total number of bedrooms: ..... ____ total square footage: ..... ______ sqft start of vacancy: ..... ___/___/2007

monthly rent: .....$ ________ . contract type: __ monthly lease __ six month lease __ yearly lease __ monthly sublet __ none of the above

first payment: __ 1st & last month + security __ 1st month + security __ 1st & last month __ 1st month __ none of the above agent fee: __ full fee __ half fee __ no fee __ none of the above

utilities included in rent (multiple answers acceptable) __ none __ electricity __ heat from electricity __ heat from gas __ heat from oil __ hot water __ water __ cooking gas __ none of the above

building type: __ condominium __ apartment building __ town house __ brownstone __ 3 family house __ 2 family house __ house __ none of the above

floor location: __ multi-level __ basement __ first __ second __ third __ above third __ other

main exposure: __ unknown ............... __ North..........__ East ...................................... __ South..........__ West __ at least two sided __ none of the above top floor apartment: __ unknown __ yes....... __ no

elevator: __ yes __ no accessible to mobility-impaired: __ unknown __ yes __ no

number of bathrooms: __ 1/2 bath __ 1 bath ..... __ 1 and 1/2 bath __ 2 bath ..... __ 2 and 1/2 bath __ 3 bath ..... __ 3 and 1/2 bath __ 1 per bedroom __ 1 for up to 2 bedrooms __ 1 for up to 3 bedrooms __ 1 for up to 4 bedrooms __ less than 1 for 4 bedrooms __ none of the above

amenities (multiple answers acceptable): __ none __ air conditioning __ cable __ fireplace __ laundry room __ porch/balcony __ wireless access __ yard __ other

noise level: __ very quiet __ quiet __ average __ noisy __ very noisy __ none of the above

floor covering: __ all hardwood __ mixed hardwood & carpeting __ all carpeting __ none of the above lead paint: __ unknown __ yes __ no

furniture: __ fully furnished __ bedroom furniture + kitchen fully equipped __ kitchen fully equipped (incl microwave oven) __ kitchen equipped (essentials+dishwasher) __ kitchen essentials (refrigerator+stove) __ bare __ none of the above

heating type: __ unknown __ central heat from ceiling (air) __ central heat from floor (air) __ central heat from wall-mounted elements (steam) __ central heat from wall-mounted elements (water) __ central heat from wall-mounted elements (elec) __ none of the above

monthly estimated cost of extra utilities: __ highly depends on tenant __ less than 8% of rent __ from 8% to 12% of rent __ from 13% to 17% of rent __ more than 18% of rent __ none of the above

group size:	_______ people	total provable annual gross income:	$ ____
undergraduate present:	yes - no	lease cosignature by creditworthy US resident:	yes - no
pets:	yes - cat & dog OK - dog OK - cat OK - no	recommendation from student/alum association:	yes - no
smoking:	yes - yes if outside - not at all	recommendation from previous landlord:	yes - no