Contact Information:

Contact Name

Contact Name

Contact Phone

Contact Phone

E-mail Address

E-mail Address

Unit Address:

Street Address (including Apartment number)

 *

Street Address (including Apartment number)

City

 *

City

State

State

Zip Code

 *

Zip Code

Type Of Unit: 

Type Of Unit:

House

Apartment

Condominium

Townhouse

Duplex

Description of Unit:

Number of bedroom(s)

 *

Number of bedroom(s)

Number of bathroom(s)

 *

Number of bathroom(s)

Approximated year built

Approximated year built

Monthly rent $

 *

Monthly rent $

Utilities included with rental (paid by property owner. select all that apply): 

Water

Water (Select an Answer) Included

Electricity

Electricity (Select an Answer) Included

Gas

Gas (Select an Answer) Included

Sewer

Sewer (Select an Answer) Included

Trash Collection

Trash Collection (Select an Answer) Included

Hot Water

Hot Water (Select an Answer) Included

Services included with rental (select all that apply):

On Site Manager

On Site Manager (Select an Answer) Yes

Gardener

Gardener (Select an Answer) Yes

Meal Preparation

Meal Preparation (Select an Answer) Yes

Others:

Others:

Appliance Amenities included with rental (select all that apply):

Dishwasher

Dishwasher (Select an Answer) Included

Garbage Disposal

Garbage Disposal (Select an Answer) Included

Stove

Stove (Select an Answer) Included

Refrigerator

Refrigerator (Select an Answer) Included

Air Conditioner Amenities included with rental (select all that apply):

Central Air - Heat

Central Air - Heat (Select an Answer) Included

Wall Heater

Wall Heater (Select an Answer) Included

Windows Air Conditioner

Windows Air Conditioner (Select an Answer) Included

Laundry Type Amenities included with rental (select all that apply):

Laundry Room

Laundry Room (Select an Answer) Included

Washer & Dryer in Unit

Washer & Dryer in Unit (Select an Answer) Included

Unit Facilities Amenities included with rental (select all that apply):

Handicapped Accessible

Handicapped Accessible (Select an Answer) Included

Security Building

Security Building (Select an Answer) Included

Elevator Building

Elevator Building (Select an Answer) Included

Newly Remodeled

Newly Remodeled (Select an Answer) Included

Patio

Patio (Select an Answer) Included

Pool

Pool (Select an Answer) Included

Parking Type (select all that apply)

Garage

Garage (Select an Answer) Yes

Parking Lot

Parking Lot (Select an Answer) Yes

Carpot

Carpot (Select an Answer) Yes

Pet Allowance:

Pet Allowance:

No Pets

Small Pets

Large Pets

Pets Welcome

Other features:

	Other
Other features:	Other features:

Maintenance of the unit:

 *

Maintenance of the unit:

Excellent condition

Good condition

Fair condition

Poor condition

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