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2. Owner Information

   Please complete the following fields regarding the property owner information.

4. How do you wish to receive invoices/bills?*

   Only one option may be selected. Enter email address OR mailing address.

6. How do you wish to receive your scheduling & inspection report/results?*

   Only one option may be selected. Enter email address OR mailing address.

8. Are you the preferred contact?

   1. Yes
   2. No
9. What is your primary language?

   1. English
   2. Spanish
   3. Other
11. Owner's First Name
12. Owner's Last Name
14. Owner's Corporation/Business Name
16. Owner's Address
18. City
19. State
20. Zip Code
22. Cell Phone Number
23. Fax Number
25. Home Phone Number
26. Work Phone Number
28. Email Address
30. Property Agent/Manager

    Please complete the following information regarding the property agent/manager if applicable.

32. Are you the Preferred Contact?

    1. Yes
    2. No
33. What is your primary language?

    1. English
    2. Spanish
    3. Other
35. Agent's First Name
36. Agent's Last Name
38. Agent's Address
40. City
41. State
42. Zip Code
44. Home Phone Number
45. Fax Number
47. Cell Phone Number
48. Work Phone Number
50. Email Address
52. Rental Property Information:
54. Please list all the rental properties you currently own as well as any changes such as: 123 Main St. - sold 12/31/19.
56. If any of your units are family occupied by a parent, child, sibling, grandparent or grandchild, then please list that address, the occupants name and their relationship to the titleholder(s).
58. Submitted by:
59. Date:
61. Thank you for completing the information sheet online. If you have any questions, comments or information you would like us to contact you about related to your rental property please let us know.
63. Please contact me regarding....
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit

* indicates a required field