Healthy Agin Archives - ADRC Concho Valley

Housing or Apartment Name*

County*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Website

Application Process*

Age Requirement?*

If yes, how old?

Income Based?*

HUD Housing?*

USDA Housing?*

Senior Housing?*

Meal site?*

What utilities is tenant responsible for?*

What bills are included in rent?*

Are pets allowed? If yes, what is required deposit/pet rent?*

Which lengths of leases do you offer?*

Wheel Chair Accessible? Please explain.*

Bedrooms available?*

How many people allowed per unit?*

Moving Notice Protocol? i.e. 15 days, 30 days, etc...*

Application Fee Amount?*

Deposit/Admin Fee Amount?*

Name*

First Last

Date*

Phone

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