MIKE TWITTY, MAI
REN‐0822
Clear Form
Pinellas County Property Appraiser
P.O. BOX 1957 - CLEARWATER, FL 33757-1957
RENTAL INCOME REQUEST
5-9 UNITS
This information will be held in confidence. Please return completed form by APRIL 15.
Name
Address
City, State Zip
Parcel ID
Mailing Address
(if different than above)
Please list all units and current rents, even if the units are not currently rented. Include the
market rent for owner-occupied units. This information will help us to develop benchmarks for multifamily properties. Thank you.
Number Of EACH UNIT
# BATHS
UNITS
TYPE
RENT/UNIT
MONTHLY
# MONTHS
VACANT
2016
SEASONAL
RENT
NONSEASONAL
RENT
EFFICIENCY
1 BEDROOM
2 BEDROOM
3 BEDROOM
OTHER
TOTAL
Are any units owner-occupied? No ___ Yes ___ Type of unit(s) ____________________.
Estimated market rent for owner-occupied unit _____________.
Who maintains the yard or lawn? _______________________________.
Overall condition of property: Poor ___ Fair ___ Good ___ Excellent ___.
Comments: ________________________________________________________.
During 2016 were any improvements (new roof, A/C, remodel, etc.) made to the property?
Describe: _______________________________________________________.
Are any utilities or services included in rent? (Check all that apply)
Water ___ Electric ___ Trash ___ Misc., please specify ________________________.
____________________________________
____________________________________
Print Name
Signature
Date
Phone: (_____)_____________
MF_Rental_Income_5_9
Updated: 1/17
Print