DECLINATION DECLARATION

APPENDIX 49

Sample Letter

DECLINATION

DECLARATION

STATEMENT

DECLINATION DECLARATION

STATEMENT

MUTUAL HELP PROGRAM

BUY OUT OFFER

4

am the named SUCCESSOR to the Mutual Help Unit formally occupied by

and located at

After reviewing my options, | have elected to Decline the opportunity to BUY OUT the

balance of the Mortgage on this Mutual Help home.

SO OG a G, UTTae

financial accounts.

| also understand that the home will be reclaimed by the Grand Traverse Band Tribal!

Housing Department, refurbished, and made available to the next “eligible” family on

the Mutual Help Waiting List.

(Signature of Successor) (Date)

Notary Seal

(Signature of Notary) (Date)

My commission expires on:

‘(Date)

GTBHD Form Letter # 64

04/02/02

APPENDIX 50

Sample Letter

REQUEST

for

TEMPORARY ABSENCE

DATE:

(Enter Date)

FROM:

(Clients Name)

TO: Grand Traverse Band Housing Department

SUBJ: REQUEST FOR TEMPORARY ABSENCE

It is necessary for me to be gone from my dwelling unit for a short period of time and

during that time, | would like to request a Temporary Absence so as not to loose the

dwelling unit.

Name of Head of Household:

Dwelling Unit Number / Apartment Number:

Dwelling Unit Location:

Current Mailing Address:

Current Phone Number:

Dates of Absence: From to

Reason for Absence:

| understand that this request can be for no more than ninety (90) calendar days. If it

goes beyond 90 days, the Housing Department shall reclaim the unit.

(Signature of Head of Household)

] GTBHD Form Letter # 63

04/0202

HOUSING DIRECTOR REVIEW

REVIEWED BY THE HOUSING DIRECTOR ON:

REQUEST HAS BEEN: _ [_] Approved

[-] Dis-Approved

COMMENTS:

(Signature - Housing Director)

cc: Resident Services Manager

Client File

2 GTBHD Form Letter # 63

04/02/02

APPENDIX 51

Sample Letter

INTENT

to

VACATE

DATE:

(Enter Date)

FROM:

(Clients Name)

TO: Grand Traverse Band Housing Department

SUBJ: Intent to Vacate

Per the terms and conditions of my Rental Lease / Homebuyer (MHOA) Agreement, this

letter is being submitted to serve notice of my intent to vacate my dwelling unit.

Name of Head of Household:

Dwelling Unit Number / Apartment Number:

Dwelling Unit Location:

Current Mailing Address:

Current Phone Number:

Forwarding Address:

Vacate Date:

Reason for Vacating ( Optional):

| would like to request a Pre-Move-Out Inspection: [_] Yes

(Signature of Head of Household)

[_] No

GTBHD Fonm Letter # 65

04/02/02

APPENDIX 532

Sample Letter

TERMINATION |

of

LEASE

NOTICE

Grand Traverse Band

of Ottawa and Chippewa Indians

Housing, Department [Xx .

2605 N. West Bayshore Dr.

Peshawbestown, MI 49682

Office: 231/271-4473 Fax: 231/271-2025

tt

‘S Ok terse @

fier.

ere

ha

Sa

the

im]

gues

4 \)

dataaet NS

NOTIFICATION OF

(Name of Client) | - . TERMINATION

(Address) i OF

LEASE AGREEMENT

(City, State, ZIP) °

Dear (Date)

Pursuant to your Rental Lease / Mutual Help and Occupancy (MHOA) Agreement, executed by

you with the Housing Department on _ , you are hereby

notified that your Rental Lease / Mutual Help and Occupancy (MHOA) Agreement to the

dwelling unit located at: «unit numbem, «unit area / city», is being terminated, effective thirty-

(30) calendar days from the date of this letter («date»).

The reason(s) your Rental Lease / Mutual Help and Occupancy (MHOA) Agreement is being

terminated are as follows:

You must vacate the property on or before («date»), as stated above. The property must be left

in a clean and good condition. The keys must be returned to the Housing Department. You

shall be responsible for any costs associated with repairs and / or clean up of the dwelling unit

Your failure to vacate the property shall result in EVICTION proceedings in Grand Traverse

Band Tribal Court. If court action is necessary, the Housing Department shall request that

you pay all legal fees, court costs, and attorney fees associated with the EVICTION.

