The lease entered into effective       (date) between       (Tenant) and       (Owner)

 covering the rental property at       (address)

in       (city, state) is being amended.

The lease is amended to change the assisted unit from #       to #      .

The monthly rent amount will change from $      to $      .  

The tenant's rent payment remains at $      , the Housing Agency portion 

of rent is $     .    

The change will be effective for rent due      .    

The terms of this lease are extended to      .  

All other terms and conditions of the original lease remain the same.

                                                                                         Owner/Representative Signature

       Date

 __________                                                             __Tenant Signature      Date