FORM 1 NOTICE TO TENANT OF LANDLORD'S RECEIPT OR

Department of Housing and Community Development | 1800 Martin Luther King, Jr. Avenue, SE, Washington, DC 20020 | 202.442.7200 | dhcd.dc.gov

GOVERNMENT OF THE DISTRICT OF COLUMBIA

DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

Housing Regulation Administration

Rental Conversion and Sale Division

FORM 1

NOTICE TO TENANT OF LANDLORD’S RECEIPT OR

SOLICITATION OF AN OFFER TO SELL THE

SINGLE-FAMILY ACCOMMODATION AND

NOTICE OF INTENT TO SELL

TENANT:

ADDRESS OF TENANT:

Washington DC, ZIP CODE:

MODE OF DELIVERY (check all that apply):

 hand-delivered

 delivered by certified mail

 delivered by first-class mail

 delivered by a delivery service providing delivery tracking confirmation

Re: ____________________________________________ (““Accommodation” address of the property)

____________________________________________ (“Landlord”)

To Whom It May Concern:

You are receiving this notification in compliance with D.C. Official Code §42-3404.09(b), (d),

and (e). The Landlord has either received or solicited a written offer to purchase the

Accommodation which is a Single Family Accommodation.

A Single-Family Accommodation means (A) a housing accommodation, whether freestanding or attached, and the

appurtenant land that contains: (i) one single-family dwelling; or (ii) one single-family dwelling with one accessory

dwelling unit or (B) a single rental unit in a condominium, cooperative, or homeowners association as that term is

defined in D.C. Official Code § 47-871(2). A Single-Family Dwelling means a structure, whether freestanding or

attached, that contains a room or group of rooms forming a single living space, which includes a kitchen, that is

intended to be used for living, eating, and sleeping, and the structure’s appurtenant land.

Department of Housing and Community Development | 1800 Martin Luther King, Jr. Avenue, SE, Washington, DC 20020 | 202.442.7200 | dhcd.dc.gov

FORM 1, PAGE 2 0F 3

If you:

1. signed a written rental agreement for the Accommodation on or before March 31, 2018; and

2. occupied the Accommodation by April 15, 2018; and

3. are elderly (62 years of age or older) or have a disability (see attached FORM 4 regarding

documentation to establish status as an elderly tenant or a tenant with a disability)

you may be entitled to rights under the District of Columbia’s Tenant Opportunity to Purchase

Act (TOPA), such as the ability to purchase the Accommodation or assign your right to

purchase the Accommodation. However, the only consideration you may receive in exchange

for assigning your right to purchase the Accommodation is the right to immediately use and

occupy your unit for a period of 12 months following the sale of the Accommodation at the rate

of rent charged as of the date of the Offer of Sale.

In order to assert your rights under TOPA, you must deliver to Landlord a response to this

notice within 20 days from the date this notice was delivered to you. FORM 2, attached as part

of this notice, is a sample letter that you may use to respond to Landlord. Additionally, you must

send the Mayor a copy of your response to Landlord. The District of Columbia’s Department of

Housing and Community Development (DHCD) will accept delivery on behalf of the Mayor at

the address listed on the bottom of FORM 2.

If you are eligible for rights under TOPA, you will receive a written Offer of Sale from the

Landlord; examples of said form are located on the DHCD website at dhcd.dc.gov. The

Landlord is not allowed to deliver this letter to you more than 60 days before delivering an

Offer of Sale to you. FORM 4, attached as part of this notice, is a letter that you may use to

send DHCD, on behalf of the Mayor, to support your claim of being elderly or disabled. You

must send evidence as indicated in FORM 4 and DHCD will make a determination within 30

days of receipt and notify you of such determination.

FORM 4 and the supporting

documentation should not be sent to the Landlord, only to DHCD.

It is your responsibility to prove that:

1. Within 20 days from the date this notice was delivered to you that you delivered your

response to Landlord and DHCD. If you do not send the required response to Landlord

and DHCD within 20 days from the date this notice was delivered to you, you will have

waived your TOPA rights.

