Lease Request Form
Agent Name
Who do you represent:
Tenant(s)
Landlord(s)
Both
Tenant(s) Names
Landlord(s) Names
Is Landlord a licensed Agent
Yes
No
Property Address
Lease start date and time tenant allowed in
Lease expiration date and time tenant needs to vacate
Monthly Rent Amount
Date
-
Month
-
Day
Year
Date
Mailing Address/Email and Phone Number for Landlord
Security Deposit:
Who is holding Deposit Landlord or Management company
Pets allowed? If Yes is there a Pet deposit
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
Will the tenant pay for the utilities?
Any additional terms?
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