HousingOfficial formoptional

HUD-52675 Debts Owed to Public Housing Agencies and Terminations

Official owner U.S. Department of Housing and Urban Development

Official document

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Issued by: U.S. Department of Housing and Urban Development
Form number: HUD-52675
Last checked: Oct 19, 2026

Opens the copy posted by U.S. Department of Housing and Urban Development. Revision shown on our record: Unknown. Before using it, confirm the form number and revision match.

Edition caution: The official 2-page HUD PDF was retrieved October 19, 2026. Its displayed OMB expiration, Expires 06/30/2026, has passed, though HUD still posts this copy; the current edition is unknown, so ask your housing authority which version it uses.

HUD notice that housing authorities report money owed and some terminations to HUD's system; families sign that they received it.

What problem this helps solve

HUD notice that housing authorities report money owed and some terminations to HUD's system; families sign that they received it.

Who completes it: Each adult household member signs that they received the notice, usually at application or admission.

What this does not prove

Unpaid money owed to a housing authority can affect future assistance; ask about a repayment agreement before you move.

Dated source check

Official destination opened — currentness caution

The official 2-page HUD PDF was retrieved October 19, 2026. Its displayed OMB expiration, Expires 06/30/2026, has passed, though HUD still posts this copy; the current edition is unknown, so ask your housing authority which version it uses.

Last checked Oct 19, 2026. A working link does not establish the current edition, suitability, agency acceptance, or service availability.

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Steps for using this form

Use the official pathway

No One Left Outside's preparation notes summarize the dated sources in this record. Follow the agency's official instructions and current edition when they differ.

1. Check that this route fits

Stage and purpose: Understand how debts and terminations are reported before ending a tenancy or moving.
Who completes it: Each adult household member signs that they received the notice, usually at application or admission.
Jurisdiction: United States; Housing Choice Voucher program run by your local housing authority
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you

2. Prepare before starting

Ask your housing specialist if you owe anything before you move.

Documents named by the source

Ask your housing specialist for the current move or briefing packet; housing authorities often add their own local forms.

Fees and fee waivers: No HUD fee is printed on this form; ask your housing authority about any local charge.
Account: No account is needed to open this HUD PDF; your housing authority may use its own portal.
Appointment: UNKNOWN; ask your housing specialist.
Signature: Adult household members sign to acknowledge receipt.
Third-party certification or assessment: Unknown — confirm any certification, referral, or assessment with the official owner.

3. Follow official submission instructions

Read official instructions

Return it to your housing authority if asked.

4. Get help or an accommodation

HUD guidance on moving with a voucher (portability)
HUD's public page on moving with a voucher; your housing authority handles your actual request.

Languages: English PDF observed; ask your housing authority about other languages or interpretation.

Accessibility: Ask your housing authority for help completing it or for a reasonable accommodation. PDF accessibility was not evaluated by NOLO.

5. Know the supported next step

Keep a copy of any repayment agreement.

Restrictions and unresolved details

Reporting rules come from HUD; your housing authority applies them.

Unpaid money owed to a housing authority can affect future assistance; ask about a repayment agreement before you move.

Continue with your journey

Return to the connected step to decide what to do next. Opening this record does not complete that step or submit an application. If the official route is unavailable, use the assistance options above or browse help in the journey.

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Official title: HUD-52675 Debts Owed to Public Housing Agencies and Terminations
Form number: HUD-52675
Program: Housing Choice Voucher program (Section 8)
Jurisdiction: United States; Housing Choice Voucher program run by your local housing authority
Revision / edition: Unknown
Who completes it: Each adult household member signs that they received the notice, usually at application or admission.
Signature: Adult household members sign to acknowledge receipt.
Submission methods: Return it to your housing authority if asked.
Supporting documents: • Ask your housing specialist for the current move or briefing packet; housing authorities often add their own local forms.
Languages: English PDF observed; ask your housing authority about other languages or interpretation.
Accessibility: Ask your housing authority for help completing it or for a reasonable accommodation. PDF accessibility was not evaluated by NOLO.

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Source note: Unpaid money owed to a housing authority can affect future assistance; ask about a repayment agreement before you move.

No One Left Outside does not process this form, receive your answers, decide eligibility, or represent the agency. A destination check does not confirm current funding, acceptance, or an outcome.

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