Property Listing Form

	Upland Housing Authority Serving the People of Upland Since 1943

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Please provide the following contact information:

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please provide the address of the unit:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please specify the date the unit will be available :
-- mm/dd/yy

Please specify the amount of rent requested:

Please specify the number of bedrooms:

Please specify the number of bathrooms:

Please select the type of unit (apartment, condo, duplex, house, mobile home, etc.):

Select any of the following amenities that apply:

Gated Community	Detached Garage	Central A/C
Senior Complex	Laundry Room	Attached Garage
Refrigerator	Swamp Cooler	Handicap Access
Stove	Patio/Balcony	Covered Parking
Washer & Dryer	Paid Trash	Ceiling Fan(s)
Microwave	Paid Gas	Tile Flooring
Dishwasher	Paid Water	Paid Electricity
Pets Allowed	Pool	Central Heat
Paid Sewer	Washer/Dryer Hookup	Window Coverings
Fireplace	Air Conditioner	Fitness Center

Please enter any additional information you would like to include:

The information you supply on this form will be made available to all Section 8 voucher holders, and will remain on UHA's available housing listing until you ask us to remove it. You may complete and this form online then print it out and fax it to our office at (909) 982-0237.

HOUSING AUTHORITY of the CITY of UPLAND
1200 N. Campus Avenue, Upland, California 91786
(909) 982-2649 Telephone * (909) 982-0237 Facsimile