ENERGY ASSISTANCE PROGRAM (EAP)LANDLORD AFFIDAVIT Landlord: Please complete this affidavit on behalf of your resident who is applying to receive benefits to assist with his/her utility costs. The.
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How to fill out the IN IHCDA Energy Assistance Program Landlord Affidavit online
Completing the IN IHCDA Energy Assistance Program Landlord Affidavit is an essential step for landlords assisting residents with utility costs. This guide will walk you through the process of filling out the form online, ensuring all necessary information is accurately provided.
Follow the steps to complete the affidavit efficiently.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out the applicant information section. Enter the applicant's full name, the date, their address, phone number, city, state (IN), and zip code.
- Proceed to the utility information section. As a landlord or authorized individual, select whether the heating costs are responsibility of the landlord or the tenant by checking the appropriate box.
- Next, indicate the electric costs by choosing the relevant option, ensuring you complete this section entirely.
- Select the primary heating source by checking one of the provided options, such as electric, natural gas, or other specified fuels.
- Record the monthly rent amount the tenant pays in rent, ensuring accuracy.
- Answer the question regarding whether the primary heating source is operable by selecting 'Yes' or 'No'.
- Review the authorization statement for IHCDA to obtain utility information and ensure your consent by marking the checkbox.
- Finally, fill in the landlord or authorized designee's name, signature, address, date, city, phone, state, zip code, and optional email address.
- Once all fields are completed, save your changes, and download or print the document as needed for submission.
Complete the IN IHCDA Energy Assistance Program Landlord Affidavit online today to support your resident's utility assistance needs.
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