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_ Impacted Tenants List (Fxhibft A) <br />This List will become Cxhlbll A of tho Grant Agreament that you wilt enter into with the Gly of Sents Ana. <br />Households with a Housing Choice Voucher, also known as Section 8, or those who receive other <br />government rental assistance are not sllgiblo. Tenants that you plan to evict are not eligible, It Is your <br />decision folnolude which tenants quality on this list please ensure you have: t) a signed copy of fhe <br />Lease Agreement ved(ying occupancy for 00 tenants on the Impacted Tenants List far whom you are <br />",,eking a""'stance ?� documentation on file for ell tenents on the Impacted Tenants List that <br />demonstrate that fhe tenant hae boon Impacted by Cvronavirus and have foal Jobs, had their work hours <br />reduced, or have expadoncod a loss of income due to the economic or health impacts of Coronavims and <br />who have bean unable to maintain their rent payments under their lease agreements. Insufficient or <br />missing documentation may cause a delay In processing or, in some cases, a denial of the application. <br />Additional documentation may be requested during the review of your application, t hereby attest that the <br />Mcted Tenants fisted below W11 be released from any mrttalning obligation for any rent arrears owed <br />y Wowing payment by the 01y of Santa Ana (80%); <br />♦* M. GF....firmer'w. 6..ln..........,:<_ ______:. __.... ... I .. . .. ,. .. <br />Property Name: Reserve at South Coast <br />Property Address: 3124 S. Main St Santa Ana ca 92107 <br />Tax 10 for Payment: 81-3207000 <br />Full Name of Tenant <br />(as stated on the Lease) <br />Address of Tenants Rental Unit <br />Total Amount <br />of Rent Arrears <br />Owed <br />Beabiz Arzate, <br />3164 S Main St 27E, S.A. Ca, 92707 <br />$8,214.99 <br />Manuel Ayala- Calderon <br />3022 S. Mein St,7$A SA.Ca 92707 <br />9000,00 <br />Louis Ves uez <br />3141 S. Main St, 23F, S.A. Ca 92707 <br />Victoria Gonzalez <br />3162 S. Main St 25A, S.A. Co.92707 <br />Octavio lasso Sierra <br />3122 S.Maln St 118, S.A. Ce 92707 <br />Elizabeth Sanchez <br />3126 S.Maln $t 190. S.A. Ca, 92707 <br />=3_ <br />Mi am Fre oso <br />3118 S. Main St 12E, S.A. Ca 02107 <br />Alex Montez <br />3136 S. Main St 16E, S.A. Ca 92707 <br />Manuel Penafiel <br />3008 S. Main St 88F SA. Ce 92707 <br />$10 476.00 <br />Robert Rodriguez <br />3032 S. Main St 760 SA. Ca 92707 <br />$7,666.86 <br />Adrian Montano <br />3140 S. Main St 16C, S.A. Co 92707 <br />$5,985.00 <br />Susan Hernandez <br />3048 S.Maln St 66A S.A. Ca 92707 <br />$6,990.00 <br />Jessica Albino <br />3244 S. Mien St 70, S.A. ca 92707 <br />$6,286.00 <br />To Amount of Assistance <br />Requested <br />$101,630.94 <br />Coronavlrus Emergency Rental Relief Fund for Landlords page 13 <br />Application <br />