Form Center

2. Company Name*
4. Point of Contact First Name*
5. Point of Contact Last Name*
7. Point of Contact Email Address*
8. Point of Contact Phone Number
10. Address of Site Location*
12. City*
13. State*
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
14. Zip Code*
16. Property Characteristics
18. Number of Available Rooms
19. Number of ADA Accessible Units
20. Elevator Access/ADA Accessibility
22. List of Ameneties

    Check all that Apply

    1. Pool
    2. Laundry Room
    3. Meeting Rooms
    4. Office Space/Private Offices
    5. On-site Parking

    1. Office Space
    2. In-unit bathroom
    3. In-unit Kitchenettes
    4. Communal Kitchen
    5. Communal Dining Facilities
23. Other Amenities
24. Number of Rooms with Kitchenettes, if any

    If there are no Kitchenette units enter "0"

26. Does the property meet the current building and safety codes?

    1. Yes
    2. No
    3. Unknown
27. Any known defects or items requiring repairs
29. Vacancy Rates (for residential sites only)

    The City and County are not interested in supporting or incentivizing any evictions.

30. Can this property be occupied within 30 days after the close of escrow?
    -- Select One --YesNoNot Sure
32. Asking Price

    Please Note: The State of California requires all qualified acquisitions to have an appraisal of the property conducted and the contract price cannot exceed the appraised value.

34. Are you able to legally commit to a purchase and convey real property interests including land and buildings, and close escrow no later than December 31, 2021 or sooner?
    -- Select One --YesNoNot sure
36. Are their any Lawsuits?
    -- Select One --YesNoUnknown
37. Are their any incurable liens?
    -- Select One --YesNoUnknown
39. Are their any other clouds on title that would prevent an expedited purchase? If yes, provide informaiton
41. Other Terms of Sale
43. Any confidentiality requirements?
45. Other Pertinent Information not previously included
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field