Attachment_E_-_RESIDENTIAL_DISPLACEMENT_INSPECTION_worksheet_1.pdf
PDF 52 KB Posted
- Attached to
- Realty Support Services Federal contract opportunity
- Solicitation number
- 140R2023Q0133
About this file
This document contains a residential displacement inspection worksheet and eligibility form. The form collects information about a tenant residing at a property including the number of persons in the household, their citizenship status, occupancy dates, property details like the number of rooms and square footage, and owned improvements that would need to be moved, reinstalled, or stored. It also requests needs regarding searching for a replacement location and potential assistance needs.
The related federal contract opportunity is a pre-solicitation notice from the Department of the Interior Bureau of Reclamation for realty support services. No other details are provided on products or services required, response dates, set-asides, incumbents or other salient information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_B_-_First_Steps_Relocation_Planning_Process_1.pdf | ||
| Attachment_A_-_Program_Map_Optimized_1.pdf | ||
| Real_Estate_PWS_August_2023_1.pdf | ||
| Attachment_D_-_Land_Acquisition_Process_-_handout_1.pdf | ||
| Attachment_C_-_Your_Rights_and_Benefits_--_Residential_-_Displacement_Inspection_Form_1.pdf |
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Text version
RESIDENTIAL DISPLACEMENT INSPECTION/ELIGIBILITY FORM
Please fill out items a and b below.
a. Individual. Please check one box and sign.
Certify that I am (a citizen of the United States______________________________
An alien lawfully present in the United States_______________________________
b. Family. Please fill in the correct number of persons residing at APN 074-130-009.
I certify that there are______ persons in my household and that ______ are citizens of the United States and _______ are aliens lawfully present in the United States.
The following is a checklist to assess the real property owned by the tenant at APN 074-130-009.
Tenant Occupancy Date: 1987 to present Number of residential homes:________ Number of rooms:______ Any with no furniture?______ Square footage of home:___________ Number of Tenant Owned Improvements:_______
Type of Improvement TO BE MOVED/REINSTALLED/STORED
Number of Household Appliances Owned by the Tenant
ITEM DIMENSIONS/WT TO BE
MOVED/REINSTALLED/STORED
Number of Tenant Owned Automobiles_________Number of non-op autos to be relocated _______
Type of Move
Professional Self Combination of Professional/Self
Needs for searching for a DSS replacement location discussion Rental Assistance/Down payment?
Government Housing Assistance
Mobile Home
File details come from the government source that posted it. Updated .