EXISTING RESIDENTS - REQUEST FOR INFORMATION

Welcome to our New Residents

Hi friends!!
Full Name (Primary Lease Holder)*

First NameLast Name
Address of rental property/Unit:*

Street Address

Street Address Line 2

City

Zip Code
Phone Number*

Area CodePhone Number
Can we text you at the number above?*

YesNo
Please enter your email in the box below, then go to your email inbox in a new browser tab and enter the code to confirm your email address;

We require a valid email to establish your online portal account.
Email Validator*
To confirm your identity take a selfie*
Current Lease Details

Tell us about your current rate
Your Home*
Size of Property / Unit
CONFIRM your RENT, per month *
enter your monthly rent
Confirm your security deposit amount *
$ Security Deposit Amount
Are you currently on a lease?*
Is your lease active?
GOVERNMENT ISSUED ID # *
YOUR ID NUMBER / A1234567.
Social Security#
enter your social security number
Upload a copy of your current/valid government issued identification*
Tell us about your household

This section is about you and your residents
List ALL household occupants

Who else resides in the property
Total Number of Adult Residents*
Number of adult residents
Total Number of minor residents*
Number of minor residents
Please list all minor residents: FULL NAME AND DATE OF BIRTH: IF NONE, ENTER NONE*
LIST FULL NAME AND DATE OF BIRTH for each minor in the property, if no minors, enter N/A
Additional Adult Resident #1

First NameLast Name
Additional Adult Resident 1, Phone

Area CodePhone Number
Additional Adult Resident 1, email
example@example.com
Additional Adult Resident 1, Gov ID #
Passport, DL or Government issued ID
Identification Expiration Date:

MonthDayYear
Date
Additional Adult Resident #2

First NameLast Name
Resident #2, Phone Number

Area CodePhone Number
Resident #2, Email
example@example.com
Additional Adult Resident 2, Gov ID #
Passport, DL or Government issued ID
Identification Expiration Date
Expiration Date: Passport, DL or Government issued ID
Additional Adult Resident #3

First NameLast Name
Resident #3, Phone Number

Area CodePhone Number
Resident #3 Email
example@example.com
Additional Adult Resident 3, Gov ID #
Passport, DL or Government issued ID
Identification Expiration Date
Expiration Date: Passport, DL or Government issued ID
Additional Adult Resident #4

First NameLast Name
Resident #4, Phone Number

Area CodePhone Number
Resident #4, Email
example@example.com
Additional Adult Resident 4, Gov ID #
Passport, DL or Government issued ID
Identification Expiration Date
Expiration Date: Passport, DL or Government issued ID
Additional Adult Resident #5

First NameLast Name
Resident #5, Phone Number

Area CodePhone Number
Resident #5, Email
example@example.com
Additional Adult Resident 5, Gov ID #
Passport, DL or Government issued ID
Identification Expiration Date
Expiration Date: Passport, DL or Government issued ID
Additional Adult Resident #6

First NameLast Name
Resident #6, Phone Number

Area CodePhone Number
Resident #6, Email
example@example.com
Additional Adult Resident 6, Gov ID #
Passport, DL or Government issued ID
Identification Expiration Date
Expiration Date: Passport, DL or Government issued ID
Household Pet Information

In order to maintain a safe environment, we need some information about your household pets, at your property/unit
Do you have any pets in your property?*

Yes (complete the information below)No (Skip to the next section: Vehicles)

Tell us about your household pets

	Cat or Dog	Breed	Color	Weight	Up to date on all vacinations?
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6
Pet 7

Vehicle Information: Required Information

In order to maintain a safe environment, we need some information about your vehicles that you park at your property/unit
HOW MANY VEHICLES IN YOUR HOUSEHOLD? *

ENTER THE DETAILS FOR EACH & EVERY VEHICLE IN YOUR HOUSEHOLD, INCLUDING MOTORCYCLES:

	MAKE	MODEL	COLOR	LIC PLATE #
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
Vehicle 5
Vehicle 6
Vehicle 7

Utilities

Please share your utility information below
Welcome to Bell Properties! We look forward to having you join us!
Each rental has different requirments for utilities. Many of our rentals require residents to pay for all utilities.

Please reference your lease and understand which uilitlities are your responsiblity. If you are obligated to pay for a service (water, power, gas, trash) you must activate service to be turned on in your name, on or before the lease commencement day. Please provide your new account numbers where requested below.

THANK YOU!
Please provide your DWP Account Number:
DWP Account #
If required in your lease, please provide your full Electric, Account # (if not on DWP):
Electric Account #
If required in your lease, please provide your full Gas, Account Number:
Gas Account #
If required in your lease, please provide your full Water, Account Number:
Water Account #
If required in your lease, please provide your full Sewer, Waste Disposal Account Number:
Waste Disposal Account #
Who is responsible for the yard/garden, if applicable at your property? *
If required in your lease, please provide your Gardeners full contact name/number:
Gardeners Name & Number
Do you currently have renters insurance?

Yes, the household has 100k+ coverageYes, less than 100k coverageNo, currently do not have valid renters insurance
Please upload your certificate of insurance, renters policy, with 100k limit and naming BELL Properties as additional insured.

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Emergency Contact

In Case of Emergency, Please Notify:
NAME OF YOUR EMERGENCY CONTACT*

First NameLast Name
Emergency Contact Phone Number: *

Area CodePhone Number
Emergency Contact Email:*
example@example.com
PAYMENT OPTIONS EXPLAINED:

Starting on the 1st, we'll expect full payment of all rents; We make it easy to pay on time, from the conveience of your home. Below are the four payment options available to you.

1) Payment by ACH through your portal

2) Payment by Credit Card through your portal

3) Payment by Cash at our CASHPAY LOCATIONS

4) Payment by Money Order/Check at the office

There is no fee when you pay online, by ACH, in your portal, using your bank account (Checking or Savings).

There is a 3.2% charge when using a credit card.

There is a $4 fee to use our CashPay system, ask a representative to email you your unique CashPay Account Number. Find CashPay locations at https://paylease.com/cashpay/locations WE DO NOT ACCEPT CASH AT ANY OFFICE LOCATION, only through CASHPAY.
How would you like to pay your rent in the future:
Current Problems at the property/unit?

Take a moment to let us know about any problems at your residence.
Are there any issues that we should know about right away? *
We require ALL Maintenance Issues to be provided in writing. Any maintenance issues, problems or complaints about your unit, property?
Suggestions if any for further improvement:
Suggestions for your property management team
Did someone assist you with the completion of this form? Enter their name & relationship:
Did anyone help you complete this form,?
Please eSign, confirming the above information is true and correct.

Clear
THANK YOU FOR YOUR TIME AND COOPERATION, in completing the online registration form.

For any business relationship to be successful there must be open communication, the abilty to follow instructions, rules and community standards. Our goal is to improve your community. To be successful all parties must cooperate!

We look forward to working with you, for the common good of your community.
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Welcome to our New Residents

Current Lease Details

Tell us about your household

List ALL household occupants

Household Pet Information

Vehicle Information: Required Information

Utilities

Emergency Contact

Current Problems at the property/unit?