Vacant Unit Form
Date: Month Day ,
Unit Address:
Apt. Number:
City:
State:
Zip
Number of Bedrooms:
Number of Bathrooms:
Asking Amount:
Information on Apartment:
Date Available: Day ,
Handicap Accessible : Yes No

Amenities:

Carpet Yes No
Tile Yes No
AC/Wall Unit Yes No
Central Air Yes No
Appliances:
All None    
Stove Yes No
Refrigerator Yes No
Dishwasher Yes No
Heating Type:
Gas Oil Electric
Does this unit includes utilities? Yes No

If Yes, Which one?

 
Heat Yes No
Hotwater Yes No
Electricity Yes No
Cooking Yes No
Coin laundry on premises: Yes No

Washer/ Dryer: Yes No

 Washer/ Dryer Hookup: Yes No
Parking: Garage Fenced in yard Private Parking Off street parking
Pets: Yes No
Contact Person(s) Name
Home Phone: example 2035551212
Work Phone: example 2035551212
We reserve the right not to list units that cannot be approved within the program guidelines.
 
 
Bridgeport Housing Authority
150 Highland Ave,
Bridgeport, CT 06604
phone 203-337-8900

TDD # 800-545-1833 ext 226