A&A Realty Intake Form

A& A Realty Online Intake Form
Welcome!
Welcome to A&A Realty ! Please fill out the form below to help us understand your needs and preferences. This information will assist us in providing you with the best possible service.
Contact Information
Personal Information*

First NameLast Name
EMAIL*
example@example.com
PHONE NUMBER*
Please enter a valid phone number.
PREFERRED CONTACT METHOD*

PhoneEmailTextInstant MessageOther

New Client
Type of property*

Single- family homeMulti-family homeApartmentCondo
Rental Preferences
What is your preferred rental preferences?*

City/NeighborhoodProximity to public transportProximity to schoolsProximity to shopping

New Client
What are the desired number of bedrooms?*
What is the desired number of bathrooms?*
Additional Features*

YardGaragePoolPet-friendlyOther

What is your monthly rent budget?*
What is the move -date?*
What is your preferred lease term?*

6 months12 months18 monthsOther
Will there be any co-tenants? If yes, please list their names and relationship to you:*

Who is your current employer?*
What is your occupation?*
What is your monthly income?*
Do you have additional income?*
Do you have current rental history? If yes, please provide details such as previous address, landlord contact information*

Have you ever been evicted? If yes, please explain.*
Do you have any pets? If yes, please provide details*
Do you smoke?*

Professional Reference
Name *
Relationship*
Phone number *
Email*

Additional Information
Why are you interested in renting a property from A&A realty ?*
Is there any additional information you would like to provide that may help us in finding the right property for you ?*
Should be Empty: