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It includes sections for tenant information, property owner or property manager identity and remittance details, and a required completed IRS W-9 attachment. 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If the tenant is approved as a vendor, Maricopa County Human Services Department issues payment within 10 business days from the approval date.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What information is required in Part I for the tenant?",{"text":113,"@type":109},"Part I requests tenant name and residential address, total monthly payment, due date each month, total amount owed, and any months of past due rent with the corresponding amounts.",{"name":115,"@type":106,"acceptedAnswer":116},"What must be submitted with the form regarding the W-9?",{"text":117,"@type":109},"Landlords must submit a completed IRS W-9 form. 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Please note that if the tenant is approved as a vendor, Maricopa County Human Services Department will issue payment within 10 business days from the date of approval.  \n\n| Part I. Tenant Information |  |  |  |\n| --- | --- | --- | --- |\n| Tenant Name (First Last): |  | Tenant Residential Address: |  |\n|  |  |  |  |\n| Total Monthly Payment:\u003Cbr>(Must match lease or amended lease) . |  | Every Month is Due On: |  |\n| $ |  |  |  |\n| Total Amount Owed by the Tenant:\u003Cbr>(Includes rental, applicable fees, past due rent, current month of rent, late fees, court fees, and related costs) . |  |  |  |\n| $ |  |  |  |\n| Tenant’s Month(s) Past Due:\u003Cbr>(Indicate in the box(s) below with the month(s) and amount(s) past due (rent only). Should your Tenant leave the residence with a balance from funds received by this program, the Landlord or Property Manager will advance the balance to the Tenant) . |  |  |  |\n| Month: | Amount: | Month: | Amount: |\n|  | $ |  | $ |\n| Month: | Amount: | Month: | Amount: |\n|  | $ |  | $ |\n\n\n| Part II. Property Owner or Property Manager Information |  |\n| --- | --- |\n| Individual/Sole Proprietor Name (First Last): | Business Name: |\n|  |  |\n| DBA: | Name on Payment: |\n|  | ☐ Individual/Sole Proprietor\u003Cbr>☐ Business Name\u003Cbr>☐ DBA |\n| Payment Remittance Address: |  |\n|  |  |\n| Phone Number: | Email Address: |\n|  |  |\n\nPart III. W-9 Form  \nLandlords must submit a completed IRS W-9 Form. Print out and complete the W-9 Form by visiting [https://www.irs.gov/pub/irs-pdf/fw9.pdf](https://www.irs.gov/pub/irs-pdf/fw9.pdf. The W-9)[. The W-9](https://www.irs.gov/pub/irs-pdf/fw9.pdf. The W-9) Form must be completed according to IRS instructions, and then attached with this form.  \nRev. 12-02-2025  \n• By signing this form, I am verifying that the completed W-9 Form has been attached.  \n• By signing this form, I certify that should the Landlord or Property Manager change before  \nreceiving payment, the payments received shall be returned to Maricopa County Human Services Department.  \nPart IV. Landlord or Property Manager Signature  \n• By signing this form, I certify that upon receipt of rental payment any judgment for eviction shall be satisfied, all eviction actions for nonpayment shall be dismissed, and the Tenant will not be evicted for the months in which rent is paid by this program, nor imposed late fees while waiting for payment.  \n• By signing this form, I certify that payments received shall be applied to rent and/or applicable fees for the Tenant indicated above.  \nPrinted Name of Landlord or Property Manager:   Date:   Signature of Landlord or Property Manager:   Date:    \n\n| FOR INTERNAL USE ONLY – SERVICE PLAN |  |  |\n| --- | --- | --- |\n| Fund Source: | Amount: $ | Month: |\n| Fund Source: | Amount: $ | Month: |\n| Fund Source: | Amount: $ | Month: |\n| Fund Source: | Amount: $ | Month: |\n\nRev. 12-02-2025","cbCaisL1r9ejwsOh","https://ap.wps.com/l/cbCaisL1r9ejwsOh","pdf",125120,"English","# Instructions\n## Part I. Tenant Information\n## Part II. Property Owner or Property Manager Information\n## Part III. W-9 Form\n## Part IV. Landlord or Property Manager Signature\n## For Internal Use Only – Service Plan","[{\"question\":\"Who must complete the Landlord Verification Form, and what is the payment timeline after approval?\",\"answer\":\"Parts 1–4 must be completed by the landlord or property manager. If the tenant is approved as a vendor, Maricopa County Human Services Department issues payment within 10 business days from the approval date.\"},{\"question\":\"What information is required in Part I for the tenant?\",\"answer\":\"Part I requests tenant name and residential address, total monthly payment, due date each month, total amount owed, and any months of past due rent with the corresponding amounts.\"},{\"question\":\"What must be submitted with the form regarding the W-9?\",\"answer\":\"Landlords must submit a completed IRS W-9 form. The W-9 must be completed according to IRS instructions and attached to the Landlord Verification Form.\"}]","Landlord Verification Form - Remediated | PDF",1789503149]