2. Property Name*
4. Property Address*
6. 1. Owner Type*

   (Check One)

   1. For Profit

   1. Non-Profit

   1. Housing Authority

   1. NA
8. 2. Numbers of Units by Bedroom*

   (Check One)

   1. One Bedroom

   1. Two Bedrooms

   1. Three Bedrooms

   1. Four Bedrooms
10. 3. How detrimental has COVID - 19 been to your business?*

    (1 Not at all Detrimental - 10 Extremely Detrimental)

    1. 1
    2. 2
    3. 3
    4. 4

    1. 5
    2. 6
    3. 7

    1. 8
    2. 9
    3. 10
12. 4. Are you experiencing a decrease in new leases since March 2020?*

    1. Yes

    1. No

    1. NA
14. 5. What percentage of your tenants do you believe experienced some income loss since March 2020 due to COVID-19?*
16. 6. Average Collection Rate for the months March - June 2020.*
18. 7. What is the total dollar amount of delinquencies related to COVID-19?*
20. 8. Percentage of expected evictions as a result of COVID-19: (0 – 60%)*
22. 9. What is the average number of months that tenants’ rental payments are in arrears due to COVID-19?*

    (Months)

    1. 1

    1. 2

    1. 3

    1. 4
24. 10. What is percentage of units is in arrears due to COVID 19 (March – June 2020)?*
26. 11. Do you offer repayment plans for tenants affected by COVID-19?*

    1. Yes

    1. No
28. 12. What is the percentage of tenants that have responded to payment plan offers?*
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