Follow the steps to successfully complete the form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Enter the mailing address of the tenant(s) in Part I, section A. Ensure you include the name, street address, apartment number if applicable, city, state, and zip code.
3. Provide the mailing address of the owner in Part I, section B. Include the owner's name and address details similar to those required in section A.
4. If the subject building differs from the tenant's mailing address, fill in the details in Part I, section C, providing the street address, apartment number, city, state, and zip code.
5. In Part II, section D, check the appropriate box that describes the basis of your petition regarding the tenant's income, based on the attached Income Certification Form.
6. Complete Part II, section E, by indicating which housing regulation the accommodation falls under, selecting from the options provided.
7. In Part II, section F, indicate the monthly legal regulated or maximum rent on the specified dates. Provide the rent amount and justify any changes between dates.
8. List any additional occupants not named in Part I in section G and explain their occupancy in section H if necessary.
9. In section I, dispute the status of individuals listed as bona fide tenants or subtenants by providing their names and explaining the basis of your dispute.
10. Enter the date the tenant(s) began occupancy in Part II, section J.
11. In Part III, affirm that you have read the form's information and sign with the date, including your printed name.
12. After verifying all entries, save changes, and download or print the completed form for your records.

Complete the required documents online to streamline your filing process.