Residential Rental Questionnaire

Property Information

Owner of Record
Property Address
Parcel Number

Contact Information

Owner Phone (Primary)
Owner Phone (Secondary)
Owner Fax
Owner Email

Is this a Section 8 property?

Low and moderate income housing subsidized by the federal Department of Housing and Urban Development.

Approximate square footage of property being rented:

Property Type:









Number of Bedrooms
Unit 1
Unit 2
Unit 3
Unit 4
Number of Bathrooms
Unit 1
Unit 2
Unit 3
Unit 4

Please Note

Information that, if disclosed, would give advantage to competitors is exempt from disclosure under the Arkansas Freedom of Information Act. To the extent this form commingles exempt and non-exempt information, the exempt information will be redacted prior to disclosure.
Monthly Rent Asked
Unit 1
Unit 2
Unit 3
Unit 4
Average Annual Vacancy
Unit 1
Unit 2
Unit 3
Unit 4
*Number of months per year
Average Annual Collection Loss
Unit 1
Unit 2
Unit 3
Unit 4
*Difference between rent charged and rent received

Average Annual Miscellaneous Income
(Pet Fees, Non Refundable Deposits, etc.)
Unit 1
Unit 2
Unit 3
Unit 4

Average Annual Expenses
Management Fees
Real Estate Insurance
Utilities (Owner Paid)
Maintenance
Legal/Accounting Fees
Wages/Benefits
Yard/Exterior Care
Supplies
Miscellaneous Expenses
Annual Reserves for Replacements (Repairs)
*Money set aside to purahce new materials that are expected to be purchased as older materials wear out and need replaced Examples: Roof, carpet, appliances, water heater, heat/air, etc.


Repairs/Replacements Already Completed


Additional Information:

How was the current tenant(s) found?
Advertised (newspaper, internet, etc.)
Word of mouth
Family member or friend
Business contact
Other

Questions

You can contact the Pulaski County Assessor's Valuation Department by phone or email.
201 S.Broadway, Ste. 310
Little Rock, AR 2201
Phone: (501) 340-3525
Fax: (501) 340-8813
E-Mail: [email protected]