Landlord Protection Application

The following application is designed to provide us with basic information about the Landlord or the Authorized Agent. The cost to submit this application is free. Property and Tenant applications can be submitted after you submit this 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:

Number of Residential Rental Units Managed or Owned:
How did you hear about APG?

To submit this form to Assurance Protection Group, the Landlord acknowledges agreement with the Terms and Conditions (link will open in a new window).