Smoke Free Policy [ ] Other: Reference Current copies of the following policies, procedures and rules referenced in the Lease are posted in the PHA office and incorporated in the PHA Plan. These documents may be updated from time to time. They may be viewed during regular office hours. Single copies are available upon request. • Pet Policy • Community Service Policy • Housekeeping Standards • Grievance Procedure •  Admissions and Continued Occupancy Policy •  Utility Allowance Schedule of Maintenance and Other Charges •  Flat Rent Schedule  Other: Part III. Disclosure Form for Target Housing Rentals and Leases Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor's Disclosure (initial)

and Older. Any person who obtains or attempts to obtain, or who establishes or attempts to establish, eligibility for and any person who knowingly or intentionally aids or abets such person in obtaining or attempting to obtain housing, or a reduction in public housing rental charges, or any rent subsidy, to which such person would not otherwise be entitled, by means of a false statement, failure to disclose information, impersonation, or other fraudulent scheme or devise shall be guilty of a crime. Upon conviction, such person may be fined and/or imprisoned under the laws and statutes of the State of GeorgiaWest Virginia. Z:\2016\Authority Plans and Policies\Non Partners\Blue Ridge, GA\Authority Policies\ACOP\Final Lease for HA City of Blue Ridge on 7.15.16.docx By the signatures below I/we also acknowledge that the Provisions of Part I of this Lease Agreement have been received and thoroughly explained to me/us. Tenant Date Head of Household Spouse or Co-Tenant Head Date Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date Other Adult Household Member Date PHA Manager Date Witness Date Tenant’s Certification I, hereby certify that I, and other members of my Household, have not committed any fraud in connection with any federal housing assistance program, unless such fraud was fully disclosed to PHA before execution of this Lease or before PHA approval for occupancy of the unit by the Household member. I further certify that all information or documentation submitted by myself of other Household members to PHA in connection with any federal housing program (before and during the Lease term) are true and complete to the best of my knowledge and belief. Tenant’s Head of Household Signature Date Attachments Acknowledgment If indicated by an (X) below, PHA has provided Tenant with the following attachments and information: [ ] Part I of this Lease Agreement [ ] Lease Renewal Addendum [ ] Schedule of Maintenance Tenant Repairs and Other Charges (which may be updated by posting) [ ] Lead Hazard Information Pamphlet [ ] Lead Disclosure Addendum Based Paint Notification and Certification [ ] Notice of Occupancy Rights under the Violence Against Women Act and Verification Form [ ] Community Service and Self-Sufficiency Requirement Policy [ ] Grievance Procedures [ ] Housekeeping Policy [ ] Pet Policy [ ] Family Choice of Rent Form [ ] Security Deposit Payment Agreement (if applicable) [ ] Code of Conduct Policy [ ] Earned Income Disallowance Policy [ ] No Trespass Policy [ ] Minimum Rent Hardship Exemption [ ] Pest Control Policy [ ] Smoke-Free Policy [ ] New Tenant Orientation [ ] Tenant Handbook Other: Head of Household Date Other Adult Household Member Date Other Adult Household Member Date Witness Reference Current copies of the following policies, procedures and rules referenced in the Lease are posted in the PHA office and incorporated in the PHA Plan. These documents may be updated from time to time. They may be viewed during regular office hours. Single copies are available upon request. • Pet Policy • Community Service Policy • Housekeeping Standards • Grievance Procedure •  Admissions and Continued Occupancy Policy •  Utility Allowance Schedule of Maintenance and Other Charges •  Flat Rent Schedule  Other: Part III. Disclosure Form for Target Housing Rentals and Leases Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor's Disclosure (initial)Hazards