Resident Contact Information
Full Name
*
First Name
Last Name
Relation to the Property
*
Owner
Renter
Management Company
Other
Property Management Company
GL-LB-BAR Property Address
*
Phone 1
*
-
Area Code
Phone Number
Phone 2
-
Area Code
Phone Number
E-mail
*
E-mail 2
example@example.com
Mailing Address (if different than Property)
Address Line 1 (or Street Parameters)
Address Line 2
City
Postal Code
Other - Please list
Please provide any additional information or comments:
Submit
Should be Empty: