Landlord
Address
City State Zip
Phone
Mobile
Email
example@example.com
Lot
Block
Subdivision
City
County
Address
Does the property include non-real property items (e.g., refrigerator, etc.)?
Will the landlord remove any items?
Rent Amount
Minimum Lease Term Duration
Maximum Lease Term Duration
Listing Period Start Date
-
Month
-
Day
Year
Date
Listing Period End Date
-
Month
-
Day
Year
Date
Protection Period
Listing options:
Broker may file the listing with Multiple Listing Services (MLS)
Broker will not file with MLS, as per discussion with the broker
Broker scheduling companies:
Broker is authorized to place a keybox on the property?
Yes
No
Broker’s intermediary status:
Allowed
Not Allowed
Display preferences:
Landlord does not want the listing displayed on the internet
Landlord does not want the property address displayed on the internet
Broker restrictions:
Broker may not arrange contractors for repairs or alterations to the property
Landlord is current and not delinquent on loans or other financial obligations related to the property, except:
Landlord is unaware of any liens or encumbrances against the property, except:
Landlord is unaware of any conditions materially affecting the health or safety of an ordinary tenant, except:
Rent is due on what day of the month?
Late charges start on what day after the date on which rent is due?
Additional daily late charges?
Initial late charge amount?
Animals permitted:
Yes
No
Animal deposit
Monthly rent increase (per animal or flat rate?)
One-time non-refundable payment amount
Security deposit:
All utilities to be paid by Tenant except:
Maximum days guests are allowed without written permission
Number of vehicles permitted on Property:
Trip Charge
Keybox authorization by tenant:Allowed during the last ____ days of the lease
Inventory condition form: To be delivered within how many days?
Yard maintenance: Who is responsible?
Landlord
Tenant
A contractor chosen and paid by Tenant
Other
Pool/Spa: Who is responsible?
Landlord
Tenant
A contractor chosen and paid by Tenant
Other
Emergency phone number for repairs:
Any appliances that will not be repaired?
Any additional terms or conditions?
Fees if tenant wishes to sublet (subletting not recommended)
Procured by tenant?
Procured by landlord?
Dollar amount or percentage of on month's rent?
Dollar amount
Percentage of one month's rent
Dollar amount of fee?
Percentage of one month's rent of fee?
Dollar amount or percentage of on month's rent?
Dollar amount
Percentage of one month's rent
Dollar amount of fee?
Percentage of one month's rent of fee?
Please verify that you are human
*
Submit
Should be Empty: