Common use of Live-In Aide Clause in Contracts

Live-In Aide. A live-in aide is a person who resides with one or more elderly, near elderly residents, or a resident with a disability and who (a) is determined, by a knowledgeable professional, to be essential to the care and well- being of the resident, (b) is not obligated for the financial support of the resident, and (c) who would not be living in the dwelling unit except to provide the necessary supportive services. Prior approval of CHA is required to add a live-in aide to the household. EXECUTION AND CERTIFICATION By signature below, the Resident agrees to the Terms and Conditions of this Lease. By signature below, the Resident also acknowledges that this Lease Agreement have been thoroughly explained. I hereby certify that I have not committed fraud in connection with any federal housing assistance program. If I have committed fraud, such fraud was fully disclosed to the CHA before execution of the Lease or before CHA approval for occupancy of the unit. I further certify that all information or documents submitted to the CHA before and during the Lease term are true and complete to the best of my knowledge and belief. If I do give fraudulent information, I understand that my Lease may be terminated or my rent retroactively increased. Resident (Authorized Head of Household): Date: Co-head of Household (if applicable): Date: Property Manager: Date:

Live-In Aide. A live-in aide is a person who resides with one or more elderly, near elderly residents, or a resident with a disability and who (a) is determined, by a knowledgeable professional, to be essential to the care and well- well-being of the resident, (b) is not obligated for the financial support of the resident, and (c) who would not be living in the dwelling unit except to provide the necessary supportive services. Prior approval of CHA is required to add a live-in aide to the household. EXECUTION AND CERTIFICATION By signature below, the Resident agrees to the Terms and Conditions of this Lease. By signature below, the Resident also acknowledges that this Lease Agreement have been thoroughly explained. I hereby certify that I have not committed fraud in connection with any federal housing assistance program. If I have committed fraud, such fraud was fully disclosed to the CHA before execution of the Lease or before CHA approval for occupancy of the unit. I further certify that all information or documents submitted to the CHA before and during the Lease term are true and complete to the best of my knowledge and belief. If I do give fraudulent information, I understand that my Lease may be terminated or my rent retroactively increased. Resident (Authorized Head of Household): Date: Co-head of Household (if applicable): Date: Property Manager: Date:

Live-In Aide. A live-in aide is a person who resides with one or more elderly, near elderly residents, or a resident with a disability and who (a) is determined, by a knowledgeable professional, to be essential to the care and well- being of the resident, (b) is not obligated for the financial support of the resident, and (c) who would not be living in the dwelling unit except to provide the necessary supportive services. Prior approval of CHA is required to add a live-in aide to the household. EXECUTION AND CERTIFICATION By signature below, the Resident agrees to the Terms and Conditions of this Lease. By signature below, the Resident also acknowledges that this Lease Agreement have been thoroughly explained. I hereby certify that I have not committed fraud in connection with any federal housing assistance program. If I have committed fraud, such fraud was fully disclosed to the CHA before execution of the Lease or before CHA approval for occupancy of the unit. I further certify that all information or documents submitted to the CHA before and during the Lease term are true and complete to the best of my knowledge and belief. If I do give fraudulent information, I understand that my Lease may be terminated or my rent retroactively increased. Resident (Authorized Head of Household): Date: Co-head of Household (if applicable): Date: Property Manager: Date:

Live-In Aide. A live-in aide is a person who resides with one or more elderly, near elderly residents, or a resident with a disability and who (a) is determined, by a knowledgeable professional, to be essential to the care and well- being of the resident, (b) is not obligated for the financial support of the resident, and (c) who would not be living in the dwelling unit except to provide the necessary supportive services. Prior approval of CHA is required to add a live-in aide to the household. EXECUTION AND CERTIFICATION By signature below, the Resident agrees to the Terms and Conditions of this Lease. By signature below, the Resident also acknowledges that this Lease Agreement have has been thoroughly explained. I hereby certify that I have not committed fraud in connection with any federal housing assistance program. If I have committed fraud, such fraud was fully disclosed to the CHA before execution of the Lease or before CHA approval for occupancy of the unit. I further certify that all information or documents submitted to the CHA before and during the Lease term are true and complete to the best of my knowledge and belief. If I do give fraudulent information, I understand that my Lease may be terminated or my rent retroactively increased. Resident (Authorized Head of Household): Date: Co-head of Household (if applicable): Date: Property Manager: Date:

Live-In Aide. A live-in aide is a person who resides with one or more elderly, near elderly residents, or a resident with a disability and who (a) is determined, by a knowledgeable professional, to be essential to the care and well- well-being of the resident, (b) is not obligated for the financial support of the resident, and (c) who would not be living in the dwelling unit except to provide the necessary supportive services. Prior approval of CHA is required to add a live-in aide to the household. EXECUTION AND CERTIFICATION By signature below, the Resident agrees to the Terms and Conditions of this Lease. By signature below, the Resident also acknowledges that this Lease Agreement have been thoroughly explained. I hereby certify that I have not committed fraud in connection with any federal housing assistance program. If I have committed fraud, such fraud was fully disclosed to the CHA before execution of the Lease or before CHA approval for occupancy of the unit. I further certify that all information or documents submitted to the CHA before and during the Lease term are true and complete to the best of my knowledge and belief. If I do give fraudulent information, I understand that my Lease may be terminated or my rent retroactively increased. Resident (Authorized Head of Household): Date: Co-head of Household (if applicable): Date: Property Manager: Date: (A witness is only required where the resident’s signature is a “marking”.) Witness: Date: ATTACHMENTS TO THE LEASE Please initial that you received the following attachments and information: