Landlord Intake

"*" indicates required fields

Building Name

Rental Address

Street Address Address Line 2 City State ZIP Code

Landlord Name / Contact

First Last

Landlord Phone

Landlord Email

Landlord Address

Street Address Address Line 2 City State ZIP Code

Monthly Rental Amount:

Security Deposit Amount:

Rent Due Date:

Maintenance / Cleaning

Is maintenance contact same as property contact?

Maintenance Contact

First Last

Maintenance Phone

Maintenance Email

Is cleaning service included?

Do you have contact info for any cleaning service(s) in the building?

24/7 Emergency Contact Name & Number:*

Access

Is unit either on the ground level or have elevator access?

We have a heavy training cart so we need to determine whether we need to hire people to lift it into the unit or if we can wheel it in.

Is exterior entry shared with other tenants?

Describe exterior door access and hours:

i.e. Building unlocked Monday through Saturday, 8am to 8pm

Is Code One authorized to post the below signage next to our suite entrance?*

Yes

Internet

Is internet included in lease?

Internet service provider(s) in building:

Internet connection information:

In suite ethernet access is preferred. If WiFi, please provide SSID and Passkey.

Insurance Information

Requested Wording on Insurance Certificate (additional insured, etc):

Year Built:

Number of Stories:

Type of Building Construction (brick, frame, concrete):

Multi-Tenant Building:

Fire Sprinklers:

Square Footage to be Occupied by Code One:

Building Total Square Footage:

Distance from the nearest Fire Station:

Distance from nearest fire hydrant:

Enter N/A if no hydrants in area

Tax Information

Legal Name

FEIN

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