Rental/Lease Form
Name
*
First Name
Last Name
Co-Applicant Name (*if Applicable)
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Desired Move Date?
*
-
Month
-
Day
Year
Date
What is your availability?
*
Morning (8:00am-11:30am)
Afternoon (12:00pm-4:30pm)
Evening (5:00pm-8:00pm
Weekends
Property Type:
Single Family
Condo
Townhouse
Villa
Office Space
Retail Space
Building Space
Other
Are you looking to:
*
Rent A Home
Business Lease
Desired Bedrooms:
*
Desired Bathrooms:
*
Desired Square Footage (Business Lease Only)
Price Range
*
Do You Have Pet(s)
Yes
No
How many pet(s)
Desired Location:
*
Source of Income
*
Full Time Employee
Part Time Employee
Self Employed
Other
How would you describe your current credit score?
500-550
580-650
670-740
800+
Check any that applies
Criminal Background
Prior Eviction(s)
Bankruptcy
Judgements
Other
If Section 8, Which Agency?
How did you hear about me?
Facebook
Instagram
Referral
Other
Referral Source/Name
Thank you for contacting Sajaun Clough, Realtor
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