Control Number
Tester ID
Available Unit Form Sequence:
Tester Type
Site
City
State
Zip Code (00000)
Date available  (mm/dd/yyyy)
How much is the rent? ($__/month)
Number of bedrooms
Month-to-month
Three Month
Six month
One year
Two year
Other
If Other, specify
Is a security deposit and/or surety bond required?
Security deposit amount
This form is complete
Surety bond amount
Were you told about any additional mandatory fees?
Name of first mandatory fee:
If other, please specify:
Is this a one-time/annual or monthly fee?
Amount of fee
Name of second mandatory fee:
Name of third mandatory fee:
Name of fourth mandatory fee:
Were you told about any incentives available to you if you decide to apply and r
Name of first incentive:
Is this a one-time/annual or monthly incentive?
Amount of incentive:
Name of second incentive:
Name of third incentive:
Name of fourth incentive:
General comments
Type of Building
Any comments about this particular unit/building?
If yes, what was the comment?