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Click ‘Get Form’ to open the 2015 CRP in the editor.
Begin by entering the landlord’s name and address, including zip code, in the designated fields.
Fill in the property ID number or parcel number as required.
Input the renter’s name and address of the unit rented, along with the county information.
Specify the rental period by entering the dates rented from and to (MM/DD/YYYY).
Indicate if applicable by placing an X in boxes for nursing home, intermediate care facility, adult foster care, or assisted living.
Complete sections A and B regarding medical assistance payments and group residential housing payments received.
Enter the total rent paid for 2015, rounding to the nearest whole dollar. Mark any relevant boxes for government assistance or mobile home lots.
Calculate and enter the amount on line 3 by multiplying line 1 by line 2. Ensure all information is accurate before finalizing.
Sign and date at the bottom of the form to certify its accuracy.

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