Verification of Program Participation

This notice will verify the status of the following application, which has been submitted to the CA
COVID-19 Rent Relief Program. This notice is being provided in accordance with Code of Civil
Procedure section 1179.12.
If you have any questions, reach out to our Call Center at 1-833-430-2122 or by email at
EvictionPrevention@ca-rentrelief.com.

Case ID: 199056

Address: 2150 Monroe st , Apt 5, Santa clara, CA 95050
Application Status: Redirected to Local Program
Application Submission Date: 4/15/2021

Sincerely,
The California COVID-19 Rent Relief Program
 Rental
April 2020
May 2020
June 2020
July 2020
August 2020
September 2020
October 2020
November 2020
December 2020 $2,000.00
January 2021 $2,000.00
February 2021 $2,000.00
March 2021 $2,000.00
April 2021 $2,000.00
May 2021
June 2021
July 2021
August 2021
September 2021
October 2021
November 2021
December 2021
Arrears Payment Amount $10,000.00

Prospective Payment Amount $0.00

Total Payment Approved $10,000.00