Landlord Habitational/Multi-Family Checklist

Landlord Habitational/Multi-Family Checklist
Which Agent have you been working with? *
Name (Primary Point of Contact) *

First Name Last Name
Date of Birth *

Month Day Year
Date
Phone Number *

Area Code Phone Number
Email *
example@example.com
Driver's License Number *
Legal Business Name (If applicable)
ex. ABC Company, LLC
FEIN #
Federal Tax ID #
Name (Secondary Point of Contact)

First Name Last Name
Phone Number (Secondary Point of Contact)

Area Code Phone Number
Date of Birth (Secondary)

Month Day Year
Date
Email (Secondary Point of Contact)
example@example.com
Driver's License # (Secondary)
Years in Business/Landlord Experience *
In Years
Years with Current Insurance Provider *
In Years
Estimated Closing Date/Requested Effective Date *

Month Day Year
Date
Property Address (to be quoted): *

Street Address

City & State

Zip Code County
Mailing Address (if different)

Street Address

City & State

Zip Code County
How many residential units on the property? *
Number of apartments/condos/etc.
What is the estimated occupancy? (%) *
Estimated percentage of units being rented at any given time
Any special classes of tenants? *

Student Housing Designated Elderly Housing Subsidized Housing/Sec 8 None of the above
List 3 Year Loss History *
List all claims that have been filed in the last three years. Please include what type of claim, damages, and paid amounts for each if available. If none, please type 'none."
Dwelling:
Year Built *
Construction Type: *
(i.e. Frame, masonry)
Home/Building Description *
(ie. duplex, 4-plex, multi-story apartments, single family home)
Basement? *

Yes No
If yes, Sq. Ft
Fireplace? *

Yes, gas Yes, solid fuel No
Sprinklers? *

Yes, full Yes, partial No
Wood Burning Stove? *

Yes No
Type of Heating: *
(ie. gas forced air, electric, etc.)
Secured entry or gated community? *

Yes, gated community Yes, secured entry to building(s) None
Type of Electrical *

Circuit Breaker Fuses
Smoke Detectors? *

Yes No
Alarm System? *

Yes No
Is the property part of a historical registry? (If unsure, this can usually be found on the assessor site) *

Yes No
Usage
Pool? *

Yes No
Any Pets Allowed? *

Yes No
If yes, are there any breed or weight restrictions?:
List breeds/weights of animals not allowed on premises
Year of Updates:
Wiring
Complete Partial
Heating:
Complete Partial
Plumbing:
Complete Partial
Roof: *
Complete Partial
Describe any other buildings on this specific property, if any
Describe any other properties or any comments/questions
Please attach documents (if requested)
Enter the message as it's shown *
Signature *

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Landlord Habitational/Multi-Family Checklist

Dwelling:

Usage

Year of Updates: