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No* City State Zip Code Subject Building if different from tenant s mailing address For the purpose of determining the right of a family member to a renewal lease or protection from eviction pursuant to rent regulations as described on the reverse side of this form the information below may be requested by owners or provided by tenants as follows by owners of rent stabilized apartments at any time but no more often than once in twelve months by tenants of rent stabilized and rent controlled apa ...

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