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Appendix XI T Certification by Landlord

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APPENDIX XI-T – CERTIFICATION BY LANDLORD

YOU MUST COMPLETE THIS PART:

NAME OF LANDLORD OR ATTORNEY:

ADDRESS & PHONE#:

Plaintiff,

VS.

Defendant.

SUPERIOR COURT OF NEW JERSEY

LAW DIVISION

SPECIAL CIVIL PART

COUNTY

LANDLORD-TENANT DIVISION

Docket No. LT-

Civil Action

CERTIFICATION BY LANDLORD

THE LANDLORD SHOULD COMPLETE PART A OR PART B OR BOTH (IF BOTH APPLY). CROSS OUT ANY PARAGRAPHS IN THOSE PARTS THAT DO NOT APPLY IN THIS CASE. PART C APPLIES TO ALL CASES AND MUST BE COMPLETED.

A. WHEN THE EVICTION IS BASED ON UNPAID RENT

1. The tenant has failed to pay rent now due and owing in the amount of $. That amount consists of

Basic rent of $ late charges of $ legal fees relating to this action for eviction

of $ filing fees and costs of $ and other (specify)

2. All of the items listed above are included in the lease agreement as rent.

3. All of those items are permitted by applicable federal, state and local laws (including rent control or rent leveling, if applicable) to be charged as rent for purposes of this action.

B. WHEN THE EVICTION IS BASED ON OTHER GROUNDS

1. Eviction is sought because

2. I have attached a copy of all notices that have been served on the defendant.

3. These notices were served on the tenant (check one or more) by ordinary mail, by certified mail, personally, on the day of

4. All of the facts stated in the notices are true.

C. IN ALL CASES:

1. Check one:

I own the property in my own name or in the name of a general partnership of which I am a partner.

The property is owned by a corporation or other business entity.

2. I have complied with the registration requirements of N.J.S.A. 46:8-27 et seq.

3. The tenant did not transfer ownership to me and I have not given the tenant an option to buy the property.

4. The tenant is not in the military service of the United State nor any of its allies, nor is the premises used for dwelling purposes of the spouse, a child or other dependent of a person in the military service of the United States.

I, THE LANDLORD, CERTIFY THAT THE FOREGOING STATEMENTS MADE BY ME ARE TRUE. I AM AWARE THAT IF ANY OF THE FOREGOING STATEMENTS MADE BY ME ARE WILFULLY FALSE, I AM SUBJECT TO PUNISHMENT.

DATE:

(PRINT NAME BELOW) LANDLORD

Effective: 09/01/2006, CN: 10512-English

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What the Appendix XI T Certification by Landlord Is and When it Applies

The Appendix XI T Certification by Landlord is a standardized landlord declaration used to confirm occupancy, tenancy status, or property condition for housing programs and administrative reviews. It documents the landlord's identification, property address, tenant name, lease dates, and attestation statements required by the requesting agency or program. The form is most commonly used by housing authorities, property managers, and benefit administrators to verify residency, rental payments, or compliance with program rules. Completing this certification accurately supports eligibility determinations and audit trails while reducing follow-up requests and processing delays.

Why a Clear Appendix XI T Certification Matters

A complete, accurate certification prevents eligibility disputes, reduces processing time, and provides a defensible record for landlords and agencies under applicable statutes such as ESIGN and UETA.

Why a Clear Appendix XI T Certification Matters

Who Typically Completes Appendix XI T Certifications

Several parties regularly prepare or request this certification depending on the context: housing authorities, landlords, property managers, and third‑party administrators.

  • Housing authorities verifying tenant benefit eligibility and occupancy
  • Private landlords certifying tenant residency and lease terms
  • Property managers handling multi-unit portfolio documentation and audits

Signatory Roles and Typical Responsible Parties

Tim Martin

Tim Martin, as a property owner and operator, signs landlord certifications to confirm tenant occupancy and rental terms. His role requires maintaining records that support audits and responding quickly to verification requests from housing agencies.

Property Manager

Property managers complete certifications on behalf of owners when authorized. They maintain lease copies, payment histories, and point-of-contact details to support accurate attestations and to reduce the risk of follow-up from agencies.

Core Elements Found in a Professional Appendix XI T Certification

A well-prepared Appendix XI T includes clear identification fields, precise rental term data, attestation language, signature blocks, and any required verification attachments to meet agency rules.

Landlord Identity

Full legal name and business entity identifier so the attestation can be linked to tax or lease records.

Property Address

Complete street address, unit number, city, state, and ZIP to avoid ambiguity in occupancy verification.

Tenant Information

Tenant full name and lease or tenancy start/end dates for program eligibility checks.

Lease Terms

Monthly rent amount, security deposit, and payment schedule referenced exactly as on the lease.

Attestation Language

Clear declarative statements the landlord signs under penalty of perjury or civil liability when required by the requesting authority.

Signature Block

Printed name, title, signature, and date; include notary or witness section if the requesting agency requires authentication.

