RA-6R										
Rev. 1/24

ALABAMA DEPARTMENT OF TRANSPORTATION 
REPLACEMENT HOUSING PAYMENT DETERMINATION

Owner (  ), Tenant (  )						Project No. 							
Desires to:  Rent( 	), Purchase(	 ),				Tract No.   							
	      Retain Dwelling(  ), Build (  )			County     							

Name of Relocatee:  														
					
Address:		 														
				  
Type Displacement:	 Individual (   ),  Family (  )
Size Family: 			, Required No. Bedrooms: 				, Subject Living Area: 			
Number of Rooms: 			,   Bedrooms: 		,  Baths: 		
Monthly Fair Market Rent:  $			 
Average Monthly Contract Rent for Last Three Months: $				
Average Monthly Utilities:    Included in Rent         Not included in Rent 
              Electricity      		        	$			
              Water				     		$			
              Gas           		     		$			
              Other				     		$			
              Total				     		$			

Date of Occupancy:  			  Occupancy Date Verified by: 							

   Comp.	   Listing	  Living  								    	     Cost/Base 
     No.	    Date       Area   	              	Address				    Monthly Rent

		  	       	    									  			

Reasons why 	 (a., b., or c.) above in the amount of $				 selected:				

Rent Price plus utilities equals "Base Monthly Rent".

Methods of Determining Cost of Comparable Dwelling:
  A.   Three Comparables              B.   New Construction Cost
  C.   Mobile Home Cost               D.   Cost to Cure (Owner retention)

Replacement Housing Payment Calculation:
I.	Owner-Occupant in Possession 90 Days or More:                               

	A.	Desiring to Purchase:	(  )
	Cost of Comparable Dwelling (Method 		)				$					
                       Trade in Allowance  $			
	Less:	  State's Acquisition Payment $			
			 Prior Rental Payment $					=	$					

	CONDITIONAL REPLACEMENT HOUSING PAYMENT			$					

	B.	Desiring to Rent:		( )
		Base Monthly Rent of Comparable for 42 Months			$					
		Less: Base Monthly Fair Market Rent of Subject
			 Dwelling * $				 x 42            	=	$					
		   					   
	CONDITIONAL REPLACEMENT HOUSING PAYMENT                   $					

RA-6R
Rev. 1/24                             				 -2-

II.	Tenant for 90 Days or More:

	A.	Tenant Desiring to Rent: (  )
		Base Monthly Rent of Comparable for 42 Months			$					
		Less:  42 x Average Base Monthly Rental of
			$			 Paid Last 3 Months =
			$			 (a) if Reasonable; if not 
                 	Reasonable, 42 x Base Monthly Fair Market 
			Rent of * $			 = $			(b)
			(a) or (b)								$					

          	CONDITIONAL RENTAL REPLACEMENT HOUSING PAYMENT	$					

	B.	Tenant Desiring to Rent (Based on income)
	       Base Monthly Rent of Comparable for 42 months			$					
              Less:  42 x .30 of monthly gross household
                     income of $				 			=	$					

		CONDITIONAL RRHP (based on income)				$					

III.	Occupant Less than 90 Days (Replacement Housing of Last Resort)

A.	Owner Desiring to Rent: (  )
	Base Monthly Rent of Comparable for 42 Months			$					
	Less: Base Monthly Fair Market Rent of
	Subject Dwelling * $				 x 42			=	$					
	CONDITIONAL RENTAL REPLACEMENT HOUSING PAYMENT	$					
B.	Tenant Desiring to Rent: (  )
		Base Monthly Rent of Comparable for 42 months			$					
       	Less:  42 x .30 of monthly gross household
       		income of $				 			=	$					

		CONDITIONAL RRHP (based on income)				$					

When using item "B" for calculating the RHP, please attach a copy of the ROW-RA-3 showing the monthly income of the household and stating how the income was verified.

Approved Estimate for Handicap Accessibility Modifications: $				

Remarks: 																

Certification:  It is understood that the replacement housing payment herein approved is to be used in connection with a Highway Project and that I have no direct or indirect present or contemplated personal interest in this transaction, nor will I derive any benefit from the above calculated replacement housing payment.

Signature of person who computed payment: 								

Signed: 						  Signed: 						  Date: 		 		    Relocation Officer                               ROW Manager

Signed: 						  Date: 		
               Chief Relocation Officer

Attach supporting memorandum for payment based on Method "B", "C", or "D".

* From appraisal if supported, or otherwise supported under "Remarks".

(Attach Forms RA-6COMP)