Required fields marked with *
Vacancy Type *:	Tenant Based Project Based/PACT
Vendor Name *:
Address *:
Apartment Number:
Select the Borough:
Apartment Zipcode *:
Number of Bedrooms *:
Requested Rent *:
Apartment Floor:
Apartment Ready?	Yes No
Apartment Ready Date:
Elevator Building?	Yes No
Handicapped Accessible?	Yes No
Senior Citizen Building (62 yrs old+):	Yes No
Rent Stabilized?	Yes No
Private House?	Yes No
Coop/Condo?	Yes No
LIHTC. Income Required Up To $
Other Features:
Contact First Name * :
Contact Last Name * :
Contact Phone Number *:
E-Mail Address *:
PBV Development Name *:
Previous Tenant Section 8 # *:
Actual Vacate Date *:
Move Out Reason *:
Unit Type *:
Accessible Unit *:	Yes No
Hospitality Unit *:	Yes No
Temporary Relocation Unit *:	Yes No
Date Vacancy Reported *:
Owner Confirmed Possession Date *:
Unit Ready Date *: