Lease Request Form
Agent Name
Who do you represent:
Tenant(s)
Landlord(s)
Both
Is co-agent with eXp:
No, the agent is with another brokerage
Yes, Redux Agent (Dual disclosure will be added)
Yes, eXp agent, not on the Redux team (Designated disclosure will be added)
No agent on another side (Unrepresented party disclosure will be added)
Co-agent's information (name, brokerage, email):
Tenant(s) Names
Landlord(s) Names
Is Landlord a licensed Agent
Yes
No
Property Address
Lease Start Date
-
Month
-
Day
Year
Date
Lease start time tenant allowed in
9 am if time left blank
Lease End Date
-
Month
-
Day
Year
Date
Lease end time tenant needs to vacate
6 pm if time left blank
Monthly Rent Amount
Due Date for the deposit(s) and 1st month's payments:
-
Month
-
Day
Year
Date
1st full month rent payment to:
Landlord
Listing Broker (use this option ONLY if listing commission is 100% of one month rent)
Other
How the tenants need to pay rent to the landlord:
Mailing Address/Email and Phone Number for Landlord
Security Deposit:
Who is holding Deposit
Landlord
Management Company
Other
Pets Allowed?
Yes
No
Pet Deposit:
Pet Type (breed, size):
Smoking?
Yes
No
Is there an HOA, Condo or Coop (check boxes to each option)
HOA
Condo
Coop
If there is HOA/Condo
HOA/Condo documents have been provided to the tenant
HOA/Condo documents will be provided to the tenant
What utilities the tenant is paying for
All
None, utilities are included in the rent
Other
Any additional terms?
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