Security and Compliance Considerations

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
HIPAA: HIPAA-compliant with BAA available
ESIGN/UETA: Compliant with ESIGN and UETA frameworks
Audit Trail: Timestamps, IP, and action history for each signature
Certifications: SOC 2 Type II and ISO 27001 controls
Accessibility: WCAG 2.0 Level AA accessibility support

Step-by-Step: Filling and Submitting Appendix XI T

Follow these steps in order to complete the certification accurately and reduce processing delays for verification requests.

  • 01
    Gather Documents: Collect lease, rent ledger, and owner authorization so statements can be verified.
  • 02
    Complete Fields: Enter landlord, tenant, address, dates, and rent using the formats above.
  • 03
    Sign and Authenticate: Sign, date, and notarize or add witness if required by the requester.
  • 04
    Submit to Requester: Send the completed form and attachments to the agency, caseworker, or portal specified in the request.

Typical Routing and Processing Flow

Understand the common routing path so you can anticipate who receives and reviews the certification next.

  • Requester Sends Form: Agency or caseworker requests completed certification from landlord.
  • Landlord Completes: Landlord fills form and attaches lease and payment records.
  • Authentication: Form is signed and notarized or witnessed if required.
  • Return and Review: Completed packet is returned to the requesting authority for verification and record retention.

Configuring an Online Completion Workflow

Set up fields, signer roles, and authentication options before sending to streamline reviewer acceptance.

Field Configuration
Signer Role Landlord | required signature order
Authentication Email + SMS code or ID verification
Attachments Lease PDF, rent ledger, government ID
Retention Keep signed copy and audit trail

Options for Digital Signing and eSubmission

Choose a platform that supports required authentication, audit trails, and the file formats your agency accepts.

  • File Formats: PDF, Word DOCX supported
  • Integrations: Works with Google Workspace, Microsoft 365, NetSuite
  • Authentication: Email link, SMS code, or advanced ID verification

Consequences of Inaccurate or Misleading Certifications

False Statement: Civil liability or program sanctions for knowingly false attestations
Eligibility Impact: Tenant benefits may be delayed or revoked pending verification
Record Rejection: Incomplete or mismatched information can trigger re‑requests and processing delays
Legal Exposure: Potential contract disputes or collection issues from erroneous rent statements
Notarization Errors: Missing or improper notarization can render the attestation unacceptable
Data Privacy: Improper handling of personal data may violate privacy rules like HIPAA or state law

Common Preparation Pitfalls to Avoid

  • Submitting different landlord names (individual vs entity) that do not match tax or deed records causing verification delays
  • Using informal or abbreviated addresses that do not match lease documents or public records
  • Leaving signature, date, or notarization blocks blank when the requester explicitly requires authentication
  • Attaching inconsistent supporting documents (partial lease vs full lease) that create questions during review

Typical Timing Expectations and Response Windows

Timely responses reduce administrative follow-up; always check the request for an explicit deadline and agency instructions.

Upon Request:

Provide certification within timeframe specified by the requesting authority

Notarized Submissions:

Allow additional time for scheduling notary or remote notarization sessions

Agency Review:

Agencies may take several days to verify attachments and confirm accuracy

Follow-up:

Expect re‑requests if documents do not match or are incomplete

Record Retention:

Keep copies until the agency confirms closure of the verification

Practical Tips for Fast, Accurate Certifications

Use these best practices to reduce processing time and avoid common verification problems.

Match Official Records
Ensure names and addresses match tax ID, deed, or lease exactly to avoid identity or TIN mismatches.
Attach Source Documents
Include a copy of the lease, a rent ledger, and a government ID where requested to substantiate the attestation.
Confirm Authentication Needs
Ask the requester whether notarization, witness signatures, or remote online notarization are required before signing.
Keep Audit Trails
Retain signed PDFs and platform audit trails demonstrating signing timestamps and signer authentication for compliance.

Real-world Examples of How Landlords Use Appendix XI T

These concise examples show typical scenarios where the certification is used and how accurate completion resolved verification needs.

Martin Properties

A small property owner uses the certification to confirm tenant residency for a housing authority request.

  • Single-property verification for one unit required last month.
  • By attaching the signed lease and a rent ledger the owner avoided a second documentation request and the agency completed verification within three business days.

Optica Ventures

A portfolio manager completes batch certifications for multiple tenants during program audits.

  • Manager consolidated records for six units in one submission.
  • Centralized supporting documents and consistent formatting reduced audit turnaround and minimized clerical rework for both manager and agency.

How Appendix XI T Differs from Other Landlord Attestation Forms

Appendix XI T is distinct from generic landlord letters; the table highlights common contrasts relevant to verification and legal sufficiency.

Form Type Appendix XI T Generic Letter
Standardized Language
Agency Acceptance often required may be discretionary
Notarization Needed varies by agency less common
Supporting Docs lease + ledger often optional

eSignature Vendor Comparison for Completing Appendix XI T

Compare common vendor pricing and capabilities for electronic signing and authentication. signNow is listed first per platform comparison conventions.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes Yes
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies Varies Varies

Frequently Asked Questions and Troubleshooting

Answers to common questions about completing, authenticating, and submitting Appendix XI T to requesting agencies.


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