Landlord Form for BR3T HSS

Landlord Form for BR3T's Housing Stability Services Program

Landlords complete this form. Leases showing security deposit information are required for all tenant applicants. Landlords are required to submit a W9.
Name*

First NameLast Name
Email address for general communications*
example@example.com
Email Address to receive payment information. An email will be sent with instructions on how to choose direct deposit or a mailed check.*
example@example.com
Legal Name of entity to receive payments/checks (e.g. name on W9)*
Phone Number*
Please enter a valid phone number.
Name of Complex - if applicable
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address if different from above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Landlords are required to submit a W9. A blank W9 is available at https://www.irs.gov/pub/irs-pdf/fw9.pdf . Please complete it and upload it below.
Upload your W9

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Tenant list you are uploading leases and ledgers for.*
Upload Tenant Leases and ledgers. If you are uploading for more than 1 tenant, please have the tenant name or unit number in the filename.

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Is there anything else you would like us to know?
Should be Empty:

Landlord Form for BR3T's Housing Stability Services Program