Fillable The Indiana Housing and Community Development Authority (IHCDA) (State of Indiana)

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The Indiana Housing and Community Development Authority (IHCDA) (State of Indiana)

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The The Indiana Housing and Community Development Authority (IHCDA) (State of Indiana) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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The Indiana Housing and Community Development Authority (IHCDA) electronically
processes payments for the Covid-19 Rental Assistance Program if requested. Please
provide the following information so that IHCDA may initiate direct deposits to your
checking or savings account:
D
ate: _________________________________________________________
Landlord Name: _________________________________________________________
C
ontact Name and Phone #: _________________________________________________________
Bank Name: _________________________________________________________
AB
A Number: _________________________________________________________
Account Number: _________________________________________________________
T
ype of Account: _________________________________________________________
(checking or savings)
Print Name & Title _________________________________________________________
S
ignature _________________________________________________________
Check here if yo
u would like to opt out of receiving direct deposit and instead receive payment by paper
check. NOTE: By opting to receive a paper check you are acknowledging that payment will be delayed.
Payable to: _______________________________________________________________________________
Address: ________________________________________
City: ___________________________________________
State: ______________
ZIP: ________________
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The Indiana Housing and Community Development Authority (IHCDA) (State of Indiana)

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Completed 22 October 2020

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