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Register a Property
Adjuster Housing Request
Register a Property
Please Complete Form
to Register a Property
Property Address:
Landlord Name:
Landlord Phone:
Landlord Fax:
Landlord Email:
Landlord Mailing Address:
Monthly rent:
# of Bedrooms:
# of Bathrooms:
Location of Property:
Age of Property/Year Built
Date Remodeled:
Square Footage of Property:
Value of Home:
Lease Term:
Date Lease Begins:
Date Lease Ends:
Notice to Vacate Required at Conclusion of Lease:
# of Days:
Due by (1st of month/other)
School District:
County
Name of Apartment Community/Subdivision:
Property Type:
Apartment
Townhome
Condominium
Single Family Home
Twin
Bungalow
Duplex
Mobile Home
Exterior:
Brick
Siding
Stucco
Stone
Other (specify below ? )
Other:
Home Style:
2-Story
Ranch
Split Level
Cape Cod
Other (specify below ? )
Other:
If Apartment or Condo:
Floor:
Please Select One:
Elevators
Steps
Security Deposit:
Refundable:
Non-Refundable:
Pets Allowed:
Yes
No
#of Pets allowed:
Weight of Pets allowed:
Pet Deposit:
Refundable:
Non-Refundable:
Application fee:
Other Fees:
Refundable:
Non-Refundable:
Appliances included:
Stove
Refrigerator
Microwave
Garbage Disposal
Dishwasher
Washer
Dryer-Gas
Dryer-Electric
Connections-Gas
Connections-Electric
On-Site Laundry Facility
Cost:
Appliance color:
Utilities included:
Gas
Electric
Phone
Cable
Water
Sewer
Trash
Flooring:
Carpet
Hardwood
Ceramic Tile
Linoleum/Vinyl
Carpet color (if carpet):
Air Conditioning:
Central
Window Units
None
# of Window Units (if any):
Window Coverings:
Mini Blinds
Vertical Blinds
Shutters
Curtains
Other Window Coverings:
Services Included:
Snow Removal
Lawn Care
Maid Service
Other
Other
Please Select One:
Furnished
Partial
Unfurnished
Please Select One:
Finished Basement
Unfinished Basement
Fenced Yard
Garage
Pool
Other Amenities:
IF FURNISHED, please list the number of each item provided:
LIVING ROOM:
Sofa:
Sleeper:
Loveseat:
Chair/Recliner:
Coffee Table:
End Tables:
Lamps:
TV:
VCR:
DVD:
KITCHEN:
Dinette Table:
Bistro Table:
Chairs:
Dishes:
Glassware:
Silverware:
Pots & Pans:
Bakeware:
Toaster:
Coffee Maker:
Tea Towels:
Dish Cloths:
Pot Holders:
FAMILY ROOM
Sofa:
Sleeper:
Loveseat:
Chair/Recliner:
Coffee Table:
End Tables:
Lamps:
TV:
VCR:
DVD:
DINING ROOM:
Table:
Chairs:
Other:
Other:
OTHER ITEMS:
Vacuum Cleaner:
Iron:
Ironing Board:
Pictures:
Plants:
MASTER BEDROOM:
King Bed:
Queen Bed:
Full Bed:
Twin Bed:
Dresser/Mirrors:
Chest:
Nightstands:
Lamps:
Other:
Pillows:
Sheets:
Comforter:
Dust Ruffle:
Bead Spread:
TV:
VCR:
DVD:
2nd BEDROOM:
King Bed:
Queen Bed:
Full Bed:
Twin Bed:
Dresser/Mirrors:
Chest:
Nightstands:
Lamps:
Other:
Pillows:
Sheets:
Comforter:
Dust Ruffle:
Bead Spread:
TV:
VCR:
DVD:
3rd BEDROOM:
King Bed:
Queen Bed:
Full Bed:
Twin Bed:
Dresser/Mirrors:
Chest:
Nightstands:
Lamps:
Other:
Pillows:
Sheets:
Comforter:
Dust Ruffle:
Bead Spread:
TV:
VCR:
DVD:
BATHROOM 1:
Bath Towels:
Hand Towels:
Wash Cloths:
Shower Curtain:
Curtain Liner:
Bath Mat:
BATHROOM 2:
Bath Towels:
Hand Towels:
Wash Cloths:
Shower Curtain:
Curtain Liner:
Bath Mat:
BATHROOM 3:
Bath Towels:
Hand Towels:
Wash Cloths:
Shower Curtain:
Curtain Liner:
Bath Mat:
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