Owner Information

Name 

Street Address 

City, State, Zip 

Contact Info - Home 

                        Work 

                        Cell   

                      E-mail   

Property Information

Address    

Unit # 

Floor Level  Choose One First Floor Second Floor Third Floor Rear

# of Bedrooms  Choose One One Bedroom Two Bedrooms Three Bedrooms Four Bedrooms Five or more Bedrooms Studio/Efficiency

# of Baths  Choose One One Bath Two Baths Three+ Baths

  Twins 0 twins 1 twin 2 twins 3 twins 4 twins 5 twins 6 twins 7 twins 8 twins

  Bunk 0 bunks 1 bunk 2 bunks 3 bunks 4 bunks  

  Double 0 double 1 double 2 doubles 3 doubles 4 doubles 5 doubles

  Queen 0 queens 1 queen 2 queens 3 queens 4 queens  

  King 0 kings 1 king 2 kings 3 kings 4 kings

  Futon 0 futons 1 futon 2 futons 3 futons 4 futons

  Cots  0 cots 1 cot 2 cots 3 cots

  Sofa bed 0 sofa beds 1 sofa bed 2 sofa beds   Size Choose One double sofa bed queen sofa bed

  Sleeps

  Highlight all that apply by holding down control button to make multiple choices

  Property Amenities  Television Washer Dryer Dishwasher Garbage Disposal VCR DVD Microwave Toaster Coffee Maker Vacuum Iron/Board Phone Outside Shower Grill Garage/Carport Off Street Parking Porch/Deck Roof Top Deck Storage Room Dock/Boat Slip Jacuzzi Pool Wireless Broadband Premium Cable Elevator

  Air Conditioning Choose One Central Window Wall   Ceiling Fans 0 1 2 3 4 5 6

  Pets Permitted No Yes

  Smoking Choose one no smoking smoking allowed  

  Unit Phone #

  Security  No  Yes    If Yes, Amount

  Rates  2009

Thank you!

Can we place a rent sign on your property?    Choose One Yes No