ENERGY ASSISTANCE PROGRAM (EAP) LANDLORD/HOUSING AFFIDAVIT - indyeap 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Applicant Information' section. Enter the applicant's name, date, address, phone number, city, state (IN), and zip code. Ensure all details are accurate.
3. In the 'Utility Information' section, check the appropriate lines for heating and electric costs. Specify if these costs are the responsibility of the landlord or renter and provide a utility statement copy if required.
4. Indicate the primary heat source and number of household members. Fill in the number of adults and children living in the household.
5. Complete the 'Rental Assistance' question by selecting 'Yes' or 'No.' If yes, specify which government-funded program is involved.
6. Finally, sign and print your name as the landlord, providing your complete address, date, city, phone number, state, zip code, and optional email.

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