OWNER/OCCUPANT INFORMATION |
| Owner 1 Name:________________________________________________Phone:__________________ |
| Owner 2 Name:________________________________________________Phone:__________________ |
| Unit Address:______________________________________________________Unit #:___________ |
| Owner Mailing Address:_______________________________________________________________ |
| City:__________________________________State:________________Zip Code:_______________ |
| Tenant Name: (if applicable)_________________________________Phone:__________________ |
| Tenant Lease Term:___________________________________________Move In Date:___________ |
| Pet Description:_____________________________________________________________________ |
| Auto:Make______________Model____________Year_______Color______License #______________ |
| Auto:Make______________Model____________Year_______Color______License #______________ |
| Emergency Contact Person:____________________________________Phone:__________________ |
| Name of Mortgage Holder:_____________________________________________________________ |
| Address of Mortgage Holder:__________________________________________________________ |
| Homeowner Insurance Information/Company:_____________________________________________ |
| Agent:___________________________Phone #:________________Policy Type:________________ |
UNIT INFORMATION |
| # of Rooms:______# of Bedrooms:____# of Bathrooms:_______# of Smoke Detectors:_______ |
| Unit Style:______________Year Built:___________________Square Footage:_______________ |
| Purchase Date:_________Purchase Price:______________Fire Alarm System:Yes/No_________ |
| Integral Garage: Yes/No____________# of Spaces:___________Fireplace: Yes/No__________ |
| This is a request for information only and is not a requirement. The information on this form is necessary to establish individual unit owner files. All responses will remain confidential. Please mail to: |
ACRI
COMMERCIAL REALTY |