New Rent/Lease Form

Contact Roshemia Peterson, P.A. Realtor

Thank you for your consideration in choosing me to help you find your next home and/or location for your business! As your Realtor, you'll be offered top priority service, professionalism and elite guidance that will help direct you on making the best decision for your needs. By completing this form you will provide me insight on what you are looking for. Thank you again and I look forward to servicing you!
Name *

First NameLast Name
Co-Applicant Name if applicable)

First NameLast Name
Date of Birth *

MonthDayYear
Date
Email *
example@example.com
Phone Number

Area CodePhone Number
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Desired Move-in Date

MonthDayYear
Date
What is your availability?

Morning (8am-11:30am)Afternoon (12pm-4:30pmEvening (5:30pm-8pm)Weekends
Property Type:

Single FamilyCondoTownhouseVillaOffice SpaceRetail SpaceCommercial SpaceOther
Are you looking to:

Rent A HomeBusiness Lease
Desired Bedrooms:
How many bedrooms needed?
Desired Bathrooms:
How many many bathrooms needed?
Desired Square Footage (*Business Lease Only)
How much space is desired?
Price Range *
Ex: $1,500-$2,500
Do you have pet(s)?

YesNo
If yes, how many and what type?
How many and what kind of pets do you have?
Desired Location: *
Cities Preferred
Source of Income

Full Time EmployeePart Time EmployeeSelf EmployedOther
What is your current occupation?
How would you describe your current credit score?

GoodFairNeeds Work
Anything that may affect approval? (Be honest so I can help you properly)

Prior Evictions(s)Broken LeaseCriminal BackgroundLow CreditSection 8 / Housing VoucherNone
From

MonthDayYear
Date
If section 8, which Agency?
EX: Miami Dade County, Miami, North Miami Beach, etc.
To

MonthDayYear
Date
Is there anything else you'd like me to know to better assist you?
How did you hear about me?

FacebookInstagramReferralOther
Referral Source/Name
Name of person or source that referred you
Thank you for contacting Roshemia Peterson, P.A. Realtor

Keep in mind that documents such as but not limited to; your 2-4 most recent pay stubs or bank statements, a copy of your driver's license, rental history, credit scores/history background/criminal check, and an application fee will be required to best service you.
Terms of Service

1. My goal is to provide you with professional, high-level real estate support throughout your search. My services are designed to help you navigate the market, identify the best options, and secure a property that fits your needs.
2. By working together, you agree to communicate openly and allow me the opportunity to assist you throughout your search process. My role is to guide, educate, and advocate for you every step of the way.
3. Please understand that all rental or purchase applications are subject to approval by the property owner or management. Approval decisions are not controlled by the agent. I will continue working with you until we find a property that meets your needs and gets approved.
Ready to get moving? *

I agree to the above Terms of Service
Signature
Should be Empty:

Contact Roshemia Peterson, P.A. Realtor