Appendix 5A - HUD
1. _____ Completed form HUD-52670-A, Part 2. 2. _____ Completed form HUD-52671-A. B. If claim is for both unpaid rent and other charges and tenant damages are for the same unit and tenant, the claim for tenant damages must be calculated on the same form HUD-52671-A and filed as one claim. C. Unpaid rent and other charges: 1.
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