Landlord Intake

"*" indicates required fields

Building Name*

Name of Person Completing this Form*

Rental Address*

Street Address Code One Suite # 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:*

Maintenance / Cleaning

Is maintenance contact same as property contact?*

Maintenance Contact*

First Last

Maintenance Phone*

Maintenance Email*

Is cleaning service included?*

Trash/dumpster info

Name and contact info for cleaners in building (that we can privately contract for cleaning)*

24/7 Emergency Contact Name*

24/7 Emergency Contact email/phone*

Are water / gas / sewer / and electrical utilities included in the lease?*

Names of Service Providers and Meter Numbers for Utilities that Need to be Transfered to Tenant:*

Code One needs the unit to be empty of furniture except for 1 guest chair*

Yes – Empty with a guest chair

Yes – Empty, no guest chair available

Other

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 building unlocked Monday to Saturday, 8:00 AM to 8:00 PM?*

Please specify hours that the building is unlocked and open to the public – NOT requiring badge/key card to access. If there are any codes needed, please details include here*

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

Yes

Internet

Is internet included in lease?*

Internet service provider(s) in building:*

Connection Type*

Shared WiFi SSID / Password*

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*

Upload W9:*

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