Online Rental Request Form

Lorenzino Salerno

Real Estate Investment Advisor

Https://LorenzinoSalerno.com

4113 Hunters Parks Lane Suite 109 Orlando FL 32837

Agent Trust Realty Corp.

Full Name

First NameLast Name

E-mail

example@example.com

Phone Number

Please enter a valid phone number.

Property Sub Type

ApartmentTownhouseSingle FamilyOther

Preferred Bedroom

How many people will liven in the property?*

Quantity

Location request

Street Address

Street Address Line 2

CityState

Zip Code

Are you currently employed?

YesNo

Current Employer

Length of Employment

Monthly Salary (USD)

Address of Residence Now

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Preferred Move in Date

MonthDayYear

Do you have pets?

YesNo

Have you ever been evicted?

YesNo

Have you ever been convicted of a felony?

YesNo

Have you ever declared bankruptcy?

YesNo

If you answered yes to any of these questions, please explain:

By submitting this request, you agree:

1) The information provided herein is complete and accurate. Providing incomplete and/or false information could result in the rejection of the application.

2) Submission of this application does not guarantee a room lease, which is reserved only upon signing of a completed lease agreement by all parties. Additionally, no other agreements, either written or oral, are binding on applicant, owner or owner's agents until the completed lease agreement is signed by all parties.

3) Additional information may be required in order to process your application. Our management team will contact you upon receipt of this online application to obtain any additional information necessary to complete the processing of your request.

Confirm

I Agree

Please verify that you are human*