Cobble Creek: Homeowner Survey Form

Help us to update your information in our files in order to serve you better. Please fill out the following information.

Homeowner Information

Owner?s Name(Required)

First Last

Other Owners? Names

</div></div><fieldset id="field_2_4" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><legend class="gfield_label gfield_label_before_complex">Property Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>    
                    <div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_2_4">
                         <span class="ginput_full address_line_1 ginput_address_line_1" id="input_2_4_1_container">
                                        <input type="text" name="input_4.1" id="input_2_4_1" value="" aria-required="true"/>
                                        <label for="input_2_4_1" id="input_2_4_1_label">Street Address</label>
                                    </span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_2_4_2_container">
                                        <input type="text" name="input_4.2" id="input_2_4_2" value="" aria-required="false"/>
                                        <label for="input_2_4_2" id="input_2_4_2_label">Address Line 2</label>
                                    </span><span class="ginput_left address_city ginput_address_city" id="input_2_4_3_container">
                                    <input type="text" name="input_4.3" id="input_2_4_3" value="" aria-required="true"/>
                                    <label for="input_2_4_3" id="input_2_4_3_label">City</label>
                                 </span><span class="ginput_right address_state ginput_address_state" id="input_2_4_4_container">
                                        <input type="text" name="input_4.4" id="input_2_4_4" value="" aria-required="true"/>
                                        <label for="input_2_4_4" id="input_2_4_4_label">State / Province / Region</label>
                                      </span><span class="ginput_left address_zip ginput_address_zip" id="input_2_4_5_container">
                                    <input type="text" name="input_4.5" id="input_2_4_5" value="" aria-required="true"/>
                                    <label for="input_2_4_5" id="input_2_4_5_label">ZIP / Postal Code</label>
                                </span><input type="hidden" class="gform_hidden" name="input_4.6" id="input_2_4_6" value=""/>
                    <div class="gf_clear gf_clear_complex"/>
                </div></fieldset><div id="field_2_6" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_6">Home Phone</label><div class="ginput_container ginput_container_phone"><input name="input_6" id="input_2_6" type="tel" value="" class="large" aria-invalid="false"/></div></div><div id="field_2_7" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_7">Work Phone</label><div class="ginput_container ginput_container_phone"><input name="input_7" id="input_2_7" type="tel" value="" class="large" aria-invalid="false"/></div></div><div id="field_2_16" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_16">Mobile Phone</label><div class="ginput_container ginput_container_phone"><input name="input_16" id="input_2_16" type="tel" value="" class="large" aria-invalid="false"/></div></div><div id="field_2_17" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_17">Mobile Phone</label><div class="ginput_container ginput_container_phone"><input name="input_17" id="input_2_17" type="tel" value="" class="large" aria-invalid="false"/></div></div><div id="field_2_18" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_18">Email Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class="ginput_container ginput_container_email">
                            <input name="input_18" id="input_2_18" type="email" value="" class="large" aria-required="true" aria-invalid="false"/>
                        </div></div><div id="field_2_19" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_19">Email Address</label><div class="ginput_container ginput_container_email">
                            <input name="input_19" id="input_2_19" type="email" value="" class="large" aria-invalid="false"/>
                        </div></div><fieldset id="field_2_20" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible"><legend class="gfield_label gfield_label_before_complex">Your Mailing Address (if different from property address)</legend>    
                    <div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_2_20">
                         <span class="ginput_full address_line_1 ginput_address_line_1" id="input_2_20_1_container">
                                        <input type="text" name="input_20.1" id="input_2_20_1" value="" aria-required="false"/>
                                        <label for="input_2_20_1" id="input_2_20_1_label">Street Address</label>
                                    </span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_2_20_2_container">
                                        <input type="text" name="input_20.2" id="input_2_20_2" value="" aria-required="false"/>
                                        <label for="input_2_20_2" id="input_2_20_2_label">Address Line 2</label>
                                    </span><span class="ginput_left address_city ginput_address_city" id="input_2_20_3_container">
                                    <input type="text" name="input_20.3" id="input_2_20_3" value="" aria-required="false"/>
                                    <label for="input_2_20_3" id="input_2_20_3_label">City</label>
                                 </span><span class="ginput_right address_state ginput_address_state" id="input_2_20_4_container">
                                        <input type="text" name="input_20.4" id="input_2_20_4" value="" aria-required="false"/>
                                        <label for="input_2_20_4" id="input_2_20_4_label">State / Province / Region</label>
                                      </span><span class="ginput_left address_zip ginput_address_zip" id="input_2_20_5_container">
                                    <input type="text" name="input_20.5" id="input_2_20_5" value="" aria-required="false"/>
                                    <label for="input_2_20_5" id="input_2_20_5_label">ZIP / Postal Code</label>
                                </span><input type="hidden" class="gform_hidden" name="input_20.6" id="input_2_20_6" value=""/>
                    <div class="gf_clear gf_clear_complex"/>
                </div></fieldset><div id="field_2_22" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible"><h2>Tenant Information (if applicable)</h2>

