Tenant Data Submittal

Jackson Area Landlords Association Tenant Data Submittal Form

In filling out the form below, the Landlord ID is your association membership number. If you are reporting information on tenants in a property that you manage, put your Association Membership Id in the Landlord ID Field initial and last name followed in the Manager Name field and the owners first and last name in the owner field.

Property Information:

Today’s Date

JALA Member ID# (if applicable)

Manager’s Name

Owner’s Name*

Address*

City*

State*

Zip Code*

__________________________________________________

Tenant Information:

Primary Tenant:

First Name*

MI*

Last Name*

SSN*
XXX-XXX-

D.O.B.

__________________________________________________

Co-tenant Information:

First Name

Last Name

SSN
XXX-XXX-

D.O.B.

__________________________________________________
Occupancy Information:

Move in date*

Move out date

Select Payment History*

Select Property Care*

Select Problem Types
NoiseCar ProblemsDamaged UnitToo Many VisitorsPolice VisitsN/A

Legal Action(s)

Attorney

Select Disposition

Select Restitution

Landlord/Owner Comments (optional)

1) Verification
Input this code: