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How to Fill Out the Energy Assistance Program Landlord Affidavit

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the applicant's information. Fill in the Applicant Name, Date, Address, Phone, City, State (IN), and Zip Code accurately.
  3. Next, move to the Utility Information section. As the landlord or authorized designee, indicate whether heating costs are included in the tenant’s monthly rent payment or if they are the tenant's responsibility by checking the appropriate boxes.
  4. Select the primary heating source from the provided options. Ensure you check only one box that best describes the heating method used.
  5. Input how much the tenant pays each month in rent in the designated space.
  6. Confirm if the primary heating source is operable by checking 'Yes' or 'No'.
  7. Finally, provide your name and signature as the landlord or authorized designee along with your address, date, city, phone number, state, zip code, and optional email.

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In the U.S. government, there are four general types: cabinet departments, independent executive agencies, regulatory agencies, and government corporations.
Definition. In the context of this Order, an OGA is a permanent or semi-permanent Federal organization (including support contractors) established by the executive or legislative branches of the government responsible for oversight and administration of a specific government function.
A government agency or state agency, sometimes an appointed commission, is a permanent or semi-permanent organization in the machinery of government (bureaucracy) that is responsible for the oversight and administration of specific functions, such as an administration.

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