PM Form New Names of Owner(s)* NOTE: In the event there are multiple property owners (husband and wife, partners, etc., BROKER must take directives from ALL OWNERS OR may deal directly with (Owner). If not designated, BROKER will need signatures and directives from ALL owners. Your Email* The following questions are about the property that we will manage: 1. Property's Street Address* 2. Is the property occupied?* YesNo IF YOU ANSWERED "YES" TO QUESTION #2, ANSWER QUESTIONS 3 - 28, OTHERWISE SKIP TO QUESTION 29. 3. Is there a written lease?* NAYesNo NOTE: IF YOU ANSWERED "YES" TO QUESTION 3, WE WILL NEED A COPY OF THE LEASE. 4. Any adults living there not on the lease? NAYesNo 5. Do you know the names of everyone living there?* NAYesNo 6. Are there pets on the property?* NAYesNo 7. Is the current tenant delinquent in any way?* NAYesNo IF YOU ANSWERED "YES" TO QUESTION 7, ANSWER QUESTIONS 8 - 12, OTHERWISE SKIP TO QUESTION 13. 8. What reason does the tenant give for not paying the rent? 9. Indicate the last 3 rent payments with dates and amounts: A. Amount: $A. Date: B. Amount: $B. Date: C. Amount: $C. Date: 10. How much money is owed to you at this time?* 11. Do you have any payment plans with the tenant?* NAYesNo 12. If yes to question 11, describe the payment plan: 13. Has the tenant complained about or asked for any repairs?* NAYesNo 14. Did you ever allow tenant to make a repair and deduct this from the rent?* NAYesNo 15. Did you ever withhold a repair because you didn't receive rent?* NAYesNo 16. Did the tenant ever express an interest in purchasing the property?* NAYesNo 17. Did you ever tell the tenant they could possibly buy the property someday?* NAYesNo 18. Have you ever accepted cash from the tenant?* NAYesNo 19. Have you ever turned off the tenant's utilites?* NAYesNo 20. Have you ever changed the tenant's locks?* NAYesNo 21. Is the tenant in the military?* NAYesNo 22. Have you been contacted by an attorney for the tenant?* NAYesNo 23. Are you holding a last month's rent?* NAYesNo 24. If yes, how much $ 25. Are you holding a security deposit?* NAYesNo 26. If yes, how much $ 27. Do you want to evict the tenant?* NAYesNo 28. Is the tenant a relative or a friend?* NAYesNo 29. Concerning any future tenants, will you allow pets?* YesNo 30. Does your insurance policy cover dogs?* YesNo 31. Was the property ever cited by code enforcement?* YesNo 32. Was the property ever cited by an Association?* YesNo 33. Did anyone ever die in the unit?* YesNo 34. Was there ever any crime or arrest in the unit?* YesNo 35. Did you ever receive any complaints from the neighbors?* YesNo 36. Is the property for sale?* YesNo 37. If the property is not for sale, are you thinking about selling it?* YesNo 38. Any possibility of defective drywall in the unit?* YesNo 39. Are you current with your taxes?* YesNo 40. Are you current with your HOA/Condo Fees?* NAYesNo 41. Are you current with your mortgage?* YesNo 42. Are you current with your assessments?* NAYesNo 43. Are you current with your insurance?* YesNo 44. Was there ever any insurance claim on the property?* YesNo 45. Any water intrusion, flood, or mold on the property?* YesNo 46. Does the AC work?* YesNo 47. Does the heat work?* YesNo 48. Is the property on septic or city sewer?* SepticCity Sewer 49. If the property is on a septic tank, are there any septic problems?* NAYesNo 50. Are there any recurring plumbing problems?* YesNo 51. Is the water quality good?* YesNo 52. Have you used a property manager before?* YesNo 53. If you answered yes, do you owe any money to a prior manager? NAYesNo 54. If you answered yes, and you were not happy with your prior manager, please tell us why: 55. If you have comments or questions, please enter them below.