Property and Owner Information Sheet

Please complete the following information and return this form, along with the Property Management Agreement and other necessary documents to Burgess Management Group, Inc. Please check all options that apply where noted and make any additional comments where needed. Please note that this required information enables us to most effectively market your property. We are not responsible for any information left incomplete.

Property Address: City:

State: Zip Code: County:

Subdivdion / Complex: HOA Name and Contact Information:

Desired Monthly Rent:

Tenant Occupied? Yes No

Owner Occupied? Yes No Is this property in foreclosure? Yes No

Is this property for sale? Date Contract Expires:

Company Name/Agent: Phone:

Email:

Owner Information

Owner Name: Federal Tax ID or SS#:

Company Name: Use company name as taxpayer?

Address:

Home Phone: Cell Phone: Work Phone:

Emergency Contact: Email:

Payment Address:

Owner Name: Federal Tax ID or SS#:

Company Name: Use company name as taxpayer?

Address:

Home Phone: Cell Phone: Work Phone:

Emergency Contact: Email:

Payment Address:

Condo / Townhouse Unit Floor #: Mailbox #: Parking #: Building or Access Code
Indicate Pool Code or Card:

Number Bedrooms Upstairs: Heated Sq.Ft.:

Number Bedrooms Downstairs: Number of separate keys / locks:
Location and Description of Bathroom(s): (owner must provide 2 sets of LABELED keys)

Number of Stories: Number of Garage Door Openers:

Year Built: Type of Driveway: (Gravel, Paved, Grass, etc.)

Property Description / Amenities – Circle all that apply

INTERIOR EXTERIOR MISC.

Wood Burning Fireplace Aluminum Attached Garage

Gas Fireplace Asbestos # of cars:

Finished Basement Block Detached Garage

Unfinished Basement Brick Veneer # of cars:

Cellar Cementous Siding Attached Carport

Crawl Space Formed Stone Detached Carport

Slab Log Basement Garage

Living Room Pre-cast Smoke Detectors

Dining Room Stone Carbon Monoxide Detectors

Sunroom Stucco Fenced Yard

Loft Stucco – Hard Coat Pool

Office Vinyl Lawncare

Bonus Wood Storage Building

Family Room Deck

Kitchen Patio

Range/Oven FLOORING

Refrigerator Brick COMMUNITY AMENITIES

Dishwasher Carpet Pool

Microwave Carpet over Wood Playground

Disposal Concrete Slab Grade Fitness Center

W / D Conenctions Laminate Clubhouse

Washer & Dryer Terrazo Walking Trail

Trash Compactor Tile Park

Vinyl Lake Access

Wood Boat Access

Golf Course

Smoking Yes / No Dogs Yes / No Pet Comments:

Students Yes / No Cats Yes / No

Handicap Accessible Yes / No

HVAC Filter Sizes & Locations:

Number and location of smoke detectors:

Number and location of carbon monoxide detectors:

Utility Sources

Heat Source: Sewer:

Heat Fuel: Water Heater:

Cooling: Water Shut Off Location:

Water: Sump Pump?

Utility Companies and Phone Numbers

Power: Water / Sewer:

Heating / Gas Garbage / Waste Removal:

Trash Day: Recycle Day:

Security Systems

Is there a security system? Yes No Security System available to tenant? Yes No

Security Company: Code:

Additional Notes:

THIS SECTION TO BE COMPLETED BY PROPERTY MANAGER

Style: ______Date received property: ______Property Type: ______

Monthly Rent: ______Security Deposit: ______
Vacant Inspection Completed: yes no Date:______Photos: yes no