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<br />Special Amenities (Optional) <br /> <br />This Section is for optional use of the HA. It is designed to collect additional information about other positive features of the unit that may be <br />present. Although the features listed below are not included In the Housing Quality Standards, the tenant and HA may wish to take them into <br />consideration in decisions about renting the unit and the reasonableness of the rent. <br />Check/list any positive features found in relation to the unit. <br /> <br />1. living Room <br /> <br />o High quality noors or wall coverings <br /> <br />o Working fireplace or stove <br /> <br />o Balcony, patio, deck, porch <br /> <br />o Special windows or doors <br /> <br />o Exceptional size relative to needs of family <br /> <br />o Other: (Specify) <br /> <br />4. Bath <br /> <br />2. Kitchen <br /> 0 Dishwasher <br /> 0 Separate (reezer <br /> 0 Garbage disposal <br /> 0 Eating counter/breakfast nook <br /> 0 Pantry or abundant shelving or cabinets <br /> 0 Double oven/setf cleaning oven, microwave <br /> 0 Double sink <br /> 0 High quality cabinets <br /> 0 Abundant counler.lop space <br /> 0 Modern appliance(s) <br /> 0 Exceptional size relative to needs of family <br /> 0 Other: (Specify) <br /> <br />D Special feature shower head <br /> <br />D Built.in heat lamp <br /> <br />D Large mirrors <br /> <br />o Glass door on showerltub <br /> <br />o Separate dressing room <br /> <br />D Double sink or special lavatory <br /> <br />D Exceptional size relative to needs of family <br /> <br />o Other: (Specify) <br /> <br />5, Overall Characteristics <br /> <br />D Storm windows and doors <br /> <br />o Other forms of weatherization (e.g., insulation, weather stripping) <br /> <br />o Screen doors or windows <br /> <br />o Good upkeep of grounds O.e., site cleanliness, landscaping, <br /> <br />COl1ditionof~wn) <br /> <br />o Garage or parking facilities <br /> <br />o Driveway <br /> <br />o Large yard <br /> <br />o Good maintenance of building exterior <br /> <br />o Other: (Specify) <br /> <br />3. Other Rooms Used for Living <br /> <br />D High quality floors or wall coverings <br /> <br />D Working fireplace or stove <br /> <br />o Balcony, patio, deck, porch <br /> <br />o Special windows or doors <br /> <br />o Exceptional size relative to needs of family <br /> <br />o Other: (Specify) <br /> <br />6, Disabled Accessibility <br />Unit is accessible to a particular disability. <br />Disability ______~_~___~________ <br /> <br />DYes 0 No <br /> <br />D. Questions to ask the Tenant (Optional) <br />1. Does the owner make repairs when asked? Yes 0 <br /> <br />No 0 <br /> <br />2. How many people live there? _____________ <br />3. How much money do you pay to the owner/agent for rent? $ ___________ <br />4. Do you pay for anything else? (specify) ____ ____ ______________________ <br />5. Who owns the range and refrigeralor?(insert 0:: Owner or T = Tenant} Range ____ <br />6. Is there anything else you want to tell us? (specify) ________ ~_____________ <br /> <br />Refrigerator __ ____ <br /> <br />Microwave <br /> <br />Previous editions are obsolete <br /> <br />Page 19 of 20 <br /> <br />form HUD-52580-A (9//2000) <br />ref Handbook 7420.8 <br />