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--Landlord Agreement— <br /> Date: <br /> This is to confirm Dove Financial Assistance is agreeing to assist the following <br /> tenant with a ONE TIME rental assistance payment in the amount of$ <br /> for the month(s) of <br /> By signing this agreement, you are accepting this one-time assistance and are <br /> agreeing this tenant will be able to remain on/in your property for at least <br /> another 30 days. <br /> Please return this form to: Dove Financial Assistance 839 N Martin Luther King Tr <br /> Drive Decatur, Il 62521. <br /> Tenant/Client Name: <br /> Address of Tenant/Client: <br /> Landlord's Name: <br /> Address: <br /> Phone #: <br /> Landlord Signature: <br /> Supervisor's Signature: <br />