Landlord Membership Application

Please submit one application per Property. The following one time application is designed to provide us with basic information about the Landlord and the Property. This application is free of charge.

Landlord Name (if different from below):

Company Name, Corporation, Etc.:

Landlord Address:

Landlord City:

Landlord State:

Landlord Zip Code:

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Landlord Contact Name:

Landlord Contact Phone #:

Landlord Email Address:

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Property Name:

Property Address:

Property City:

Property State:

Property Zip Code:

Total Units within Property:

Apartments:

Homes:

Townhomes:

1 Bedroom Units:

2 Bedroom Units:

3 Bedroom Units:

Other:

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Property Contact Name:

Property Telephone #:

Property Email Address:

Security Code*:

Type the text: