| Owner (True/False) [A] * | Enter "TRUE" if you are the property owner, otherwise "FALSE" |
| Owner First and Last Name [B] * | |
| Owner Address [C]* | |
| Owner City [D]* | |
| Owner State [E]* | Capitalized two letter state abbreviation |
| Owner Zip [F]* | 5 digits |
| Owner Phone [G]* | 10 digit phone number including area code |
| Adult Foster Care (True/False) [H]* | Enter "TRUE" if the property is part of an Adult Foster Care facility, otherwise "FALSE" |
| Assisted Living (True/False) [I]* | Enter "TRUE" if the property is part of an Assisted Living facility, otherwise "FALSE" |
| Intermediate Care (True/False) [J]* | Enter "TRUE" if the property is part of an Intermediate Care facility, otherwise "FALSE" |
| Nursing Home (True/False) [K]* | Enter "TRUE" if the property is part of a Nursing Home facility, otherwise "FALSE" |
| Mobile Home (True/False) [L]* | Enter "TRUE" if the property is a Mobile Home, otherwise "FALSE" |
| Mobile Home Lot (True/False) [M]* | Enter "TRUE" if the property is a Mobile Home Lot, otherwise "FALSE" |
| Property ID [N]* | |
| Number of Units on This Property [O]* | |
| Renter Last Name [P]* | |
| Renter First Name [Q]* | |
| Renter Middle Initial [R] | One letter |
| Rental Address [S]* | |
| Rental Unit [T] | |
| Rental City [U]* | |
| Rental State [V]* | Capitalized two letter state abbreviation |
| Rental Zip [W]* | 5 digits |
| Rental County [X]* | Must be a valid Minnesota county. Do not include "County" after the name. For example, enter: Anoka |
| Rented From [Y]* | |
| Rented To [Z]* | |
| Total Months Rented [AA]* | ##.## (Can be decimal, for example 11.25 or integer, for example, 6) |
| Number of Adults [AB]* | |
| Medical Assistance (True/False) [AC]* | If you received Medical Assistance payments on behalf of the renter, enter "TRUE", otherwise "FALSE" |
| Medical Assistance Amount [AD] | Amount of Medical Assistance received. |
| Housing Support (True/False) [AE]* | If you received Housing Support payments on behalf of the renter, enter "TRUE, otherwise "FALSE" |
| Housing Support Amount [AF] | Leave blank for CRPs for 2024 and later. For 2023 and earlier, enter amount of Housing Support received. |
| Renter's Share of Rent Paid [AG] | If blank, this will be entered as $0. |
| Caretaker Reduction [AH] | If blank, this will be entered as $0. |
| Total Rent Paid [AI] | For reference only. e-Services will automatically calculate this column by adding the values of Renter’s Share of Rent Paid [AG] and Caretaker Reduction [AH]. |
| Managing Agent First and Last Name [AJ] | If you are a managing agent, enter your name. Otherwise, this can be left blank. |
| Managing Agent Phone Number [AK] | If you are a managing agent, enter your 10 digit phone number including area code. Otherwise, this can be left blank. |
