Property Information Form

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Property Information

Property Address *

City

State

Zip Code

Property Type *

Single Family Condominium Multi-Family Other

Number of Units

Year Built

Year Acquired

Owner Information

Owner Name(s) *

Phone *

Email *

Occupancy Details

Current Occupancy Status *

Owner Occupied Tenant Occupied Vacant

Utilities

Utility	Provider	Who Pays
Electric		Owner Tenant
Gas / Oil / Heat		Owner Tenant
Water / Sewer		Owner Tenant
Internet / Cable		Owner Tenant

Appliances

Appliance	Included?	Warranty?
Refrigerator	Yes No	Yes No
Stove / Oven	Yes No	Yes No
Dishwasher	Yes No	Yes No
Microwave	Yes No	Yes No
Washer	Yes No	Yes No
Dryer	Yes No	Yes No

Additional Appliances / Notes

Insurance

Property Insurance Carrier

Annual Premium ($)

Coverage Type

HO3 — Standard Homeowner HO6 — Condo Landlord / DP3

Any Past Claims?

No Yes

Maintenance & Improvements

Recent Repairs or Upgrades (last 5 years)

Planned Repairs or Known Issues

Active Service Contracts

Parking & Storage

Parking Type

Garage Driveway Street Assigned Spot

# of Spaces

Storage Available?

Yes No

Storage Details

Additional Notes

Anything else we should know about this property?

Owner Certification

By submitting this form, I confirm that the information provided above is accurate and complete to the best of my knowledge. I understand this information will be used by Port City Group to assist with the management and/or listing of the property.

Owner Name (print) *

Date *

Your information is kept strictly confidential and never shared with third parties.

Property Information Form