Skinker DeBaliviere Housing Provider Annual Certification Form

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If you own a rental property of any kind in Skinker DeBaliviere please complete this form. See full description at bottom of document.

Email *

Business Name *

Mailing Address *

Phone *

Total Units In Neighborhood *

Authorized Contact *

Year Established

Authorized signee certifies that the following is true at the time that a residence has been advertised and during the period it is leased to a tenant(s).

Authorized signee certifies that the following is true at the time that a residence has been advertised and during the period it is leased to a tenant(s). (Check all that apply) *

Advertises and leases in accordance with Fair Housing Act of 1968, to prevent discrimination.

Lease agreements comply with all federal, state and local laws.

Leases a residence to no more than 3 unrelated people, regardless of the number of bedrooms.

Leases by residence, not by individual rooms, as boarding houses are not allowed in St. Louis City.

Residences have passed a St. Louis City conservation and occupancy inspection.

Tenants receive written copy of their lease, outlining at minimum, the length of their lease, rent amount, deposits, repairs policy, utility obligations, subleasing, late fees and eviction policy.

Residence for rent has had less than four complaints filed with St. Louis City in last four years.

Works with city and relevant entities to resolve all valid complaints within 30 calendar days.

Required

I agree to abide by the following requirements outlined in City of St. Louis Ordinance #69202 - https://goo.gl/rxDikR

Ensure a housing conservation inspection has occurred when buying a property *

Yes

Obtain a Certificate of Inspection before occupancy of the unit *

Yes

CHECK ALL THAT APPLY: *

1-Family Residences For Rent

2-Family Residences For Rent

Apartments For Rent

Disability Access

Central Air Conditioning

Cable Ready

Laundry On-site

Mainly Rented to Students

Utilities Included

Garage or Off-Street Parking

Pets Allowed

Furnished

Required

Authorized Signee *

Date

This document is used to generate a preferred housing provider list, which is distributed to renters, colleges, realtors and property owners. The Provider List, which is published in January and July of each year by SDCC, does not constitute an endorsement of your business.

SDCC has no authority to enforce federal, state or local housing laws or ordinances. The Preferred Housing Provider List exists to provide potential renters with basic information regarding the policies of landlords. This form allows landlords to communicate their commitment to providing quality housing in compliance with all applicable laws. This document has been reviewed by other landlords, real estate agents, residents, institutional partners and representatives of local government. This is NOT a binding contract. It is a type of Community Benefits Agreement.

A copy of your responses will be emailed to the address you provided.

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