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:

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]