COVER-PRO
SM
APPLICATION
PROPERTY MANAGER SUPPLEMENT
1. Full name of the Applicant Firm:
2. What percentage of the Applica
nt’s gross annual revenue comes from the following activities?
Current Year
Projected Next Year
Residential real estate: % %
Farm and /or ranc
h commissions:
% %
Commercial / Industrial commissions: % %
Real estate leasing fees (property not managed): % %
Real estate consulting fees: % %
Real estate appraisal fees: % %
Property management fees: (non-owned
): % %
Property management fee: (owned): % %
Auctioneering: % %
Mortgage broker** (not mortgage banking / lending): % %
** If o
ver twent
y-five (25)% of receipts, a separate supplemental information is required.
Note: Staff includes principals and partners. All staff personnel should be included only once.
3. Does the Applicant, its Owners, or Princip
als engage in any of the following? If
yes, provide complete details.
GROSS ANNUALRECEIPTS
Real estate development / Construction: Yes No $
Mortgage banking: Yes No $
Formation, management, or involvement as a Partner, Joint Venture, Sponso
r
, Promoter, or Underwriter of Group
Investment or syndication’s (including Limited Partnerships, General Partnerships, Real Estate Investment Trusts
or Corporations): Yes No $
Business opportunity brokerage: Yes No $
4. Does the Applicant, or any member of your firm have any own
ership or equity interest in any of the property that
is: A. sold by the firm? Yes No B. managed by the firm? Yes No
If yes, to either A. or B. above, attach a schedule of such prope
rty, including the type of service provided,
the percent of interest in the property, and the total gross ann
ual receipts derived from those services.
5. Is the Applicant involved in mobile home park management? Yes
No
6. Is the Applicant involved in homeowner / condo asso
ciation ma
nagem
ent?
Yes No
7.
Is the Applicant involved in comm
ercia
l manage
men
t
?
Yes No
If yes, please advise the number of stories:
8. Is the Applicant involved in nursing home or assisted living cente
r
mana
gement? Yes
No
9. Does the Applicant prepare a budget
for each property managed? Yes
No
10. Does the Applicant obtain a credit report for each
pros
pective tenant? Yes No
11. Does
the Applicant confirm that the owner of the property man
aged carri
es comprehensive general liability
coverage with limits of at least $1,000,000?
Yes No
12a. Are certificates of insurance obtained on all properties? Yes No
12b. Are certificates of insurance obtained on all sub-contractors working on the Applicant’s properties?
Yes No
PI-PLSP-PMSUPP 08/10 Page 1 of 2
