Landlord Property Application

Please submit one application per Property. The following one time application is designed to provide us with basic information about the Property. The cost to submit this one time application is $49.00. Properties with multiple units still require only one application. Tenant applications can be submitted after you submit this application. Payment method options will appear once this application is completed and you click "Submit Property Application".

Landlord Name (if different from below):   Company Name, Corporation, Etc.

 
Landlord Address:
  Landlord City:
Landlord State:   Landlord Zip Code:

 
Landlord Contact Name:   Landlord Contact Phone #:
Landlord Email Address:      

 
Property Name:      
Property Address:
  Property City:
Property State:   Property Zip Code:
         
Total Units within Property:   1 Bedroom Units:
Apartments:   2 Bedroom Units:
Homes:   3 Bedroom Units:
Townhomes:   Other:

 
Property Contact Name:   Property Telephone #:
Property Email Address:      
 
To submit this form to Assurance Protection Group the Landlord acknowledges agreement with the Terms and Conditions (link will open in a new window).