Lynwood, CA · Los Angeles County

No notary required

TBRA Preliminary Interest Application

Lynwood renters use this preliminary application to express interest in Tenant-Based Rental Assistance and provide household, income, and qualifying-population information.

What this form is

This packet lets Lynwood renters complete a preliminary interest form and income self-certification for the Tenant-Based Rental Assistance (TBRA) program. It asks about household members, income, rental status, and qualifying-population eligibility, and includes a payment-acceptance form for the landlord or property manager. Submitting the interest form does not reserve funding or guarantee approval; the city will request a full application and supporting documents if the household is invited to continue.

Who needs it

Lynwood renters who meet the stated preliminary eligibility criteria and want to be considered for TBRA rental assistance should complete the applicant forms.

How to submit it

Send the completed interest, income self-certification, and landlord payment-acceptance forms to the Community Development Department, Attention: Antonio Solorzano, 11330 Bullis Road, Lynwood, CA 90262, or [email protected]. Do not send supporting documents with this form.

About notarization

This document is signed and dated without a notary; the applicant and property owner sign their respective forms, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the TBRA preliminary interest application packet.

  2. 2

    Complete The Applicant Forms

    Complete all pages of the interest and income self-certification forms, including household, income, and qualifying-population information.

  3. 3

    Ask Your Landlord To Complete Their Form

    Have the property owner or manager complete and sign the payment-acceptance form.

  4. 4

    Submit The Forms

    Send the completed forms to the Community Development Department by mail or email. Do not include supporting documents with this form.

Frequently asked questions

Do I need a notary for the TBRA Preliminary Interest Application?
No. The applicant and property owner sign their respective forms without a notary; no notarized or sworn attachment is mentioned.
How do I submit the TBRA Preliminary Interest Application?
Send the completed interest, income self-certification, and landlord payment-acceptance forms to Community Development, 11330 Bullis Road, Lynwood, CA 90262, or [email protected]. Do not send supporting documents with this form.
Does submitting this form guarantee rental assistance?
No. The form says submitting an interest form does not reserve funds or guarantee approval. The city will contact selected households to request a full application and supporting documents.
What information does the preliminary form ask for?
It asks about the applicant, household members and income, current rental status, and qualifying-population eligibility. A separate section asks the landlord or property manager for information and a signature.

Need something notarized?

This TBRA Preliminary Interest Application doesn’t need a notary — but if you have another Lynwood form that does, a commissioned online notary can help.