Montana Legislative Services Division
Office of Research and Policy Analysis

PO BOX 201706
Helena, MT 59620-1706
(406) 444-3064
FAX (406) 444-3036


                          2015 HOUSING PROVIDER INFORMATION

Last Name_____________________________First Name______________________________

Other Contact (s)______________________________

Primary Contact Phone #_________Other Phone #____________

Email Address ______________________________

Rental Address__________________________________________________________

Type of rental (house, condo, apartment, room, mobile home) 	_____

Distance:  Miles from Capitol 	_____


Furnished  _____	Bedrooms  _____	   Garage  _____	Pets  _____


Cost per month 	______    Baths 	__________________

Physically Accessible (no steps/32 inch doorways) ____________


Utilities Included _____    Est. Utilities  ______    Dates Available ______


Directions from Capitol    _______

____________________________________________________________________________

Additional information you want prospective tenants to know 

____________________________________________________________________________

____________________________________________________________________________

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 PLEASE CALL 444-3064 AND LET US KNOW WHEN YOUR PROPERTY IS RENTED - THANKS

Legislative Services
PO Box 201706
Helena, MT 59620-1706
406-444-3064
courtneycannon@mt.gov