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DASHED 1062H Rev. 09/2017State of Utah Department of Workforce Services LANDLORD Statements form must be completed and signed by landlord (property owner) or the residence manager of applicant. Please
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How to fill out a landlord statement:

01
Begin by downloading or obtaining a landlord statement form from your local housing authority or landlord association.
02
Fill in your personal information, including your name, address, and contact information, as well as the property address for which the statement is being prepared.
03
Provide details about the tenant, such as their name, contact information, and the duration of their tenancy.
04
Indicate the rental payments received from the tenant, including the amount paid, the dates of payment, and any outstanding balances.
05
Include any additional charges or fees incurred by the tenant, such as late payment fees or damages.
06
Provide a breakdown of any repairs or maintenance carried out on the property during the tenant's occupancy, specifying the nature of the repairs, dates, and costs.
07
If applicable, mention any property improvements made during the tenancy and their corresponding costs.
08
Include information about the security deposit, such as the amount collected, any deductions made for damages, and the remaining balance.
09
Sign and date the landlord statement, and make copies for both yourself and the tenant.
10
Keep a copy of the completed statement for your records.

Who needs a landlord statement:

01
Landlords who wish to document their rental income and expenses for tax purposes may require a landlord statement.
02
Rental property owners who need to provide proof of rent payments and any deductions made from the security deposit may also benefit from a landlord statement.
03
Property management companies or rental agencies may use landlord statements to keep track of rental history and financial transactions for multiple properties and tenants.
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A landlord statement is a document that provides details about rental income received and expenses incurred on a rental property.
Landlords or property owners who receive rental income are required to file a landlord statement.
To fill out a landlord statement, you need to provide information about rental income, expenses, property details, and any other relevant financial details.
The purpose of a landlord statement is to report rental income, expenses, and financial details related to a rental property for tax and regulatory purposes.
Information such as rental income, expenses, property address, tenant details, and any other relevant financial information must be reported on a landlord statement.
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