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For all types of housing:
Source/date found _____________________/____/0__
Contact name and company: ___________________________________________
Phone Numbers (______)______-___________,
(______)______-___________
Times to call ___________________ Called: ______________________________
Visit scheduled for ___/____/0__, ___:___ am or pm
Address/directions/subway/bus: _________________________________________
__________________________________________________________________
Apt #.: ____, Buzzer #: ____, # of Elevator(s) ____ ||| |__| Doorman:
___ Hours/Days
$ ________ /month rent + $_______ deposit + $____________ or _____% fee
Date available, need to start?: ___/____/0__
______ days notice they give and ______ days I give if ending living there..
Rent stabilized?: ___ ||| ____ cable, ___ phone ____ type Internet
_______________
Size/description of _________ room ____'___" x ____'____"__________________
_________ room ____'___" x ____'____"_________________________________
_________ room ____'___" x ____'____"_________________________________
_________ room ____'___" x ____'____"_________________________________
Description, additional comments and questions (can continue on
extra lines at bottom of this page and on back of page if you print this out):
add'l thoughts about kitchen, bedroom(s), living
room, bathroom, amount of sunlight, etc.
___________________________________________________
rules and restrictions on noise, pets, etc.
______________________________
any building approvals required before can more in,
if so, what and when? ____
safety of neighborhood
___________________________________________
describe heat & air conditioning provided
_____________________________
what food and other stores nearby,
_________________________________
any roaches, mice, rats, in last year &
exterminator situation _______________
For roommate situations only:
Roommate's name/occupation/age/single status, etc. ________________________
_________________________________________________________________
Has lease of $______ total they pay/month. Their lease expires ___/___/0__
My share of utilities $_____/$______ itemize each: __ electric, ____ cable, ___ phone ____
type Internet add'l comments on this:__________________________________
Living areas, bathroom, private/shared what times ___________________________
Share cooking?, fridge and oven use, kosher/ vegetarian restrictions on food _______
___ = OK to put my lock on door ||| Smokers?
Privacy - expectations on how we'll socialize: _______________________________
How often leaseholder is away, each day, vacations, etc. ______________________
OK to have visitors during day, overnight ___ times per week
Could I sublease the room if I'm away for ____ months? ||| OK our ages, lifestyle,
etc.?
Any additional responsibilities such as cleaning, walking dog, taking care of resident(s)?
Leaseholder's health, what provisions if they are ill? __________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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1997 - 2004 by Hearts and Minds Network, Inc. This checlist © by Bill Blackman.
On-line October 22, 2003 at
http://www.heartsandminds.org/howto/housingchecklist.htm - latest revision October 22,
2003 |
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