If you wish to appeal the termination of your Rental Lease / Mutual Help and Occupancy

(MHOA) Agreement you must request a hearing. The request must be in writing, and submitted

within ten (10) calendar days of receipt of this notice. Your request must contain the reason(s)

for your appeal and must be delivered to the Housing Department. If your request for appeal

meets the above conditions, a hearing shall be scheduled at least five (5) calendar days prior to

the effective termination date of the Rental Lease / Mutual Help and Occupancy (MHOA)

Agreement.

Sincerely,

Housing Director

cc: Housing Attorney’s Office, Resident Services Manager, Client File

GTBHD Form Letter # 23

06/01/02

GRAND TRAVERSE CHARLEVOIX LEELANAU BENZIE MANISTEE ANTRIM

DATE:

(Enter Date)

FROM:

(Clients Name)

TO: Grand Traverse Band Housing Department

SUBJ: Intent to Vacate

Per the terms and conditions of my Rental Lease / Homebuyer (MHOA) Agreement, this

letter is being submitted to serve notice of my intent to vacate my dwelling unit.

Name of Head of Household:

Dwelling Unit Number / Apartment Number:

Dwelling Unit Location:

Current Mailing Address:

Current Phone Number:

Forwarding Address:

Vacate Date:

Reason for Vacating (Optional):

| would like to request a Pre-Move-Out Inspection: [[] Yes [] No

(Signature of Head of Household)

GTBHD Fonm Letter # 65

04/02/02

APPENDIX 53

Sample Form

UNIT TRANSFER

REQUEST

FORM

Grand Traverse Band

of Ottawa and Chippewa Indians

Housing, Department IX

2605 N. West Bayshore Dr.

Peshawbestown, MI 49682

Office: 231/271-4473 Fax: 231/271-2025

REQUEST FOR UNIT TRANSFER

TENANT NAME:

MAILING ADDRESS:

TELEPHONE NR: HOME: - WORK: -

YOUR CURRENT HOUSE NR: PROJECT NAME:

LOCATION:

(Pine View, River Falls, Bass Lake, etc.)

TYPE OF UNIT [ | Increase/Decrease in Family Size [| Emergency

TRANSFER

REQUEST: [] Medical [_] GangViolence [_] One-for-One Swap

| am requesting a transfer from a bedroom unit to a _ bedroom unit.

The circumstances, under which | am making this transfer request, are as follows:

(Use Additional Pages if Required)

ACKNOWLEDGMENTS

A. | understand that | am responsible for ALL Costs associated with moving, to

include cleaning, damages, repairs, etc. to my current residence.

B. | agree to pay for those costs as a pre-condition for consideration of this transfer

request.

] GTBED Fon # 11

04/02/02

GRAND TRAVERSE | CHARLEVOIX LEELANAU BENZIE MANISTEE ANTRIM

C. | understand that this cleaning and repair work must be done before the transfer

can take place.

D. | certify that | have NO ARREARAGES with my housing account or any Utility

Company. My current utility providers are:

ELEC: #8 es LP:

(Tenant Signature) (Date)

HOUSING DEPARTMENT USE ONLY ~

DATE RECEIVED: DATE REVIEWED:

RESIDENT SERVICES STAFF COMMENTS:

¢ .

CLIENTS. HOUSING DEPARTMENT FUNDWARE ACCOUNT CHECKED FOR ARREARS.

CURRENT BALANCE: $ AS OF VERIFIED BY:

(Enter Amount) (Date) (Staff Initials)

UTILITIES — GAS - CHECKED FOR ARREARS BY SENDING UTILITY VERIFICATION .

NAME OF COMPANY:

CURRENT BALANCE: $ AS OF VERIFIED BY:

(Enter Amount) (Date) (Staff Initials)

2 GTBHD Form # 1

04/02/02

UTILITIES — ELECTRIC - CHECKED FOR ARREARS BY SENDING UTILITY VERIFICATION.

NAME OF COMPANY:

CURRENT BALANCE: $ AS OF VERIFIED BY:

(Enter Amount) (Date) (Staff Initials)

¢ —%

REVIEWED BY DIRECTOR ON: INITIALS:

DIRECTORS COMMENTS:

cc: Resident Services Manager

Maintenance Division Manager

Rehabilitation Division Manager

Client File

3 GTBHD Form # 11

04/02/02

REQUEST FOR UNIT TRANSFER

ONE-FOR-ONE SWAP

, the Lease Holder for the

(Lease Holder Name)

bedroom rental unit , located in

(NR of Bedrooms) . (House/Apt NR) (Project Name or Area)

and , the Lease Holder for the

(Name of Other Lease Holder )

bedroom rental unit , located in

(NR of Bedrooms) (House/Apt NR) (Project Name or Area)

have agreed to a one-for one swap of units.

