Nebraska Residential Rent Increase Notice

Nebraska Residential Rent Increase Notice

Use this form only after completing every legal, lease, delivery, coverage, and program check below.

Nebraska Lease, Timing, and Electronic-Delivery Gate

Nebraska Revised Statute § 76-1437 permits termination of a week-to-week tenancy by written notice at least 7 days before the termination date and termination of a month-to-month tenancy by written notice at least 30 days before the periodic rental date specified in the notice. It is a termination statute, not standalone rent-increase authority. Identify the lawful lease-modification or renewal basis and have counsel confirm the controlling period.

If electronic delivery is used under § 76-1413 as amended by 2025 LB 185, verify the tenant's affirmative consent, required disclosures, ability to withdraw consent, receipt requirements, and any required nonelectronic fallback. Do not assume ordinary email alone is sufficient.

• Lease, renewal, or tenancy basis for the increase identified: ☐ Yes
• Fixed-term increase expressly authorized or deferred until term end: ☐ Yes
• Applicable 7-day or 30-day timing gate satisfied: ☐ Yes ☐ Not applicable
• Electronic delivery requirements fully satisfied: ☐ Yes ☐ Not applicable
• Fair-housing review confirms the increase is not based on a protected characteristic: ☐ Yes
• Subsidy rules, deed restrictions, emergency orders, and local requirements checked: ☐ Yes

1. Property, Parties, and Tenancy

• Date of notice: [__/__/____]
• Housing provider/agent: [________________________________]
• Tenant(s): [________________________________]
• Property address/unit: [________________________________]
• Tenancy: ☐ Fixed term ending [__/__/____] ☐ Month-to-month ☐ Week-to-week ☐ Other: [________]
• Lease section authorizing change/renewal: [________________________________]
• Periodic rental date: [__/__/____]

2. Increase Calculation and Effective Date

Calculation: (proposed amount − current amount) ÷ current amount × 100 = [____]%.

3. Notice to Tenant

Date: [__/__/____]

To: [TENANT NAME(S)]
At: [PROPERTY ADDRESS AND UNIT]

This is written notice that, beginning [EFFECTIVE DATE], the monthly rent and any disclosed recurring housing charges for the premises will change:

• Current monthly amount: $[________]
• New monthly amount: $[________]
• Change: $[________] ([____]%)

The new amount is due on the regular rent-payment date and must be paid by the method stated in the rental agreement, unless the parties sign a different lawful agreement. All other terms remain unchanged except as expressly stated here:

[____________________________________________________________]

Legal/lease basis and applicable notice period:

[____________________________________________________________]

This notice does not waive any tenant right or housing-provider duty under controlling federal, state, local, subsidy, or other program law.

Housing provider/authorized agent: [________________________________]

Signature: [________________________________] Date: [__/__/____]

Contact/address for lawful communications: [________________________________]

4. Service and Proof

Permitted service method verified under current controlling law and the rental agreement: ☐ Yes

• Method: ☐ Personal delivery ☐ Mail ☐ Statutorily compliant electronic delivery ☐ Other lawful method: [________]
• Person/address served: [________________________________]
• Date/time sent, delivered, or mailed: [__/__/____] [____]
• Electronic consent/disclosures retained: ☐ Yes ☐ Not applicable
• Receipt confirmed as required: ☐ Yes ☐ Not applicable
• Nonelectronic fallback completed when required: ☐ Yes ☐ Not applicable
• Tracking/certificate/witness: [________________________________]

Server name/signature/date: [________________________________]

5. File Record

• Signed lease and amendments retained: ☐ Yes
• Legal basis and timing analysis retained: ☐ Yes
• Electronic-delivery consent and proof retained: ☐ Yes ☐ Not applicable
• Current state, local, and program sources saved or cited: ☐ Yes
• Copy of notice and service proof retained: ☐ Yes

Sources and References

• 42 U.S.C. § 3604 — https://uscode.house.gov/view.xhtml?req=(title:42%20section:3604%20edition:prelim)
• Neb. Rev. Stat. § 76-1437 — Nebraska Legislature — https://nebraskalegislature.gov/laws/statutes.php?statute=76-1437
• 2025 LB 185 — Nebraska Legislature — https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB185.pdf