Form SC-6 "Vacancy Claims Checklist" - Arizona

What Is Form SC-6?

This is a legal form that was released by the Arizona Department of Housing - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 4, 2012;
  • The latest edition provided by the Arizona Department of Housing;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SC-6 by clicking the link below or browse more documents and templates provided by the Arizona Department of Housing.

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Download Form SC-6 "Vacancy Claims Checklist" - Arizona

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Arizona Public Housing Authority 
 
 
 
VACANCY CLAIMS CHECKLIST
Property Name:
Unit No:
Submit the documentation listed below with each Vacancy Claim. Vacancy Claims must
be received within 180 days from the date the unit was ready for occupancy.
1. Completed Form HUD 52670A, Part 2
2. Completed Form HUD 52671C
3. Move-out information transmitted to APHA on (date):
4. Move-in information for new tenant transmitted to APHA on (date):
Include hard copy of move-in 50059 if before January 1, 2002
5. Copy of Move-Out Inspection
6. Documentation that appropriate security deposit was collected from tenant (copy of original
lease, rent ledger card, or copy of receipt for security deposit).
7. Copy of the security deposit disposition notice provided to the tenant. You may use APHA
Form SC-5 or your own as long the following information is provided:
Date 30-day notice provided
Move-out date
Reason for moving
Original deposit date and amount
Total amount eligible for refund
All charges itemized (unpaid rent, damages, cleaning, forfeiture)
Amount refunded to resident and date of refund
List the security deposit on Line 11 of form HUD-52671, ONLY IF the security deposit was
forfeited for failure to provide proper move-out notification and there is no damage claim for
this unit.
If also submitting a Special Claim for Unpaid Rent/Damages for the same unit, show the
security deposit amount on Line 1 of form HUD-52671-A (do not include on the vacancy claim
for the same unit).
8. Copy of maintenance records showing move-out date, start and finish of each process, and
date unit was ready for occupancy.
9. If unit preparation time more than 14 days or total length of vacancy more than 30 days,
include explanation.
(OVER)
Arizona Public Housing Authority 
 
 
 
VACANCY CLAIMS CHECKLIST
Property Name:
Unit No:
Submit the documentation listed below with each Vacancy Claim. Vacancy Claims must
be received within 180 days from the date the unit was ready for occupancy.
1. Completed Form HUD 52670A, Part 2
2. Completed Form HUD 52671C
3. Move-out information transmitted to APHA on (date):
4. Move-in information for new tenant transmitted to APHA on (date):
Include hard copy of move-in 50059 if before January 1, 2002
5. Copy of Move-Out Inspection
6. Documentation that appropriate security deposit was collected from tenant (copy of original
lease, rent ledger card, or copy of receipt for security deposit).
7. Copy of the security deposit disposition notice provided to the tenant. You may use APHA
Form SC-5 or your own as long the following information is provided:
Date 30-day notice provided
Move-out date
Reason for moving
Original deposit date and amount
Total amount eligible for refund
All charges itemized (unpaid rent, damages, cleaning, forfeiture)
Amount refunded to resident and date of refund
List the security deposit on Line 11 of form HUD-52671, ONLY IF the security deposit was
forfeited for failure to provide proper move-out notification and there is no damage claim for
this unit.
If also submitting a Special Claim for Unpaid Rent/Damages for the same unit, show the
security deposit amount on Line 1 of form HUD-52671-A (do not include on the vacancy claim
for the same unit).
8. Copy of maintenance records showing move-out date, start and finish of each process, and
date unit was ready for occupancy.
9. If unit preparation time more than 14 days or total length of vacancy more than 30 days,
include explanation.
(OVER)
10. Copy of Waiting List from which new tenant was selected or a copy of the Unit Transfer List if
new tenant is a unit transfer.
11. Documentation supporting status of waiting list and outcome of applicant contacts to include
date applicant was contacted, applicant response, status of applicant move-in.
12. If unit not filled from the waiting list or more than 90 days vacant, provide documentation of
marketing efforts that substantiate the date marketing occurred in accordance with the
AFHMP.
13. If vacancy is due to a tenant transferring to another unit, submit the following:
Documentation stating the reason for the transfer
Evidence security deposit was transferred or new security deposit was secured.
14. A copy of this completed Checklist
SC-6 (9.4.2012)
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