C.M.R. 10, 144, ch. 113, Assisted Living Programs, app 144-113-F

Current through 2024-51, December 18, 2024
Appendix 144-113-F

This Appendix applies only if you rent your unit from an entity (the "Landlord") that is not the Provider.

A. Your Landlord is: _____________________________.
B. Your current monthly rent is:____________________.
C. Among other things, your lease provides that you will receive the following (check all that applies):

[] All housing costs (there will be no extra charges)

[] All housing costs except:

______________________________________________________

______________________________________________________

______________________________________________________

[] Semi-private room

[] Shared bathroom

[] Private room

[] Private bathroom

[] Efficiency apartment

[] One Bedroom Apartment

[] Two Bedroom Apartment

[] Other

D. Your lease is attached here for reference.

C.M.R. 10, 144, ch. 113, Assisted Living Programs, app 144-113-F