Renter Form
Fill out the form carefully for registration
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Spouse Name (if applicable)
First Name
Last Name
Spouse Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Spouse Email:
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Details
Are you working with a realtor?
*
Yes
No
What are you looking to do?
*
Rent
Lease a Business
How Soon?
*
Immediately
1-2 Months
3-4 Month
6-12 Months
Other
Desired Property Type? Select all options you are open to.
*
Condo
Townhome
Single Family Home
Villa
Office Space
Commercial/ Business
Restaurant Space
Retail Space
Number of desired Bedrooms?
*
Number of desired Bathrooms?
*
Desired Price Range?
*
Desired Location:
*
Cities, zip codes and/or neighborhoods
Square Footage for Business Lease
Do you have Pet
*
Yes
No
If so, how many and what breed(s)?
Desired Move In Date
*
-
Month
-
Day
Year
Date
Best day and time to schedule Buyer Consultation and Showings? Please check all that apply
Weekdays (Monday- Friday)
Weekend (Saturday)
Morning (8am-11am)
Afternoon (12pm- 4pm)
Evening (5pm-10pm)
Type option 6
What is your credit score?
*
If renting with a partner what is their credit score?
Source of Income
*
Full Time Employee
Self Employed
Part Time Employee
Other
Combined Annual Salary?
*
Length of Employment
*
Less Than A Year
2 Years or More
How did you hear about me?
*
Instagram
Facebook
YouTube
Referral
Other
Please have the Required Documents:
*
Government Issued Photo ID
Last 2- 3 Months Income Verification --Paystubs or Bank Statements
Credit Report
Please allow up to 24-48 hours for responses during office hours.
I UNDERSTAND & AGREE TO THE TERMS AND CONDITIONS.
Today's Date
*
-
Month
-
Day
Year
Date
Any additional information you can provide so that I can better assist you?
Amanda Goggins
AmandaG.Realtor3@gmail.com
954-678-8077
Submit
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