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! References or Subleasing Experience Thank you!