ONLY use this form if: (1) you are a landlord or property manager with a vacant rental and (2) your rental is in Shasta County, California (or an adjoining county).

Fill out this form to add your property to our database. It will be verified and added within one business day. You will probably receive a phone call from one of our Rental Representatives in order to confirm this information.

1 Street #:     Apt #:     Street Name: Type:
City:    Zip Code:

2 Unit Type: Rent: $    Deposit: $
Last Months Rent: Required  Not Required    Available Date:

3 Lease Type: Month-to-Month  6 Month  1 Year  Negotiable  Lease Option
Credit Report: Required  Not Required  Require Your Own
H.U.D.: Yes  No  Consider

4 Bedrooms:     Bathrooms:     Square Feet:
Level: Single Level  Upstairs  Downstairs  2 Story
Furnished: Yes  No  Some

5 Washer/Dryer:     Dishwasher:     Range/Oven:

Disposal:     Refrigerator:     Window Coverings:

Heating:     Cooling:     Parking:

Carpet:     Fireplace/Wood Stove:     Pool:

Dog:     Cat:     Yard:     Acreage:    

6 Contact Name:
Primary Phone #:     Secondary Phone #:
Additional Remarks:

7



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