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For Landlords
Home
About
For Tenants
For Landlords
BOUND – Landlord Referral Intake
Help us prevent eviction before it starts. Fields marked
*
are required.
Section 1: Landlord Information
Full legal name
*
Email address
*
Phone number
*
Are you the property owner, manager, or both?
*
Select…
Property owner
Property manager
Both
▾
Section 2: Property & Tenant Information
Property address
*
Unit number (if applicable)
Tenant name
*
Tenant phone number
*
Tenant email address
*
Approximate length of tenancy
*
Is the tenant aware of this referral?
*
Yes
No
Has the tenant agreed to a stability planning session?
*
Yes
No
Section 3: Rent & Shortfall Details
Monthly rent amount
*
Amount currently behind in rent payments
*
Date rent is due each month
*
Date when rent first became late
*
Do you know what caused the tenant to get behind on rent?
*
Section 4: Eviction Status
Has an eviction been formally filed in court?
*
Yes
No
Section 5: Cooperation & Expectations
I agree to accept payment directly from BOUND on behalf of my tenant.
I agree this is one-time, temporary assistance.
I will confirm rent status after payment.
Section 6: Document Uploads
Current rent ledger or statement
*
Lease agreement or rent verification
*
Notice to pay or other eviction-related documents
Optional
Section 7: Acknowledgements
I understand that funding is not guaranteed.
I certify that the information provided is accurate to the best of my knowledge.
Submit Referral
