SAMPLE ONLY - DO NOT FILL OUT. - Kentucky

1 settlement agreement and RELEASE AND WAIVER of LATE FEES, PENALTIES and INTEREST State of Kentucky COVID-19 Response Healthy at Home Eviction Relief Fund Funded via the Treasury Emergency Rental Assistance Program This settlement agreement and Release and Waiver of Late Fees, Penalties, and Interest ( agreement ) is entered into on _____, 2022, by and between: Month & Day LANDLORD: Landlord name as listed in Lease: Landlord s street address as listed in Lease: Unit/Suite/Apartment Number: City: State: Zip Code: TENANT(S): Tenant 1 Name as listed in Lease: Tenant 2 Name (if applicable): Unit Street Address listed in Lease ( Premises ) Unit/Apartment Number: City: State: Kentucky Zip Code: RECITALS Landlord and Tenant have agreed to accept assistance from the TreasuryEmergency Rental Assistance Program, as administered by the Commonwealth of Kentuckyand Kentucky Housing Corporation under the program name Healthy at Home EvictionRelief Fund ( HH-ERF ).

2 Purpose of this agreement is to set forth the terms of agreement between Landlordand Tenant where Tenant has accrued unpaid rent during the COVID-19 and Landlord have entered into a residential lease that predates this agreement . TERMS and Landlord acknowledge and agree that Tenant owes Landlord unpaid rent and/orrequires assistance with current/future agrees to forgive 100% of any late fees, interest, penalties, legal, and/or court feesrelated to nonpayment of rent since April 1, ONLYDO NOT FILL OUTH ealthy at Home Eviction Relief: settlement agreement Page 2 of 5 Landlord shall be paid as Rent.

3 The HH-ERF program, as administered by Kentucky Housing Corporation,shall pay Landlord $ _____ to cover rent arrearage, from _____, _____x Payment for Back Rent First month & year of back rent coveredthrough _____, _____. Last month & year of back rent covered and Future Rent: The HH-ERF program shall pay the Landlord for three (3)months of forward rent, totaling $_____, thereby paying for rent fromFuture Rent Amount_____, _____ through _____, month/year of forward rent Last month/year of future rent paid by HHERF will resume payments for current rent in _____, _____, providedTenant still resides at the Premises.

4 Next month/year Tenant necessary, Landlord and Tenant may enter into a separate payment plan for anyoutstanding rent arrearage not covered by exchange for payment from the HH-ERF program on behalf of Tenant to Landlord,Landlord agrees current written lease, signed by both Landlord and Tenant, exists for the of the date of this agreement , there is no other material violation of the Lease of the date of this agreement , settlement and compromise having been made,Landlord has no remaining factual or legal basis to pursue an action for possession noreviction as of the date of this shall not file nor cause to be filed a complaint for possession nor evictionbased upon unpaid rent nor late fees accruing as of the date of this , on its own behalf and on behalf of all successors in interest, forever waives,releases and discharges any claim for any rent-arrearage or late-fees for the monthslisted in Section 3a of this the event that only partial payment is made to Landlord pursuant to Section 3.

5 Suchpartial payment paid to Landlord shall be fully credited against Tenant s rent will credit the Current and Future Rent Amount toward Tenant s rent due forcurrent and future month(s), per Section 3b of this agrees to not initiate any action relating to the rent arrearage in Section 1that would affect the credit report of Tenant, nor to pursue collection against Tenantfor the period covered by this agrees to not pursue eviction of Tenant for any remaining rent arrearage notcovered by will allow Tenant 30 days from last day of the final month for which HH-ERFfunding covers rent before filing for late payment eviction proceedings for nonpaymentof rent or non-renewal of the waiting for the period outlined in Item h above.

6 Landlord will provide Tenant 15days notice of eviction for nonpayment of rent or non-renewal of the lease. This 15- SAMPLE ONLYDO NOT FILL OUTH ealthy at Home Eviction Relief: settlement agreement Page 3 of 5 day notice requirement is applicable for 90 days after from last day of the final month for which HH-ERF funding covers rent. the Tenant vacate Premises before the last month for which future rent hasbeen paid by HH-ERF, Landlord shall refund the remaining balance to the Tenant forTenant s use toward housing Landlord violate any provision of this agreement , Landlord shall be required toreturn the total amount of funds listed in Section 3 to the HH-ERF program, care ofKentucky Housing Corporation (1231 Louisville Road, Frankfort, KY 40601).

7 The event Landlord is required to return funds to the HH-ERF program, all otherprovisions of this agreement shall remain in and Attestations by acknowledges that by applying for and receiving federal assistance from Treasury s COVID-19 Emergency Rental Assistance Program, administered as HH-ERF by Kentucky Housing Corporation, that any fraudulent misrepresentation may bepunishable under State and/or Federal undersigned Landlord is the Landlord under the terms of the Lease (or agent ofLandlord acting with binding authority upon Landlord), and all information provided byLandlord to the HH-ERF program is true and accurate to the best of Landlord is no other material violation of the Lease by Tenant other than nonpayment the Landlord has disclosed to KHC all rental assistance from any private or publicfunding source and rent arrearage or future rent to be paid by HH-ERF is not aduplication of assistance coming from another private or public funding source.

8 Shoulda duplication of assistance occur, Landlord agrees that KHC may take any or all of thefollowing or recapture all or a portion of the amount of the payment to theLandlord under Section 3; may notify the administrator of such source; KHC administers the funding source, KHC may pursue any action allowed underthe rules of the private or public funding understanding this agreement , knowingly and willingly enters into it, and hashad the opportunity to discuss it with legal counsel, if and Attestations by the acknowledges that by applying for and receiving federal assistance from Treasury s COVID-19 Emergency Rental Assistance Program, administered as HH-ERF by Kentucky Housing Corporation.

9 That any fraudulent misrepresentation may bepunishable under State and/or Federal undersigned Tenant is the Tenant under the terms of the Lease, and allinformation provided by Tenant to the HH-ERF program in the application, in emails,and in phone calls is true and accurate to the best of Tenant s ONLYDO NOT FILL OUTH ealthy at Home Eviction Relief: settlement agreement Page 4 of 5 is no other material violation of the Lease by Tenant other than nonpayment the Tenant has disclosed to KHC all rental assistance from any private or publicfunding source and rent arrearage or future rent to be paid by HH-ERF is not aduplication of assistance coming from another private or public funding source.

10 Shoulda duplication of assistance occur, Tenant agrees that KHC may take any or all of thefollowing may notify the administrator of such source; KHC administers the public or private funding source, KHC may pursue anyaction allowed under the rules of the private or public funding the Tenant vacate the Premises before the last month for which future renthas been paid by HHERF, and should the Landlord refund the remaining balance to theTenant, the Tenant will use that refund for the Tenant s own housing , understanding this agreement , knowingly and willingly enters into it, and hashad the opportunity to discuss it with legal counsel.