Rent/Lease Intake Form

New Rent/ Lease- Client Intake
Thank you for your consideration in choosing us to help you find your next rental! As your realtors, you'll be offered white glove services, 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. Lets go get you keys! -Your Florida Anchors
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
Morning (8:00am- 11:30am)Afternoon (12:00pm-4:30pmEvening (5:00pm-8:00pm)Weekends
Single FamilyCondoTownhouseVillaOffice SpaceRetail SpaceBuilding SpaceOther
Rent A HomeBusiness Lease
Desired Bedrooms:
Desired Bathrooms:
Desired Square Footage *Business Lease Only
Price Range:
YesNo
How many pet (s)? (what kind?)
Desired Location:
Full Time EmployeePart Time EmployeeSelf EmployedOther
Explain Source of Income/ Occupation
500-550 Poor580-650 Fair670-740 Good800+ Exceptional
Criminal BackgroundPrior Eviction(s)BankruptcyJudgement(s)Other
If Section 8, Which Agency?
Is there any additional information that you can provide so that I can better service you?
FacebookInstagramReferralOther
Referral Source/ Name
Thank you for contacting The Cotton Group Your Florida Real Estate Anchors

* 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/ ecvition 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.
I agree to the above Terms of Service
Should be Empty:

New Rent/ Lease- Client Intake