<p>If tenant occupied, please provide the following information:</p></div><fieldset id="field_2_23" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible"><legend class="gfield_label gfield_label_before_complex">Your Mailing Address</legend>    
                    <div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_2_23">
                         <span class="ginput_full address_line_1 ginput_address_line_1" id="input_2_23_1_container">
                                        <input type="text" name="input_23.1" id="input_2_23_1" value="" aria-required="false"/>
                                        <label for="input_2_23_1" id="input_2_23_1_label">Street Address</label>
                                    </span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_2_23_2_container">
                                        <input type="text" name="input_23.2" id="input_2_23_2" value="" aria-required="false"/>
                                        <label for="input_2_23_2" id="input_2_23_2_label">Address Line 2</label>
                                    </span><span class="ginput_left address_city ginput_address_city" id="input_2_23_3_container">
                                    <input type="text" name="input_23.3" id="input_2_23_3" value="" aria-required="false"/>
                                    <label for="input_2_23_3" id="input_2_23_3_label">City</label>
                                 </span><span class="ginput_right address_state ginput_address_state" id="input_2_23_4_container">
                                        <input type="text" name="input_23.4" id="input_2_23_4" value="" aria-required="false"/>
                                        <label for="input_2_23_4" id="input_2_23_4_label">State / Province / Region</label>
                                      </span><span class="ginput_left address_zip ginput_address_zip" id="input_2_23_5_container">
                                    <input type="text" name="input_23.5" id="input_2_23_5" value="" aria-required="false"/>
                                    <label for="input_2_23_5" id="input_2_23_5_label">ZIP / Postal Code</label>
                                </span><input type="hidden" class="gform_hidden" name="input_23.6" id="input_2_23_6" value=""/>
                    <div class="gf_clear gf_clear_complex"/>
                </div></fieldset><div id="field_2_24" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_24">Tenant Name(s)</label><div class="ginput_container ginput_container_textarea"><textarea name="input_24" id="input_2_24" class="textarea large" aria-invalid="false" rows="10" cols="50"/></div></div><div id="field_2_25" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_25">Tenant Phone Number</label><div class="ginput_container ginput_container_phone"><input name="input_25" id="input_2_25" type="tel" value="" class="large" aria-invalid="false"/></div></div><div id="field_2_26" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_26">Lease Expiration Date</label><div class="ginput_container ginput_container_date">
                            <input name="input_26" id="input_2_26" type="text" value="" class="datepicker mdy datepicker_no_icon gdatepicker-no-icon" placeholder="mm/dd/yyyy" aria-describedby="input_2_26_date_format" aria-invalid="false"/>
                            <span id="input_2_26_date_format" class="screen-reader-text">MM slash DD slash YYYY</span>
                        </div>
                        <input type="hidden" id="gforms_calendar_icon_input_2_26" class="gform_hidden" value="https://davidakleinrealestate.com/dev/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg"/></div><div id="field_2_27" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible"><h2>Emergency Contact Information</h2></div><div id="field_2_28" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_28">Name(s)</label><div class="ginput_container ginput_container_textarea"><textarea name="input_28" id="input_2_28" class="textarea large" aria-invalid="false" rows="10" cols="50"/></div></div><fieldset id="field_2_29" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible"><legend class="gfield_label gfield_label_before_complex">Address</legend>    
                    <div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address" id="input_2_29">
                         <span class="ginput_full address_line_1 ginput_address_line_1" id="input_2_29_1_container">
                                        <input type="text" name="input_29.1" id="input_2_29_1" value="" aria-required="false"/>
                                        <label for="input_2_29_1" id="input_2_29_1_label">Street Address</label>
                                    </span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_2_29_2_container">
                                        <input type="text" name="input_29.2" id="input_2_29_2" value="" aria-required="false"/>
                                        <label for="input_2_29_2" id="input_2_29_2_label">Address Line 2</label>
                                    </span><span class="ginput_left address_city ginput_address_city" id="input_2_29_3_container">
                                    <input type="text" name="input_29.3" id="input_2_29_3" value="" aria-required="false"/>
                                    <label for="input_2_29_3" id="input_2_29_3_label">City</label>
                                 </span><span class="ginput_right address_state ginput_address_state" id="input_2_29_4_container">
                                        <input type="text" name="input_29.4" id="input_2_29_4" value="" aria-required="false"/>
                                        <label for="input_2_29_4" id="input_2_29_4_label">State / Province / Region</label>
                                      </span><span class="ginput_left address_zip ginput_address_zip" id="input_2_29_5_container">
                                    <input type="text" name="input_29.5" id="input_2_29_5" value="" aria-required="false"/>
                                    <label for="input_2_29_5" id="input_2_29_5_label">ZIP / Postal Code</label>
                                </span><input type="hidden" class="gform_hidden" name="input_29.6" id="input_2_29_6" value=""/>
                    <div class="gf_clear gf_clear_complex"/>
                </div></fieldset><div id="field_2_30" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_30">Home Phone</label><div class="ginput_container ginput_container_phone"><input name="input_30" id="input_2_30" type="tel" value="" class="large" aria-invalid="false"/></div></div><div id="field_2_31" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_31">Work Phone</label><div class="ginput_container ginput_container_phone"><input name="input_31" id="input_2_31" type="tel" value="" class="large" aria-invalid="false"/></div></div><fieldset id="field_2_32" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible"><legend class="gfield_label">Do they have a key to your Unit?</legend><div class="ginput_container ginput_container_radio"><div class="gfield_radio" id="input_2_32">
			<div class="gchoice gchoice_2_32_0">
					<input class="gfield-choice-input" name="input_32" type="radio" value="Yes" id="choice_2_32_0" onchange="gformToggleRadioOther( this )"/>
					<label for="choice_2_32_0" id="label_2_32_0">Yes</label>
			</div>
			<div class="gchoice gchoice_2_32_1">
					<input class="gfield-choice-input" name="input_32" type="radio" value="No" id="choice_2_32_1" onchange="gformToggleRadioOther( this )"/>
					<label for="choice_2_32_1" id="label_2_32_1">No</label>
			</div></div></div></fieldset><fieldset id="field_2_33" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><legend class="gfield_label">Do you have any pets?</legend><div class="ginput_container ginput_container_radio"><div class="gfield_radio" id="input_2_33">
			<div class="gchoice gchoice_2_33_0">
					<input class="gfield-choice-input" name="input_33" type="radio" value="Yes" id="choice_2_33_0" onchange="gformToggleRadioOther( this )"/>
					<label for="choice_2_33_0" id="label_2_33_0">Yes</label>
			</div>
			<div class="gchoice gchoice_2_33_1">
					<input class="gfield-choice-input" name="input_33" type="radio" value="No" id="choice_2_33_1" onchange="gformToggleRadioOther( this )"/>
					<label for="choice_2_33_1" id="label_2_33_1">No</label>
			</div></div></div></fieldset><div id="field_2_34" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_2_34">Type of Pet (if applicable)</label><div class="ginput_container ginput_container_text"><input name="input_34" id="input_2_34" type="text" value="" class="large" aria-invalid="false"/> </div></div></div></div>
        <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_2"]){return false;}  if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;}  " onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;}  jQuery("#gform_2").trigger("submit",[true]); }"/> 
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