Get Eap Appendix D-landlord Affidavit 2017 (00025621.docx;1). 00025621-1 - Capeevansville

Filling out the EAP Appendix D-Landlord Affidavit is an important step for landlords assisting residents seeking energy assistance. This guide provides clear, step-by-step instructions on completing the affidavit accurately and efficiently to ensure the application process is smooth for both landlords and their tenants.

Follow the steps to fill out the EAP Appendix D-Landlord Affidavit correctly.

1. Click the ‘Get Form’ button to obtain the EAP Appendix D-Landlord Affidavit and open it in your preferred document editor.
2. Begin filling out the applicant information section. Enter the name of the applicant, the date, their complete address, phone number, city, state (Indiana), and zip code.
3. Indicate if the applicant is a renter or under a life estate by checking the appropriate box.
4. In the utility information section, specify whether the heating and electric costs are the landlord's responsibility or the renter's responsibility by checking the correct box. If it is the landlord's responsibility but in the renter's name, check the relevant box and provide a utility statement copy as required.
5. Complete the primary heat source field. Check the box that corresponds to the primary heat source being used, and fill in the number of household members by specifying the number of adults and children.
6. Identify the dwelling type by checking the appropriate option such as mobile home, single site, or multi-unit.
7. Indicate if the renter receives rental assistance from a government-funded program by checking yes or no, and provide details about the program if applicable.
8. Grant permission for IHCDA to obtain utility information by signing your name and entering your printed name as the landlord, along with your address, phone number, and email address (optional).
9. Review the affidavit for completeness and accuracy before saving, downloading, printing, or sharing the completed form.

Get started by filling out your EAP Appendix D-Landlord Affidavit online today!