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Agent Authorization Form

  1. Instructions and Purpose

  2. Purpose

    This form may be used by a Landlord to authorize an agent to complete and file Richmond Rent Program forms on behalf of the Landlord.

  3. Property Information

  4. Agent Authorization

  5. Owner (Name on Title) Information

  6. Declaration

  7. Declaration: I am the owner of the property identified above. I hereby authorize and appoint the following agent to complete and execute, under penalty of perjury, the Richmond Rent Program Enrollment and Rent Increase forms for this property. I agree to be bound by each document filed by this person to the same extent as if I had completed the document and executed it under penalty of perjury myself.

  8. Signature Verification*

  9. Authorized Person and/or Property Management Company

  10. Signature

  11. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

  12. Signature Verification*

  13. Form Resubmission?

  14. Leave This Blank:

  15. This field is not part of the form submission.