Rebate Request Form
We’re a licensed apartment locator that earns a referral fee when you lease, and we share part of that commission with you as a rebate.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Select Metro Area, Zip Code, Apartment Name
*
Back
Next
Apartment Information
🏢 Where did you lease? Share the details of your new apartment so we can follow up with the property.
Apartment Name
*
Apartment Website / URL
*
www.apartmentname.com
Unit Number
*
Apartment Number
Apartment Address
*
Street Address
Unit Number
City
State
Zip Code
Back
Next
Lease Information
Help us confirm your move-in and rebate eligibility.
Rent Amount
*
Tell us what you’re paying
Move In Date
*
-
Month
-
Day
Year
Date
Lease Term
*
Please Select
6
7
8
9
10
11
12+
Months
Did you mention 2nd Chance Apartment on your Application or Guest Card?
*
Please Select
Yes
No
Are you the primary leaseholder?
*
Please Select
Yes
No
Let us know if your name is the main one listed on the lease.
Who is the primary leaseholder?
Enter the full name of the main person listed on the lease, if it’s not you.
Proof of Residency Upload (Optional)
Browse Files
Drag and drop files here
Choose a file
Lease agreement, welcome letter, or screenshot of the resident portal.
Cancel
of
Back
Next
Terms and Conditions
✅ Final steps. Please review and confirm everything before submitting.
Preferred Rebate Delivery Method
*
Please Select
Check
Zelle
Paypal
Referral Source
*
Please Select
Google
Facebook
Instagram
Tik Tok
Craigslist
Friend
Realtor
Other
Please verify that you are human
*
Submit
Should be Empty: