| RENTAL LISTING DATA | |||||||||||
| Broker: Ascensions Group, Inc. t/d/b/a AGI Real Estate Services | |||||||||||
| 1925 North Second Street Harrisburg, PA 17102 717-724-4553 | |||||||||||
| Property Address: | 2166 Bachmanville Road | List Starting date: | ____________________ | ||||||||
| Hershey, PA 17033 | List Ending date: | ____________________ | |||||||||
| Type of Unit: | Single Family Home | Sq Ft: | 1654 | Municipality: | Derry | ||||||
| Garage/Parking: | 1-Car Garage | Rent: | $1,295.00 | ||||||||
| Pets: | Conditional | Company Managed: | __________ | Commission: | ____________________ | ||||||
| Age: | Built 1903 | Fireplace: | No | Basement: | Unfinished | Term: | 1-Year | ||||
| Rooms | Number | Level | Floor Type | Windows | Limit # Occupants: | 8 | |||||
| Lving room | 1 | 1 | Hardwood | Thermopane | Refrigerator: | Frost Free | |||||
| Dining room | 1 | 1 | Hardwood | Thermopane | Range: | Electric | |||||
| Kitchen | 1 | 1 | Vinyl | Thermopane | Dishwasher: | Yes | |||||
| Sunroom | _________ | _________ | _________ | ____________________ | Disposal: | No | |||||
| Bedrooms | 4 | 2 | Hardwood | Thermopane | A/C | None | |||||
| Bath rooms | 1 | 1 | Vinyl | Thermopane | Washer: | Hook-ups | |||||
| 1/2 Baths | _________ | _________ | _________ | ____________________ | Dryer: | Hook-ups | |||||
| ____Patio ____Porch ____Deck ____Balcony ___Yard ___Fenced Yard | Smoke Det. | ____________________ | |||||||||
| Others: | ____________________ | ||||||||||
| School District: | Derry Township | Bus: | _______________________________ | ||||||||
| Special Clauses: Guaranty/co-signer x Pet Addendum Military Addendum x Oil Tank Addendum | |||||||||||
| x As-Is Agreement Waterbed Addendum Mediation Addendum Short Term Addendum | |||||||||||
| Directions: | E/ Route 322 Past the Hershey Medical Center R/ Fishburn Road L/ Bachmanville Rd on R | ||||||||||
| __________________________________________________________________________________________________________ | |||||||||||
| Utilities | T/O | Company | Phone # | Est. Amt | |||||||
| Cold Water | T | Well | ____________________ | __________ | |||||||
| Hot Water | T | Electric-PPL | 800-342-5775 | __________ | |||||||
| Gas | N/A | _________________________________________ | ____________________ | __________ | |||||||
| Heat | T | Oil Hot Water | ____________________ | __________ | |||||||
| Electricity | T | PPL | 800-342-5775 | __________ | |||||||
| Cable/Satellite Dish | T | Comcast | 800-comcast | __________ | |||||||
| Telephone | T | _________________________________________ | ____________________ | __________ | |||||||
| Trash Removal | T | _________________________________________ | ____________________ | __________ | |||||||
| Pest Control | T | _________________________________________ | ____________________ | __________ | |||||||
| Lawn/Shubbery Care | O | _________________________________________ | ____________________ | __________ | |||||||
| Snow Removal | T | __________________________________________ | ____________________ | __________ | |||||||
| Water cost over yearly charge | __________________________________________ | ____________________ | __________ | ||||||||
| Heater maintenance contract | O | __________________________________________ | ____________________ | __________ | |||||||
| Sewage costs & Maintenance | T/O | __________________________________________ | ____________________ | __________ | |||||||
| Condominium Fee | n/a | __________________________________________ | ____________________ | __________ | |||||||
| Homeowner Association Fee | n/a | __________________________________________ | ____________________ | __________ | |||||||
| Parking Fee | n/a | __________________________________________ | ____________________ | __________ | |||||||
| Owner: | ____________________________________________________ | Phone: | _______________________________ | ||||||||
| Address: | ____________________________________________________ | _______________________________ | |||||||||
| Tenant: | ____________________________________________________ | Phone: | _______________________________ | ||||||||
| To Show: | ____________________________________________________ | Key: | _______________________________ | ||||||||
| Agent: | ____________________________________________________ | Phone: | _______________________________ | ||||||||
| Owner's Signature: | Date: | ||||||||||
| Information provided is deemed reliable but not guaranteed. | |||||||||||