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2. Rental Unit Availability Form
   Please use the interactive online form below.

4. This is to inform your office that I own the following rental property and I am willing to participate in the Housing Choice Voucher Program, therefore please list the property on your available list for prospective tenants. View Pre-Rental Inspection Guidelines
6. Owner Name*
8. Unit Address*
10. City*
11. State*
12. Zip Code*
14. Number of Bedrooms*
15. Utilities Included*
17. Is the unit handicap accessible?*

    1. yes
    2. no
19. I am willing to make modifications to make this unit handicapped Accessible.*

    1. yes
    2. no
21. Which program would you like to add your listing to?*

    1. Section-8 Housing Choice Voucher Program
    2. Foster Youth to Independence Voucher Program
    3. Emergency Housing Voucher Program
    4. All of the above
23. Proposed Rent:*
24. Availability Date:*
26. Contact Person*
27. Telephone Number*
29. I understand that it is required to provide a Certified Certificate of Occupancy, a Recorded Deed, a current paid tax bill, and a Rental Permit (or Rental Permit Application Receipt), along with a completed housing packet, to your office once I have agreed to rent to a Housing Choice Voucher Program recipient.
31. I also understand that should a prospective tenant find my unit from this list, no broker fee will be paid regardless of whether the house has been listed with a real estate agent.
33. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
35. Electronic Signature*
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field