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ENERGY ASSISTANCE PROGRAM (EAP) LANDLORD/HOUSING AFFIDAVIT Landlord: Please complete this affidavit on behalf your resident who is applying to receive benefits to assist with their utility costs.

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How to fill out the Landlord Affidavit.doc - Indyeap online

This guide provides comprehensive instructions on how to accurately complete the Landlord Affidavit.doc - Indyeap form online. Designed to assist landlords in supporting their residents with utility cost benefits, this affidavit ensures proper documentation and confidentiality of user information.

Follow the steps to complete the affidavit effectively.

  1. Press the 'Get Form' button to obtain the Landlord Affidavit.doc - Indyeap and open it in your preferred online editor.
  2. In the 'Applicant Information' section, enter the applicant's name, date, address, phone number, city, state (IN), and zip code.
  3. Indicate whether the renter is listed or if there is a life estate by checking the appropriate box.
  4. In the 'Utility Information' section, provide details regarding heating and electric costs, selecting from the given options to clarify the responsibilities.
  5. Fill out any 'Special Arrangements' by detailing specific agreements or arrangements if applicable.
  6. Select the primary heat source from the options provided and input the number of household members, detailing the number of adults and children.
  7. Indicate the dwelling type by checking the relevant box for mobile home, house/condo/townhouse, or apartment.
  8. In the 'Rental Assistance' section, confirm if the renter receives assistance from a government-funded program and specify the program name, if applicable.
  9. Sign and print the landlord's name in the designated area, including the landlord's complete address, date, city, phone number, state, zip code, and optional email address.
  10. Review all entered information for accuracy before saving, downloading, printing, or sharing the completed affidavit as needed.

Start completing your Landlord Affidavit.doc - Indyeap online to assist in the utility benefits process.

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Related content

Intake Specialist Guide - IN.gov
Income Verification Affidavit. • Utility Affidavit. • Landlord Affidavit. •...
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What is the Energy Assistance Program (EAP)? The Energy Assistance Program (EAP) can help you pay your heat and electric bills! EAP provides a one-time annual benefit that can assist you with the high cost of home energy and can help if you are disconnected or are about to get disconnected . Energy Assistance Program (EAP) - IHCDA - IN.gov IN.gov https://.in.gov › ihcda › homeowners-and-renters IN.gov https://.in.gov › ihcda › homeowners-and-renters

The income limit for LIHEAP is 150% of the Federal Poverty Level. For an individual, that is a gross income of $21,870 per year, and for a family of four, that is a gross income of $45,000 per year. Income requirements are determined by the size of the applicant's household. Everything you need to know about LIHEAP - Pennsylvania Capital-Star penncapital-star.com https://penncapital-star.com › briefs › everything-you-ne... penncapital-star.com https://penncapital-star.com › briefs › everything-you-ne...

If you need help paying your utility bills, contact one of these organizations. Community Action Agencies in Indiana. Energy Assistance Program. Indiana Township Associations. Indiana Utility Regulatory Commission. Water/Sewer, Indiana Water Companies. Indiana Electric Companies. Help With Your Utility Bills: Indiana - HUD hud.gov https://.hud.gov › indiana › renting › energyprgms hud.gov https://.hud.gov › indiana › renting › energyprgms

Who is eligible for this program? Household Size*Maximum Income Level (Per Year) 2 $30,660 3 $38,730 4 $46,800 5 $54,8704 more rows

It may take 55 days to determine if you are eligible, and after your benefit has been awarded, it may take an additional 30 days for the utility company to process your benefit. Energy Assistance Program - Northwest Indiana Community Action nwi-ca.com https://.nwi-ca.com › energy-assistance-program nwi-ca.com https://.nwi-ca.com › energy-assistance-program

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