Landlord Partnership Form

Landlord Partnership Form

Please complete this form to authorize us to rent your property.
AveXa operates structured independent living programs. To ensure transparency and compliance, we require landlord acknowledgment and approval of our occupancy model, which may include subleasing and program-based housing arrangements.
Landlord Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is the best time for us to contact you?
Property Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Do you own or rent the home listed Above?
Property Type
Number of Bedrooms
Number of Bathrooms
Date Available for Move-In?

MonthDayYear
Date
Do you allow subleasing or third-party occupancy arrangements?
Are you comfortable with AveXa leasing the property and placing program participants as occupants (not on the lease)?
Are you willing to include a clause in the lease explicitly allowing subleasing by AveXa?
Additional Property Details (optional)
Signature
Should be Empty: