APCHA Standard Biennial Affidavit
Every two years, APCHA must verify whether those who own properties in the affordable housing program meet the requirements of the program. The affidavit form below will ask for information about the people living in your unit, your employment, and your property ownership. All questions must be completed. At the end, you will check "Yes" to certify that your information is complete and correct. Thank you for helping APCHA to verify your information.

By completing this form, you are declaring the statements are true and accurate. You further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury. 

APCHA will conduct random audits to confirm the accuracy of the information provided. 



Please answer the following by April 30, 2023. 
Sign in to Google to save your progress. Learn more
Email *
Owner Name (First, Last) *
Unit Physical Address  *
Mailing Address Line 1: *
Mailing City *
Mailing State *
Mailing Zip Code *
Owner Phone Number (xxx-xxx-xxxx) *
How many people live in your unit at least 6 months of the year? Please include all owners, family members and tenants.  *
First Owner - Are you employed 1,500 hours or more per year in Pitkin County (for a business that serves Pitkin County residents or self-employed for a business that serves Pitkin County residents)? *
First Owner - Do you reside full-time in the deed restricted home for 9 months or more per year? *
First Owner - Is this property the only residence you own in the Ownership Exclusion Zone (the land area in which is located any developed residential property that has an address within the Roaring Fork Drainage situated in Eagle, Pitkin, Garfield, or Gunnison Counties, or within the Colorado River Drainage from and including the unincorporated No Name area to and including Rifle, and including but not limited to, the incorporated areas of Aspen, Basalt, Carbondale, El Jebel, Glenwood Springs, Marble, Meredith, New Castle, No Name, Redstone, Rifle, Snowmass, Snowmass Village, and Woody Creek)?
*
Are you the sole owner of the property?  *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy