Age 55+?
Yes
No
Retired?
Yes
No
Disabled?
Yes
No
Military Veteran?
Yes
No
LGBTQ?
Yes
No
Single Mom?
Yes
No
N/A
Single Dad?
Yes
No
N/A
Marital Status
Single
Married
Divorced
Separated
Widowed/er
Sex
Male
Female
Prefer Not to Answer
DO YOU SHORT TERM RENT YOUR “PRIMARY” HOME ADDRESS?
Under the Homesharing Ordinance (HSO), your rec room, pool house dwelling, converted garage, or granny flat are considered part of your primary residence.
Yes
No
IF YES, WHAT KIND OF DWELLING IS IT?
(You may check more than one)
SFH (Single Family Home)
ADU (Accessory Dwelling Unit)
Rec Room / Pool House Dwelling /Converted Garage / Granny Flat (not an ADU)
Duplex Unit
Triplex Unit
Fourplex Unit
Commercial Apartment Building Unit (more than 4 units on the parcel of land)
Condo Unit
Motor Home
Mobile Home
Tent, Yurt or other
N/A
IF YES - IS YOUR PRIMARY ADDRESS (RSO) RENT STABILIZED?
Rent Stabilized means the parcel of land has more than one address and any of those addresses that were built before 1978 as residential dwellings are Rent Stabilized
You can look to see if you property is Rent Stabilized here: http//zimas.lacity.org (enter your address then click on the “housing” tab and look for RSO)
Yes
No
IF YES - HOW MANY LISTINGS (Booking Listings) ARE ATTACHED TO THAT ADDRESS?
0
1
2
3
4
5+
DO YOU SHORT TERM RENT A SECONDARY ADDRESS?
(Secondary Address means you do not live in that address for a minimum of 6 months out of the year. It is not your Primary home/address. A Secondary Address is on the same property parcel as your Primary Address.)
Yes
Yes
No
IF YES - HOW MANY SECONDARY ADDRESSES DO YOU SHORT TERM RENT?
1
2
3
4
5+
IF YES - WHAT KIND OF DWELLINGS IS / ARE THE SECONDARY ADDRESS/ADDRESSES?
(You may check more than one if you short term rent multiple secondary addresses)
SFH (Single Family Home)
ADU (Accessory Dwelling Unit)
Rec Room / Pool House Dwelling /Converted Garage / Granny Flat (not an ADU)
Duplex Unit
Triplex Unit
Fourplex Unit
Commercial Apartment Building Unit (more than 4 units on the parcel of land)
Condo Unit
Motor Home
Mobile Home
Tent, Yurt or other
N/A
IF YES - IF YOU SHORT TERM RENT ONLY ONE SECONDARY ADDRESS, HOW MANY BOOKING LISTINGS ARE ATTACHED TO THAT SECONDARY ADDRESS?
1
2
3
4
5+
DO YOU SHORT TERM RENT A VACATION RENTAL?
(Vacation Rental means you do not live in that address for a minimum of 6 months out of the year. It is not your "Primary Address" and that address is not on the same property parcel that your "Primary Address" is on. A "Vacation Rental" as an address that is on a different parcel of land than your "Primary Address.")
Yes
No
IF YES - IF YOU SHORT TERM RENT ONLY ONE VACATION RENTAL ADDRESS, HOW MANY BOOKING LISTINGS ARE ATTACHED TO THAT VACATION RENTAL ADDRESS?
0
1
2
3
4
5+
IF YES - HOW MANY VACATION RENTAL ADDRESSES DO YOU SHORT TERM RENT?
0
1
2
3
4
5+
IF YES - WHAT KIND OF DWELLINGS IS / ARE THE VACATION RENTAL ADDRESS/ADDRESSES?
(You may check more than one if you short term rent multiple vacation rental addresses)
SFH (Single Family Home)
ADU (Accessory Dwelling Unit)
Rec Room / Pool House Dwelling /Converted Garage / Granny Flat (not an ADU)
Duplex Unit
Triplex Unit
Fourplex Unit
Commercial Apartment Building Unit (more than 4 units on the parcel of land)
Condo Unit
Motor Home
Mobile Home
Tent, Yurt or other
N/A
WHAT CITY DISTRICT IS / ARE YOUR SHORT TERM RENTAL/S? (You may check more than one) (1-15)
You can find your LA Council district by putting your address here: https://empowerla.org/council-districts-map/
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15