Name Telephone Rental Unit Address Number of Bedrooms Number of Bathrooms Type of Unit Single HouseDuplex (2 family)ApartmentMobile HomeRow House Current Rent Year Built Sq. Ft. Heat Natural GasElectricOilBottle Gas Paid ByTenantLandlord Water Heat Natural GasElectric Paid ByTenantLandlord Cooking Fuel Natural GasElectricBottle Gas Paid ByTenantLandlord Other Electric Other Electric Paid ByTenantLandlord Water CityWell Paid ByTenantLandlord Sewer CitySeptic Tank Paid ByTenantLandlord Trash Trash Paid ByTenantLandlord Stove Provided by: Paid ByTenantLandlord Refrigerator Provided by: Paid ByTenantLandlord Ammenities Washer - if provided by landlord (not just a hook-up)Dryer - if provided by landlord (not just a hook-up)DishwasherGarbage DisposalCentral AirIntercom/Security SystemFenced Yard (must be in newer/good condition)Garage
