Follow the steps to complete the affidavit online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the applicant information. This includes the applicant's name, date, address (including city, state, and zip code), and phone number. Ensure that all provided information is accurate.
3. Proceed to the utility information section. Here, you will indicate responsibility for heating and electrical costs. Check the appropriate boxes based on whether these are the responsibility of the landlord or the renter. If applicable, provide copies of utility statements.
4. In the primary heat source section, select the primary heating method used at the property from the provided options such as electric, natural gas, or kerosene. Also, include the total number of household members, specifying the number of adults and children.
5. Choose the dwelling type from the options given, including mobile home, single site, or multi-unit. This identifies the nature of the housing and may affect utility assistance eligibility.
6. You must grant permission for IHCDA to obtain utility information on account status and energy costs. This step is necessary for tracking energy consumption data relevant to the application.
7. Finally, print your name as the landlord and provide your signature. Include your complete contact details, such as address, city, phone number, state, zip code, and email (optional). Remember to save the completed form.
8. After finishing the form, save your changes, then download, print, or share the document as required to ensure it accompanies your tenant's application.

Complete the IN IHCDA Energy Assistance Program Landlord Affidavit online today to support your resident in accessing essential utility assistance.