Form RA-89 "Tenant's Complaint of Rent and/or Other Specific Overcharges in a Rent Stabilized Apartment" - New York

What Is Form RA-89?

This is a legal form that was released by the New York State Homes and Community Renewal - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the New York State Homes and Community Renewal;
  • 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 printable version of Form RA-89 by clicking the link below or browse more documents and templates provided by the New York State Homes and Community Renewal.

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Download Form RA-89 "Tenant's Complaint of Rent and/or Other Specific Overcharges in a Rent Stabilized Apartment" - New York

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STATE OF NEW YORK
DIVISION OF HOUSING AND
COMMUNITY RENEWAL
92-31 UNION HALL STREET
JAMAICA, NEW YORK 11433
Web Site: www.hcr.ny.gov
Rent Overcharge Application - Information
Attached is RA-89 "Tenant's Complaint of Rent and/or Other Specific Overcharges in a Rent Stabilized
Apartment." Please note that you are REQUIRED to submit all documentation in support of your claim of
rental overcharge at the time you submit this complaint. Please note that:
• all of the requested information/documentation is needed to process your complaint.
• the information requested is essential to accurately calculate your rent. Submitting as much information as
possible with your application will aid in reducing the time required to process your complaint.
See Fact Sheet #26 which summarizes the provisions governing lawful rent increases.
Before you file this complaint:
• You can request a computer printout of the Registration History for your apartment by contacting DHCR
(hcr.ny.gov/contact-us). This will show the rent for your apartment as registered by the building owner
within the past six years. While this printout does not represent a determination of the lawful rent for your
apartment, reviewing it in conjunction with Fact Sheet #26 should provide you with valuable information
about how your rent was computed by your building owner.
• If you still have questions, you may discuss them with your building owner.
• If you still feel you need to file a complaint, gather all documentation in support of your claim. This
includes cancelled checks, leases, rent receipts, signed consents for individual apartment improvements and
court decisions. Only documentation which relates to the subject apartment is needed.
• Complete all sections of the complaint and make copies of all your documentation. Submit two copies of
the complaint and documentation to DHCR and keep one copy for yourself. An incomplete complaint
will be returned to you.
Once your complaint is docketed, you will receive an acknowledgment in the mail.
RA-89.1 (12/19)
STATE OF NEW YORK
DIVISION OF HOUSING AND
COMMUNITY RENEWAL
92-31 UNION HALL STREET
JAMAICA, NEW YORK 11433
Web Site: www.hcr.ny.gov
Rent Overcharge Application - Information
Attached is RA-89 "Tenant's Complaint of Rent and/or Other Specific Overcharges in a Rent Stabilized
Apartment." Please note that you are REQUIRED to submit all documentation in support of your claim of
rental overcharge at the time you submit this complaint. Please note that:
• all of the requested information/documentation is needed to process your complaint.
• the information requested is essential to accurately calculate your rent. Submitting as much information as
possible with your application will aid in reducing the time required to process your complaint.
See Fact Sheet #26 which summarizes the provisions governing lawful rent increases.
Before you file this complaint:
• You can request a computer printout of the Registration History for your apartment by contacting DHCR
(hcr.ny.gov/contact-us). This will show the rent for your apartment as registered by the building owner
within the past six years. While this printout does not represent a determination of the lawful rent for your
apartment, reviewing it in conjunction with Fact Sheet #26 should provide you with valuable information
about how your rent was computed by your building owner.
• If you still have questions, you may discuss them with your building owner.
• If you still feel you need to file a complaint, gather all documentation in support of your claim. This
includes cancelled checks, leases, rent receipts, signed consents for individual apartment improvements and
court decisions. Only documentation which relates to the subject apartment is needed.
• Complete all sections of the complaint and make copies of all your documentation. Submit two copies of
the complaint and documentation to DHCR and keep one copy for yourself. An incomplete complaint
will be returned to you.
Once your complaint is docketed, you will receive an acknowledgment in the mail.
RA-89.1 (12/19)
Page Intentionally Left Blank
Docket Number:
State of New York
Division of Housing and Community Renewal
Office of Rent Administration
Web Site: www.hcr.ny.gov
Tenant's Complaint of Rent and/or Other Specific Overcharges
in a Rent Stabilized Apartment
Type or print in ink all information requested (write in the box)
1. Tenant's Last Name
First Name
Middle Initial
2. Current Mailing Address
Apartment No.
(Include Street Number and Name )
3. City
State
Zip Code
(Borough or Town)
4. Subject Building Address and Apartment Number
(If different from the above.)
5. Telephone Number
(Home) ____________________________________ (Day time)_________________________________
The information requested is necessary to process your complaint. Your complaint may not be accepted if
information is missing.
6.
I am a:
prime tenant
sub-tenant
hotel/SRO tenant
roommate:
(a) I have SCRIE or DRIE
Yes
No
(b) Section 8 Program:
None
U.S. Dept. of Housing & Urban Development
N.Y.C Housing Authority
Housing Choice Voucher
N.Y.C. Dept. of Housing and Preservation Development
7.
I live in a co-operative apartment.
Yes
No
8.
I moved into the subject apartment on _____/_____/_____ (Complete (a) or (b) below)
(a) with a written lease of ______ years, commencing on ____/____/____ and expiring on ____/____/____
at an initial rent of $__________ per month.
(b) without a written lease at an initial rent of $__________ per month.
9.
My current rent is $__________ per month.
10. Electricity
is
is not included in my rent.
- 1 -
RA-89 (12/19)
If you pay your rent to a Prime Tenant or any person other than the owner, complete Section 12.
11. Mailing Address of Owner/Agent:
12. Mailing Address of Prime Tenant:
Name:
Name:
Number/Street:
Number/Street:
Apt. No.:
City, State,
City, State,
Zip Code:
Zip Code:
Telephone Number: (
)
Telephone Number: (
)
13. I am complaining about Rent Overcharges from ____/____/____ to ____/____/____ arising from the
following item(s): (Check all that apply)
Major Capital Improvement (MCI) Increase(s)
Parking Charges
Individual Apartment Improvements (IAI)
Illegal Fees and/or Surcharges
Rent Reduction Order(s)
(please specify below in Section 14)
Missing Apartment Registrations
Security Deposits
(please specify below in Section 15)
14. Additional Information: (what are the rental events which you believe caused the alleged overcharge
within the last six years? Please list below and submit proof to support your claims).
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
15. Security Deposits: I am being charged $ __________ as a security deposit, which is more than one month's
rent.
A security deposit of $ __________ was paid to the owner/agent on _____/_____/_____.
(a) If you vacated the subject apartment did you use your security deposit to pay part of the rent?
Yes
No
16. Has the complaint in this application been raised in Court?
Yes
No
If yes:
it is pending, Index No. _______________
OR
A decision has been made, (ATTACH A COPY OF THE DECISION)
- 2 -
RA-89 (12/19)
17. Rental History: List your leases for the last six years or from the initial date of your occupancy if you
were in occupancy for less than six years. Start with the current lease. PLEASE ATTACH COPIES
Lease Period(s)
Additional Security Deposit Charged,
o
Lease Amount
N
From
To
Yes or No, If Yes, Write Amount Below
1
$
2
$
3
$
4
$
5
$
6
$
7
$
18. Rental Payments: Last six years or from the date of your initial occupancy (whichever is less). PLEASE
ATTACH PROOF OF PAYMENTS: cancelled checks, money orders and rent receipts.
Current Year
Last Year
2 Years Prior
3 Years Prior
4 Years Prior
5 Years Prior
6 Years Prior
Month & Year
___________
___________
___________
___________
___________
___________
___________
January
$
$
$
$
$
$
$
February
$
$
$
$
$
$
$
March
$
$
$
$
$
$
$
April
$
$
$
$
$
$
$
May
$
$
$
$
$
$
$
June
$
$
$
$
$
$
$
July
$
$
$
$
$
$
$
August
$
$
$
$
$
$
$
September
$
$
$
$
$
$
$
October
$
$
$
$
$
$
$
November
$
$
$
$
$
$
$
December
$
$
$
$
$
$
$
19. Carefully review the list below and indicate which documents you are attaching for review to
substantiate your calculations. If not fully completed, this form may be returned to you.
EVIDENCE ATTACHED:
Court Order (see Item 16)
Leases (see Item 17)
Rent Receipts (see Item 18)
Cancelled Checks, front & back (see Item 18)
Money Order Receipts, Rent Receipts (see Item 18)
- 3 -
RA-89 (12/19)
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