Let’s work together Organization Information Legal Name of Organization * As registered with the IRS, if applicable Is your organization registered aIs a 501(c)(3) non-profit entity with the IRS?: * Yes No Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Tax Identification Number (TIN) * Website If applicable http:// Mission Statement * Property Lease Details Type of Property Desired * Single-family home (with multiple bedrooms) Multi-family property (e.g. duplex, triplex, etc.) Multiple individual units Other (please specify) Intended Use of Property * Desired Lease Term * Less than 1 year 1 year 2 years More than 2 years Number of Subtenant Expected * Subleasing Information Who will you sublease to? * Sublease Duration * Estimated Number of Leases Per Year * Financial and Payment Details Source of Funding for Rent * Proposed Rent Payment Frequency * Security Deposit * Insurance and Liability Does your organization have general liability insurance? Yes No Insurance Coverage * Does your insurance cover both the property and your subtenants? Yes No Property Management and Maintenance Who will be responsible for maintenance * Emergency Contact * Emergency Contact Phone * (###) ### #### Background and References References * Please provide at least two references from landlords, community organizations, or other parties you have worked with in the past. Past Experience with Subleasing * Has your organization leased or subleased a property before? If yes, please briefly describe your experience. Additional Information Please use the following space for any comments or questions. We look forward to speaking with you! Thank you!
