Landlord Interest Form Please submit this form if you are interested in renting your unit to a subsidized family. Please enter the information regarding the unit, utilities, and rent below. Landlord Contact First Last Phone Email Unit Info Unit TypeSingle-Family HouseHalf, Double or DuplexTown House(End of Row)Town House (Middle of Row)Walk Up ApartmentHigh Rise Apartment Number of Bedrooms0 (Efficiency Unit)1234+ Rent Unit Location Street Address Unit Number City StateALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code Utilities Heating TypeNatural GasElectricHeat Pump(Electric)OilBottled GasOther Included By OwnerYesNo Water Heating TypeNatural GasElectricHeat Pump(Electric)OilBottled GasOther Included By OwnerYesNo Cooking Heating TypeNatural GasElectricHeat Pump(Electric)OilBottled GasOther Included By OwnerYesNo Stove Included By OwnerYesNo Fridge Included By OwnerYesNo Electric Included By OwnerYesNo Water Included By OwnerYesNo Sewer Included By OwnerYesNo Trash Included By OwnerYesNo Air Conditioning (central air or window unit) Included By OwnerYesNo