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FOR LANDLORDS.. <br />Certification of Loss of Rent due to the Coronavirus (Exhibit <br />The City is required to verify your revenue loss or rent loss due to the Coronavirus to <br />confirm that the City's payment is necessary. Exhibit B of the template Agreement is <br />the following documentation to demonstrate that the landlord has experienced a loss of <br />rent due to the Coronavirus during this same period last year compared to this year. <br />This information should include the entire property. If you have multiple properties and <br />you are unable to accept payment on behalf of all of them, please list each property <br />separately and provide the name of the property at the top of each list. <br />• Total rent payments received between January 1, 2019 to June 30, 2019: <br />$5,501,208 <br />• Total rent payments received between January 1, 2020 to June 30, 2020. <br />$5 579,716 <br />• Difference in Revenue / Rent between 2019 to 2020: <br />$78,508 *SEE NOTE <br />* NOTE: There was not a loss of rents when comparing 2020 to 2019, because rent increases <br />were issued during 2019 which raised the anticipated rental income (which we call Scheduled <br />Gross). In addition, the State of Emergency did not start until about March 4, 2020 after most <br />people had already paid their March rent, so 3 of the 6-month period above does not reflect <br />Coronavirus losses. <br />• Our 6-month Scheduled Gross for June, 2019 YTD was $5,761,552 <br />• Our 6-month Scheduled Gross for June, 2020 YTD was $6,014,532 <br />• Without Coronavirus, the rental income should have been $252,980 higher than 2019, <br />when it was only $78,508 or an approximate loss of $174,472. We also had a higher <br />occupancy rate in 2020 accounting for approximately $20,000 additional income. <br />This program is supported with Federal funding. According to Title 18, Section <br />1001 of the U.S. Code, it is a felony for any person to knowingly and willingly <br />make false or fraudulent statement to any department of the United States <br />Government. By providing my signature below, I certify under penalty of perjury, <br />that all the information on this application is correct to the best of my knowledge <br />and belief, and I acknowledge that such information is subject to verification. I <br />also acknowledge that my failure to provide necessary documents within a <br />reasonable period of time or falsification of this information shall be grounds for <br />my denial of assistance, and that I may be subject to prosecution under the law. I <br />authorize the release of said information to local, State and/or Federal agencies <br />and to City Santa Ana staff within five years of this date. <br />Landlord Name (Print): <br />Vicki Binford <br />Agent for Owner <br />Date: 8/17/2020 <br />Landlord Signature: <br />1,/d � � <br />t i ,.-Y.,.C�t <br />Date: � / ' <br />Coronavirus Emergency Rental Relief Fund for Landlords Page 16 <br />Application <br />