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    Declararion Financial Distress

    Uploaded by

    Matt Deringer

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Declararion Financial Distress

    Uploaded by

    Matt Deringer
    2 views2 pages

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    2 views2 pages

    Declararion Financial Distress

    Uploaded by

    Matt Deringer

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DECLARATION OF COVID-19-RELATED

    FINANCIAL DISTRESS

    Code of Civil Procedure Section 1179.02(d)

    I am currently unable to pay my rent or other financial obligations under the lease in full
    because of one or more of the following:

    1. Loss of income caused by the COVID-19 pandemic.


    2. Increased out-of-pocket expenses directly related to performing essential work
    during the COVID-19 pandemic.
    3. Increased expenses directly related to health impacts of the COVID-19
    pandemic.
    4. Childcare responsibilities or responsibilities to care for an elderly, disabled, or
    sick family member directly related to the COVID-19 pandemic that limit my
    ability to earn income.
    5. Increased costs for childcare or attending to an elderly, disabled, or sick family
    member directly related to the COVID-19 pandemic.
    6. Other circumstances related to the COVID-19 pandemic that have reduced my
    income or increased my expenses.

    Any public assistance, including unemployment insurance, pandemic unemployment


    assistance, state disability insurance (SDI), or paid family leave, that I have received
    since the start of the COVID-19 pandemic does not fully make up for my loss of income
    and/or increased expenses.

    Signed under penalty of perjury under the laws of the State of California.

    Signature

    Dated

    For information about legal resources that may be available to you, visit
    https://lawhelpca.org/.

    For information, resources, and support visit http://housingiskey.com or by calling


    1-833-422-4255.

    Page 1 of 1 Revised 1/28/2021


    DELIVERY OF DECLARATION OF
    COVID-19-RELATED FINANCIAL DISTRESS
    Code of Civil Procedure Section 1179.03(f)

    Pursuant to Code of Civil Procedure section 1179.03(f), a tenant may deliver the declaration of COVID-
    19-related financial distress to the landlord by any of the following methods:

    (1) In person, if the landlord indicates in the notice an address at which the declaration may be delivered
    in person.

    (2) By electronic transmission, if the landlord indicates an email address in the notice to which the
    declaration may be delivered.

    (3) Through United States mail to the address indicated by the landlord in the notice. If the landlord
    does not provide an address pursuant to subparagraph (1), then it shall be conclusively presumed that
    upon the mailing of the declaration by the tenant to the address provided by the landlord, the
    declaration is deemed received by the landlord on the date posted, if the tenant can show proof of
    mailing to the address provided by the landlord.

    (4) Through any of the same methods that the tenant can use to deliver the payment pursuant to the
    notice if delivery of the declaration by that method is possible.

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