Doctor Relocation, LLC
Real Estate & Property Management
Landlord/Home Owner Application
This form will be used by Doctor Relocation, LLC for the exclusive purposes of identifying
Landlord/Owner and Property details. This is a confidential form and shall be used to create an
in house file for Real Estate Contracts, forms, year end 1099 forms, Title work, etc. Please
answer every question. If some items are “not applicable”, write n/a.
1. Owners Name(s): ________________________________________________________.
2. Property Address: Style: SFH, Town Home or Condo. Type: 2 Story, Tri-Level or Ranch
_______________________________________________________________________
_______________________________________________________________________.
3. Current or Alternate Address:________________________________________________
_______________________________________________________________________.
4. Phone numbers: Cell/Hm, ______________________ Wk, _________________________.
5. Email Address(s): _________________________________________________________.
6. Emergency/Alternate Contact Name & Phone: __________________________________.
7. Power of Attorney or Name of Trust: __________________________________________
________________________________________________________________________.
8. Primary Owner’s Social Security or TIN # _______________________________________.
9. Owners Date(s) of Birth: ____________________________________________________.
10. Parking Type/Space(s) & Numbers: ___________________________________________.
11. Mail Box Location: __________________________________ Box Number: ___________.
12. Is the Property under a Home Owners Association, (H.O.A) (Circle one) Yes or No
13. Name & Phone # of HOA Management Co. ____________________________________
________________________________________________________________________.
14. Please provide a hard copy of the Rules & Regs or a “Hyperlink” to an on-line file.
15. What Utilities are included in the HOA Fee: ____________________________________.
16. What Amenities/Facilities are included here: (i.e., tennis courts, pool, clubhouse, etc.,)
________________________________________________________________________.
17. Is the property in Foreclosure?
Yes or No (Circle one)
18. Has a Notice of Election & Demand, (NED) been filed? Yes or No (Circle one).
19. Important Notes/Appliances Included:__________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________ .