Landlord Questionaire

Please answer the following questions regarding you and your rental property and return to Partners for Community Development, Inc. along with a COPY of one of the following: Current year Property Tax Bill, Registered of Deed, Registered Land Contract, or Registered Life Estate.
Fields with * are required fields.

Please fill in all applicable field(s) to you regarding your property below:
Attached your proof of ownership here:
Invalid Input

Company Name (if applicable):
Invalid Input

Enter your full name:*:
Invalid Input! Please enter a full name.

Enter your address:*:
Invalid Input! Please enter your full address.

City:*:
Invalid Input! Enter your city.

State:*:
Invalid Input! Enter your state.

Zipcode:*:
Invalid Input! Enter your zipcode.

Enter your phone:*:
Invalid Input! Enter your phone including area code.

Phone type:
Invalid Input

Secondary Phone:
Invalid Input! Enter your phone including area code.

Phone type:
Invalid Input

Email Address:*:
Invalid Input! Enter a valid email address.

What year was the property built?
Invalid Input

What is the primary heating system?*:
Invalid Input!

Primary heating system other:
Invalid Input

Has the heating system ever been replaced?*:
Invalid Input!

If Yes, When?
Invalid Input

Are you responsible for paying heating costs or is the rental property master-metered?
Invalid Input

* If "YES", when owners are responsible for paying heating costs or the units are master-metered, owners are required to make a 15% contribution of the total cost of weatherization work. *
Property owners are responsible for signing off on the work done through the weatherization program. If you will be designating a property manager to sign off on your behalf please list his/her name and title below:
Signing off completion work person's name and title:
Invalid Input

How many living units does your rental property has?
Invalid Input

Unit 1:
Enter renter's full name:
Invalid Input

Enter Renter's Address:
Invalid Input

Enter Renter's City/State/Zipcode:
Invalid Input

Enter Renter's Phone:
Invalid Input! Enter phone including area code (123-456-7890).

Enter Renter's rent amount:
Invalid Input

Enter Renter's # of household members:
Invalid Input

Unit 2: (if applicable)
Enter unit 2 renter's full name:
Invalid Input

Enter unit 2 renters address:
Invalid Input

Enter unit 2 renter's City/State/Zipcode:
Invalid Input

Enter unit 2 renter's phone:
Invalid Input

Enter unit 2 renter's rent amount:
Invalid Input

Enter unit 2 renter's # of household members:
Invalid Input

** If additional space is needed, please attach another sheet of paper **
For 3 or more units, upload additional renter(s) information here:
Invalid Input

** In order to prevent spam submission of this form, please enter the code you see below into the space provided below. **
Your anti-spam code:*:
Your anti-spam code:
Refresh Invalid Input