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application for a rent reduction based upon …(申请租金减少基于u2026)
State of New York Docket Number:
Division of Housing and Community Renewal
Office of Rent Administration
Web Site:
Application For A Rent Reduction
Based Upon Decreased Building-Wide Service(s)
1. Mailing Address of Tenant: 2. Mailing Address of Owner:
Name: Name:
Number/Street: Apt. No.: Number/Street:
City, City,
State, Zip Code: State, Zip Code:
Telephone No.: Bus. ( ) Telephone No.: ( )
Res. ( )
3. Subject Building (if different from tenants mailing address):
Number and Street Apartment Number City, State, Zip Code
Instructions To Tenant: Before filing this application, you should first notify the owner or agent in writing of all the service
decreases in this application. You should attach a copy of your letter and proof of delivery to the owner or agent . If you do not send
a letter to the owner or agent and attach a copy with proof of mailing, the owner/agent will be given additional time to respond to your
complaint.
Use this form to complain about decreased building-wide service(s) which you have not already reported to us. Mail or deliver the
original, plus one copy of the signed form, and one copy of all attachments, to t
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