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Owner: Phone: Email: Fax: Mailing Address: Property Address: Additional Information (condition, location, or any information deemed to be helpful for assessment purposes): Wayne Township Assessor 1 East Main Street Rousseau Centre, Suite 405 Fort Wayne, IN 46802 Fax: (260) 449-7717 Questions? Please call: (260) 449-4140 Allen County Assessor 1 East Main Street Rousseau Centre, Suite 415 Fort Wayne, IN 46802 Fax: (260) 449-3115 Questions? Please call: (260) 449-3115 Or contact by e-mail to: [EMAIL REDACTED] Owner Signature & Date: Bathroom Count (Per Unit) Bedroom Count (Per Unit) Vacancy Rate (How many months vacant between 1/1 & 12/31?) Collection Loss (Annual) for occupied units Utilities Paid by Owner as part of lease est) $ Unit 1 $ $ $ $ $ $ $ $ confidential. Information may be emailed to: [EMAIL REDACTED] or please return by mail, fax, or in person to one of the offices below: If yes, are detailed estimates, photos, etc. attached? Per IC 6-1.1-35-9, any information pertaining to income and expenses is constitutionally protected and will remain If no lease is in place, is the most recent Federal Income Tax return schedule (Sched E, Form 8825, etc) attached? Are there any structural issues with this property? Additional Information From Owner: Yes No Is a copy of a current lease (within the last 18 months) attached? Is the current tenant a family member/friend? Is this property a short-term (under 30 days) rental? If yes, is the tenant responsible for the real estate taxes? Is this property also the owner's primary residence? Tenant Information Yes No Is this property "Rent to Own"? $ $ Rent (Per Unit) Enter "Yes" under the classification that matches your property Financial Information Unit 4 Unit 3 $ Unit 2 Property Classification Triplex MultiFamily Allen County / Wayne Township Assessor's Offices Residential Rental Questionnaire ***Multi-Family - Updated 2026*** CONFIDENTIAL INFORMATION