Name
*
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Multiple Owners?
Yes
No
Second Owner's Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Method of Contact?
Phone
Email
Social Security number or Property EIN/Tax ID
*
*this is for IRS 1099 tax reporting purposes and is required by law
Back
Next
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Central Air?
*
Yes
No
Is there an evaporative cooler?
Yes
No
Is there an attic fan?
Yes
No
Is there a boiler in this specific unit?
Yes
No
If an apartment, condo or any multifamily property is there a central boiler?
Yes
No
Is there a fireplace,
Yes
No
Is fireplace functional
Yes
No
Please provide any comments on issue with fireplace?
Do you have a radon mitigation system?
Yes
No
Have there been any radon tests done or do you have any knowledge of radon in the unit? Please explain
Sprinkler System
*
Yes
No
Annual Furnace Maintenance
*
Yes
No
Washer and Dryer Included
*
Yes
No
Is there an HOA?
*
Yes
No
HOA Name
HOA Best Contact
What's included in the HOA fee? (Check all that apply)
Water
Sewer
Trash
Snow Removal
Yard Care/Landscaping
Electric
Gas
Internet
Cable
Pool
Tennis Courts
Clubhouse
Fitness Center
Who I the Gas/Electric provider?
Who is the Water provider?
Who is the Sewer provider?
Back
Next
Is the mailbox located in a community mailbox bank?
Yes
No
What is mailbox bank number?
What is the specific mailbox number?
Does the property have assigned parking spots?
Yes
No
What is the parking spot number and location?
Is there a garage?
Yes
No
If there is a garage keypad, what is the code?
Would you like Bergan & Co to schedule an annual sewer line cleaning?
Yes
No
Where is main shutoff for the home located?
Is there a separate storage for the property?
Yes
No
Where is the storage located? Is there a number, key, or code to access?
Are pets allowed?
Yes
No
Select Pets Allowed
Dogs
Cats
Other or specific instructions regarding pets?
Back
Next
Bank Name (For your direct deposit)
Account Type
Checking
Savings
Routing Number
Confirm Routing Number
Account Number
Confirm Account Number
Bank Address (required for EFT payments)
Do you certify the provided banking information is correct?
Yes
No
Is there any other information that new tenants or Bergan & Co should know?
How did you hear about us?
Web Search
Referral
Social Media
Other
Who referred you?
Please verify that you are human
*
Submit
Should be Empty: