Residential & Commercial Lease/Rent Client Intake Form

Contact Arise & Level Up Group Deborah & Destiyana Tercier REALTORS®

New Lease/Rent Intake
Thank you for your consideration in choosing us to help you find your next home and/or location for your business! As your realtors, 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 us insight on what you are looking for. Thank you again and we look forward to servicing you!
Name

First NameLast Name
Co- Applicant Name (*if applicable)

First NameLast Name
Birthday

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Desired Move Date?

MonthDayYear
Date
What is your availability?
Property Type:
Are you looking to:
Desired Bedrooms:
How many bedrooms needed
Desired Bathrooms:
How many bathrooms needed
Desired Square Footage *Business Lease Only
How much space desired
What Type Of Property? *Business Lease Only

Other
What Type Of Business & Intended Use? *Business Lease Only
How much space desired
Price Range:
Do You Have Pet(s)
How many pet (s)? (what kind?)
How many pets do you have?
Desired Location:
Cities you preferred
Source of income

Other
Explain Source of Income/ Occupation
How would you describe your credit score?
Check any that applies

Other
If Section 8, Which Agency?
Ex. Broward County, Miami-Dade, Deerfield, Fort Lauderdale Etc.
Is there any additional information that you can provide so that we can better service you?
How did you hear about me?

Other
Referral Source/ Name
Thank you for contacting Arise & Level Up Group

Deborah & Destiyana Tercier REALTORS®

* Please note that pertinent document such as but not limited to, last 2-4 most recent pay stubs or bank statements, rental history, credit scores/history and background/eviction report in order to best service you.*
TERMS OF SERVICE

1. Our goal is to provide ELITE service to you and using us will never add a dime of cost to your lease or subtract form any Specials being offered to you. In Fact our individual services are designed to help you identify market savings that you would have otherwise missed.

2. In exchange for our Locator Services to you, we would appreciate it if you would agree to use us as your only Real Estate Agent during this process and inform us if you wish to discountinue our relationship. We are paid our commission once you sign your lease agreement and will give you 110% as long as you allow us to work with you.
Ready to get moving?
Should be Empty:

Contact Arise & Level Up Group Deborah & Destiyana Tercier REALTORS®