I'm Ready To Rent to Own

6300 Woodside Ct #A
Columbia, Maryland 21046
Direct: 301-917-5721
Office: 410-730-8888

Rocsheen.holston@c21nm.com
Client Information for Rent To Own Program

Please complete all questions. Please allow 5-7 business days for a response
Name*

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Home Number

Area CodePhone Number
Cellular Number*

Area CodePhone Number
Work Number

Area CodePhone Number
Locations Interested In*
Cities, Towns, Counties, Areas
# of Bedrooms
# of Bathrooms
Square Feet
Price Range $
CallTextEmailAll of Above
What is your Credit Score?*
0-$5,000$5,000 - $10,000$10,000- $15,000$15,000+
ASAP - 30 days60-120 daysNext 6 months1 year or later
YesNo
NoYes
PLEASE SELECT A DATE AND TIME TO SCHEDULE YOUR 1:1 MEETING To DISCUSS RENT TO OWN PROGRAM
Who will be making this move with you? Please include Names
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Client Information for Rent To Own Program