Notice of Vacant Rental Unit Form
Today’s Date:
Add
Remove
Owner Information
Owner’s Name:
Owner’s Phone #:
Contact Person:
(if different than owner)
Contact Phone #:
Best time to call:
Rental Unit Information
Dates Available:
Address of Rental:
Unit in City Limits
# of Bedrooms:
Type of Rental:
Pets:
House
Duplex
Townhouse
Apartment
Condo
Mobile
Cats Allowed
Dogs Allowed
PG&E
Water
Garbage
Sewer
Stove
Refrigerator
Security Deposit:
Rent Amount:
Included in Rent:
Other Comments:
Please save this form and submit to [email protected], or mail to 90 Santa Rosa Avenue, Santa Rosa, CA 95404
City of Santa Rosa Housing and Community Services • 90 Santa Rosa Avenue • Santa Rosa, CA 95404
Phone 707-543-3300 • Fax 707-543-3317 • TDD 707-543-3318