Name

Telephone

Rental Unit Address

Number of Bedrooms

Number of Bathrooms

Type of Unit

Current Rent

Year Built

Sq. Ft.

Heat

Paid By

Water Heat

Paid By

Cooking Fuel

Paid By

Other Electric
Other Electric
Paid By

Water

Paid By

Sewer

Paid By

Trash
Trash
Paid By

Stove Provided by:
Paid By

Refrigerator Provided by:
Paid By

Ammenities