Landlord Referral Intake

SECTION 01

Landlord information

YOU

Full legal name

Email address

Phone number

Are you the property owner, manager, or both?

SECTION 02

Property & tenant

THE SITUATION

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?

YesNo

Has the tenant agreed to a stability planning session?

YesNo

SECTION 03

Rent & shortfall

THE NUMBERS

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 04

Eviction status

LEGAL POSTURE

Has an eviction been formally filed in court?

YesNo

SECTION 05

Cooperation & expectations

YOUR AGREEMENTS

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 06

Document uploads

PDF, DOC, IMG

Current rent ledger or statement

Drop a file here, or click to browse

PDF, DOC, DOCX, PNG, JPG · UP TO 10MB

Lease agreement or rent verification

Drop a file here, or click to browse

PDF, DOC, DOCX, PNG, JPG · UP TO 10MB

Notice to pay or other eviction-related documents

Drop a file here, or click to browse

PDF, DOC, DOCX, PNG, JPG · UP TO 10MB

— Optional

SECTION 07

Acknowledgements

PLEASE CONFIRM

I understand that funding is not guaranteed.I certify that the information provided is accurate to the best of my knowledge.