Customer Intake Rental Form

Do you currently rent or own your home?*

RentOwn
When is your lease up?*
Example: May 9th, 2021
Have you already given notice of non-lease renewal?*

YesNo
Are you waiting to hear back from recently submitted lease application?*

YesNo
Are you already working with a Real Estate Agent?*

YesNo
When are you looking to move?*
What area(s) are you interested in moving to?*
Are you using a housing voucher? (Please choose which Housing Authority as well)*

YesNoDallas CountyDallas Choice VoucherGrand PrairieMesquiteArlingtonFort. WorthTarrant CountyOther
(Only if using a voucher) If yes, what is your bedroom voucher size?

12345Other
If you are using a voucher, what is your affordability amount?
Please enter your exact affordability amount.
How many adults will be on the application?*

123
Do you have any pets?*

YesNo132
If yes, how much do they weigh?
Example: under 25 lbs. or over 25 lbs.
How many bedrooms?*
How many bathrooms?*
Ex: 1, 2, 1 and 1/2
What property type are you looking for?*

HouseApartmentTownhomeDuplexCondoFourplexOther
What is your estimated household monthly income before taxes?*

$1,000 - $2,000$2,000 - $3,000$3,000 - $4,000over $5,000$4,000 - $5,000over $10,000
What is your price range?*

$0 - $1,000$1,000 - $1,500$1,500- $2,000$2,000 - $2,500$2,500 and UpI don't know
One or two story?*

One StoryTwo StoryEither
Parking?*

AttachedCarportAny coveredDoesn't Matter
Fence?*

YesNoDoesn't Matter
What is your Credit Score?*

Excellent (720+)Good (680-719)Fair (620-679)Poor (Below 620)I don't know
Do you or a co-applicant have any of the following?*

Broken LeaseEvictionFelony ConvictionFelony ChargeMisdemeanor (violence, drug, sexual misconduct)NoneOther
If any checked above, how long ago from completion?

Within the current year1 year ago2 years ago3 years ago4 years ago5 years or longer
What's most important to you in a living space? Location, cost, amenities, etc?
What is your email address?*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your name?*

First NameLast Name
Best Contact Phone Number?*

Area CodePhone Number
How did you hear about us? Pleae list name or referral source.
Should be Empty: