Rental Client Intake Form
Thank you for reaching out! Please complete the form below so I can help you find your ideal home faster and more efficiently. All information is kept confidential and used solely for your property search.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Format: (000) 000-0000.
Preferred Contact Method:
*
Please Select
call
text
email
Preferred Move - In Date:
-
Month
-
Day
Year
Date
Desired Monthly Budget:
Bedrooms Needed:
Please Select
studio
1-2
2-3
3+
Baths Needed:
Please Select
1
2+
3+
Preferred Areas/Cities:
Do you have pets?
Please Select
YES: not ESA certified
YES: ESA certified
NO
Approximate Credit Score:
Combined Monthly Income (before taxes):
Is there anything specific you’re looking for or would like me to know (e.g., garage, backyard, gated community, appliances included, etc.)?
⚖️ Important Notice — Tenant Representation Agreement
Before viewing any homes in person, Texas law requires that all clients be represented under a Tenant Representation Agreement.This agreement allows me, Liliana Reyes with Rogers Healy and Associates, to: Represent your best interests during the leasing process, Negotiate rent, lease terms, incentives, or move-in specials on your behalf to Ensure your rights and obligations are fully protected ✅ Acknowledgment: By signing below, you acknowledge that you understand a Tenant Representation Agreement must be signed prior to any property tours or showings. This document establishes your representation and allows me to legally and effectively assist you. my services are completely free to you! In the event the listing broker or property owner does not offer compensation, I will inform you prior to scheduling any showings to ensure full transparency and prevent any unexpected costs.
Signature
*
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