Property Rental Submission

Maui Relief Intake Form

First Name

Last Name

Phone

Number of units

Term

Address

City

State

Zip Code

If more then one address add below

Property Type (e.g., apartment, house)

Unit Types

# Bathrooms

Floor Level

Availability Date

Is it furnished?

HOA Name

HOA Fee

Any additional fees or charges (e.g., pet fees, parking fees):

Property Features and Amenities:

List any special features or amenities your property offers:

Washer

Dryer

Pet-Friendly

Garage/Parking

Please upload images of your house (Size: Max 5MB, Quantity: Max 10 Pictures, JPG, PNG)

Choose File

ADA compliant - - Please explain if, Yes. If your unit does not allot for disabled individuals, would you be willing to have your home modified? Please elaborate.

Please provide any additional comments or information you think is relevant:

Property Rental Submission

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