ACKNOWLEDGMENTS

4. | understand that | must accept in an “AS IS” condition.

(House/Apartment Number) ,

2. | understand that for record keeping purposes, this transfer must take place on the ‘st of

the month. .

3. — | agree to pay for all moving expenses incurred as a result of this transfer request.

4. | agree to take responsibility for notifying the utility and L.P. Gas companies of this

transfer prior to the scheduled move date.

5. | agree to have the Housing Department document the condition of my old home

(MOVE-OUT INSPECTION) and the condition of my new home (MOVE-IN

INSPECTION) within forty-eight (48) hours of the scheduled move date.

6. | agree to pay for any expense, resulting from this unit transfer, which may be incurred

by the Housing Department and that is my responsibility.

(Lease Holder Signature) (Date)

GTBHD Form # 12

04/02/02

HOUSING DEPARTMENT USE ONLY

DATE RECEIVED: DATE REVIEWED:

RESIDENT SERVICES STAFF COMMENTS:

FORWARDED TO DIRECTOR ON: INITIALS:

REVIEWED BY DIRECTOR ON: INITIALS:

DIRECTORS COMMENTS:

ce: Maintenance Division

Resident Services Manager

Client File

GTBHD Fonn # 12

04/02/02

APPENDIX 54

Sample Letter

DIRECT T.V.

SATELLITE DISH

INSTALLATION

DATE:

(Enter Date)

FROM:

(Clients Name)

TO: Grand Traverse Band Housing Department

SUBJ: Request to Install DIRECT T.Y. SATELLITE DISH

Per the terms and conditions of the Grand Traverse Band Housing Department

Occupancy Policy, | would like to request permission to install a DIRECT T.Y.

SATELLITE DISH at my dwelling unit.

Name of Head of Household:

Dwelling Unit Number / Apartment Number:

Dwelling Unit Location:

Current Mailing Address:

Current Phone Number:

| have read Section 46 (entitled: 7.V. Reception Options) of the Gray Wolf Tribal

Housing Department’s Occupancy Policy and understand what my responsibilities are

with regards to proper installation of a DIRECT T.V. SATELLITE DISH, paying for the

installation, and removing / disposing of the Dish / Cabling upon Move-Out.

(Signature of Head of Household)

1 GTBHD Form Letter # 66

04/07/02

HOUSING DIRECTOR REVIEW

REVIEWED BY THE HOUSING DIRECTOR ON:

REQUEST HAS BEEN: [-] Approved

[_] Dis-Approved

COMMENTS:

(Signature - Housing Director)

Distribution: Original to Clients Resident Services File

Copy to Clients Maintenance Division File

Copy to Client

2 CTBHD Form Letter # 66

oaoa/o2

APPENDIX 55

Sample Letter

SATELLITE DISH

INSTALLATION

DATE:

(Enter Date)

FROM:

(Clients Name)

TO: Grand Traverse Housing Department

SUBJ: Request to Install SATELLITE DISH

Per the terms and conditions of the Grand Traverse Band Housing Department

Occupancy Policy, | would like to request permission to install a SATELLITE DISH at my

dwelling unit.

Name of Head of Household:

Dwelling Unit Number / Apartment Number:

Dwelling Unit Location:

Current Mailing Address:

Current Phone Number:

| have read Section 46 (entitled: 7.V. Reception Options) of the Grand Traverse Band

Housing Department’s Occupancy Policy and understand what my responsibilities are

with regards to proper installation of a SATELLITE DISH, paying for the installation, and

removing / disposing of the Dish / Cabling upon Move-Out.

(Signature of Head of Household)

1 GTBHD Form Letter # 67

04/07/02

HOUSING DIRECTOR REVIEW

REVIEWED BY THE HOUSING DIRECTOR ON:

REQUEST HAS BEEN: [-] Approved

[_] Dis-Approved

COMMENTS:

(Signature - Housing Director)

Distribution: Original to Clients Resident Services File

Copy to Clients Maintenance Division File

Copy to Client

GTBHD Form Letter # 67

04/02/02

APPENDIX 56

Sample Letter

T.V. ANTENNA

INSTALLATION

DATE:

(Enter Date)

FROM:

(Clients Name)

TO: Grand Traverse Band Housing Department

SUBJ: Request to Install a T.V. ANTENNA

Per the terms and conditions of the Grand Traverse Band Housing Department

Occupancy Policy, | would like to request permission to install a T.V. ANTENNA at my

dwelling unit.

Name of Head of Household:

Dwelling Unit Number / Apartment Number:

Dwelling Unit Location:

Current Mailing Address:

Current Phone Number:

| have read Section 46 (entitled: 7.V. Reception Options) of the Grand Traverse Band

Housing Department’s Occupancy Policy and understand what my responsibilities are

with regards to proper installation of a T.V. ANTENNA, paying for the installation, and

removing / disposing of the Dish / Cabling upon Move-Out.

(Signature of Head of Household)

1 GTBHD Form Letter # 68

04/02/02

HOUSING DIRECTOR REVIEW

REVIEWED BY THE HOUSING DIRECTOR ON:

REQUEST HAS BEEN: [-] Approved

[_] Dis-Approved

COMMENTS:

(Signature - Housing Director)

Distribution: Original to Clients Resident Services File

Copy to Clients Maintenance Division File

Copy to Client

2 GTBHD Form Letter # 68

04/02/02

APPENDIX 37

Sample Letter

NOTIFICATION

of |

NEED FOR YARD UPKEEP

Grand Traverse Band

of Ottawa and Chippewa Indians

Housing, Department IX .

2605 N. West Bayshore Dr.

Peshawbestown, MI 49682 ee, Depart ag

Office: 231/271-4473 Fax: 231/271-2025

Established S

tg Cy

1980 >

eet »

sve

eZ

NOTIFICATION

(Name of Client)

Of

NEED FOR YARD UPKEEP

(Address)

(City, State, ZIP) (Date)

Dear

It has come to the attending of Grand Traverse Band Housing Department

management that you have not been keeping your yard up to the standards set forth in

our Occupancy Policy, and by which you agreed to abide.

We have determined that, dwelling unit number , located in the

housing area needs:

[] The Grass Cut

To have Debris-cleared from the Yard

L]

[] To have Snow Shoveled .

[] Other

You have seventy-two (72) hours, from the date of this notice, to complete this

work or the Housing Department shall make arrangements to have the work done on

your behalf. You will, however, be billed for the full cost of the service.

You are also advised, that continued non-compliance is grounds for Termination

of your Rental Lease / Homebuyer (MHOA) Agreement and Eviction.

If you have any questions, please call the Housing Department at (231) 271-

4473.

Sincerely,

Housing Pepariment Staff Signature

cc: Client File

GIBB Form Letter # 70

04/02/02

SRAND TRAVERSE CHARLEVOIX LEELANAU BENZIE MANISTEE ANTRIM

APPENDIX 58

Sample Letter

VISITOR |

ACCOMMODATIONS

REQUEST

DATE:

(Enter Date)

FROM:

(Clients Name)

TO: Grand Traverse Band Housing Department

SUBJ: Visitor Accommodations Request

Per the terms and conditions of my Rental Lease / Homebuyer (MHOA) Agreement and

the Grand Traverse Band Housing Department Occupancy Policy, | would like to

request permission to have visitors in my dwelling unit.

Name of Head of Household:

Dwelling Unit Number / Apartment Number:

Dwelling Unit Location:

Current Mailing Address:

Current Phone Number:

Visitor Information:

Name:

Age:

Relationship to Lease Holder:

Length of Stay:

Name:

Age:

Relationship to Lease Holder:

Length of Stay:

Name:

Age:

Relationship to Lease Holder:

Length of Stay:

Name:

Age:

Relationship to Lease Holder:

Length of Stay:

1 GTBRD Form Letter # 69

04/02/02

| have read Section 52 (entitled: Visitor Accommodations) of the Grand Traverse Band

Housing Department’s Occupancy Policy and understand what my responsibilities are

with regards to visitor accommodations. | also understand that if my visitors stay

beyond 30 calendar days, they must undergo the eligibility and screening process as

outlined in the Housing Department Admissions Policy.

(Signature of Head of Household)

HOUSING DIRECTOR REVIEW

REVIEWED BY THE HOUSING DIRECTOR ON:

REQUEST HAS BEEN: [-] Approved

[_] Dis-Approved

COMMENTS:

(Signature - Housing Director)

Distribution: Original to Clients Resident Services File

Copy to Client

2 GTBHD Fonm Letter # 69

04/02/02

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[Read from a scan; the first 30 pages.]