Property Information

Address

Street Address *

City *

State *

Country *

Postal Code *

Property Type *

Single-family home

Townhome

Duplex / Triplex

Other (please specify)

Specify Property Type if Applicable (selected Other)

Is the property currently available for lease? *

Yes

Available on (date)

Property Layout & Bedrooms

Total Number of Bedrooms *

Are any of the bedrooms located in the basement? *

Yes Number of basement bedrooms: ___

If Yes, How many number of basement bedrooms

Are any bedrooms located on the third floor or above? *

Yes – Number of bedrooms on third floor or above: ___

If Yes, How many number of bedrooms on third floor or above?

Healthcare Program Suitability

Are you open to leasing the property for healthcare-related residential use *

Yes

Would like more information

(e.g., housing healthcare professionals, assisted living-style use, or residential treatment programs)?

Optional Room & Board Service Contract (Interest Only)

Some properties may be reviewed for an optional Room & Board service contract, subject to internal review and compliance requirements.
If qualified, this may generate potential retained earnings after Room & Board service costs.

Would you be potentially interested in being considered for this option? *

Yes

Would like to learn more

Document Submission

Are you able to provide the following documents for review if requested? *

Lease agreement

Addendums / house rules

Application requirements

(Check all that apply)

Submit here

Anything else we should know about the property?

Contact Information

Contact Name *

Role *

Property Owner

Property Manager

Leasing Agent

Other

Email *

Phone *

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

Property Information

Lease Details