2. Within 20 days of receiving a written Offer of Sale from the Landlord you sent DHCD, on

behalf of the Mayor, the documentation identified on FORM 4. Therefore, the use of

mailing options with tracking services (such as USPS Priority Mail, FedEx, UPS or a similar

service) is strongly encouraged, but not required.

Department of Housing and Community Development | 1800 Martin Luther King, Jr. Avenue, SE, Washington, DC 20020 | 202.442.7200 | dhcd.dc.gov

FORM 1, PAGE 3 0F 3

If you would like further information with responding to this notice and with understanding your

TOPA rights and obligations, you may contact:

Housing Counseling Services

2410 17th Street NW, Suite 100

Washington, DC 20009

(202) 667-7006

http://housingetc.org/

Latino Economic Development Corporation

641 S Street NW

Washington, DC 20009

202-588-5102

www.ledcmetro.org

DHCD Rental Conversion and Sale Division

1800 Martin Luther King Jr. Ave. SE

Washington, DC 20020

(202) 442-4407

D.C. Office of the Tenant Advocate

2000 14th Street, NW, Suite 300 North

Washington, DC 20009

(202) 719-6560

https://ota.dc.gov/

Sincerely,

_________________________________________________________________________________ Name of Landlord

_________________________________________________________________________________ Name of Landlord’s

Agent or Representative

_________________________________________________________________________________ Address

_________________________________________________________________________________

_________________________________________________________________________________ Telephone

_________________________________________________________________________________ Email

Enclosures

cc: (via hand delivery, first-class mail, certified mail, or a delivery service providing delivery

tracking confirmation to be sent same day as when sent to Tenant, with all enclosures) to:

Office of the Tenant Advocate

2000 14th Street, NW, Suite 300 N

Washington DC 20009

Rental Conversion and Sale Division

DC Department of Housing and Community Development

1800 Martin Luther King, Jr. Avenue, SE

Washington, DC 20020

Department of Housing and Community Development | 1800 Martin Luther King, Jr. Avenue, SE, Washington, DC 20020 | 202.442.7200 | dhcd.dc.gov

GOVERNMENT OF THE DISTRICT OF COLUMBIA

DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

Housing Regulation Administration

Rental Conversion and Sale Division

FORM 2

Letter to Landlord

THIS LETTER MUST BE DELIVERED TO THE LANDLORD AND DHCD WITHIN

20 DAYS OF DELIVERY OF THE NOTICE FROM LANDLORD TO YOU.

Date: ____________________________

Sent by:

 UPS, Federal Express or similar overnight delivery service providing delivery tracking

confirmation

 Hand

 First-Class Mail

 Certified Mail

NAME OF LANDLORD

ADDRESS OF LANDLORD

CITY, STATE, ZIP CODE

Re:

(“Single-Family Accommodation” or “Accommodation” address of property)

To Landlord:

I received your Notice to Tenant of Landlord’s Receipt or Solicitation of an Offer to Sell the

Single Family Accommodation and Notice of Intent to Sell dated ____________________.

I signed a rental agreement on or before March 31, 2018  Yes  No (Check one)

I occupied the Accommodation by April, 15, 2018  Yes  No (Check one)

I am 62 years of age or older  Yes  No (Check one)

*If yes, please refer to FORM 4

I have a disability  Yes  No (Check one)

*If yes, please refer to FORM 4

Department of Housing and Community Development | 1800 Martin Luther King, Jr. Avenue, SE, Washington, DC 20020 | 202.442.7200 | dhcd.dc.gov

FORM 2, PAGE 2 0F 2

Names of other tenants in the same Accommodation: ______________________________________________________

____________________________________________________________________________________________________________________________________________

I understand that by delivering this letter to Landlord and DHCD within 20 days after the

Landlord’s notice was delivered to me, that I am claiming to be elderly or disabled and to meet

the necessary requirements in order to receive rights under the Tenant Opportunity to Purchase

Act (TOPA). The next step would be for the Landlord to provide me with a written Offer of Sale,

substantially similar to FORM 3. I then have 20 days from receipt of the written Offer of Sale to

provide evidence supporting my claim of elderly or disabled status, and meeting the necessary

requirements in order to receive rights under TOPA, to DHCD, pursuant to FORM 4. DHCD will

make a determination and notify me within 30 days of receipt of FORM 4 and will not share the

evidence with the Landlord or anyone else.

I affirm the following:

 I must deliver this letter to Landlord and DHCD within 20 days after the Landlord’s

notice was delivered to me.

 I do not send this letter to Landlord and DHCD within 20 days after Landlord’s notice

was delivered to me, that I have waived my TOPA rights.

 If I am 62 years of age or older or have a disability and would like to invoke my rights

under TOPA that within 20 days of receipt of a written Offer of Sale, I have to deliver

FORM 4 and supporting documentation to DHCD.

______________________________________________________________________________________________________________________________________

SIGNATURE OF TENANT

______________________________________________________________________________________________________________________________________

NAME OF TENANT (print)

_______________________________________________________________________________________________________________________________________

ADDRESS

________________________________________________________________________________________________________________________________________

PHONE

________________________________________________________________________________________________________________________________________

Copy sent to DHCD:

Rental Conversion and Sale Division

DC Department of Housing and Community Development

1800 Martin Luther King, Jr. Avenue, SE

Washington, DC 20020

Department of Housing and Community Development | 1800 Martin Luther King, Jr. Avenue, SE, Washington, DC 20020 | 202.442.7200 | dhcd.dc.gov

GOVERNMENT OF THE DISTRICT OF COLUMBIA

DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

Housing Regulation Administration – Rental Conversion and Sale Division

FORM 4

Response Letter to DHCD

if claiming elderly or disabled status

THIS LETTER MUST BE DELIVERED TO DHCD, ON BEHALF OF THE MAYOR,

WITHIN 20 DAYS OF RECEIVING A WRITTEN OFFER OF SALE FROM LANDLORD.

Date: ____________________

Sent by:

 UPS, Federal Express or similar overnight delivery service providing delivery tracking

confirmation

 Hand

 First-Class Mail

 Certified Mail

Rental Conversion and Sale Division

DC Department of Housing and Community Development

1800 Martin Luther King, Jr. Avenue, SE

Washington, DC 20020

Re:

___________

_________________________________________________________________

___________

___________________________________________________________

(“Single-Family Accommodation” or “Accommodation” address of property)

To Whom it May Concern:

I received a written Offer of Sale from the Landlord on _____________________.

I signed a rental agreement on or before March 31, 2018  Yes  No (Check one)

I occupied the Accommodation by April, 15, 2018  Yes  No (Check one)

I am 62 years of age or older  Yes  No (Check one)

To prove this, I have enclosed one or more of these:

 Passport, or

 Birth Certificate, or

 District-issued Driver’s License, or

 District-issued identification card.

Department of Housing and Community Development | 1800 Martin Luther King, Jr. Avenue, SE, Washington, DC 20020 | 202.442.7200 | dhcd.dc.gov

FORM 4, PAGE 2 OF 2

I have a disability  Yes  No (Check one)

To prove this, I have enclosed one or more of these:

 Award letter for disability benefits from the U.S. Social Security Administration; or

 Letter from a physician stating that I have a disability.

Names of other tenants in the same Accommodation: ______________________

I affirm the following:

 I understand that if I am 62 years of age or older or have a disability, that I have

to deliver a copy of this letter to DHCD along with certain proof of my age or

disability within 20 days of receiving a written Offer of Sale from Landlord.

 I understand that if I do not deliver my responses on time, that I may have waived

my rights under the Tenant Opportunity to Purchase Act (TOPA).

___________

____________________________________________________________________________________________________________________________

SIGNATURE OF TENANT

_______________________________________________________________________________________________________________________________________

NAME OF TENANT (print)

_______________________________________________________________________________________________________________________________________

ADDRESS

_______________________________________________________________________________________________________________________________________

PHONE

_______________________________________________________________________________________________________________________________________