New Client Form 🏡✨
Welcome! Please complete the form for all rental or real estate inquiries with Sherria Simmons. I will get back to you as soon as possible.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Price Range (Rent or Mortgage)
*
Preferred Move-in Date
*
-
Month
-
Day
Year
Date
Current Address
*
Number of persons who will occupy the property
*
How long until your current lease expires?
*
How many bedrooms do you need?
*
Studio
1
2
3
4+
How many bathrooms do you need?
*
1
1.5
2
2.5
3+
Desired Location (City and/or County)
*
Do you have proof of income?
*
Yes
No
Do you have pets?
*
Yes
No
What is your credit score?
*
Excellent (750+)
Good (700-749)
Fair (650-699)
Poor (below 650)
I don't know
Are there any specific needs, concerns, or must-haves that would help me find the right home for you?
Do you have any criminal history, evictions, repossessions, or broken leases? If yes, please explain.
*
How were you referred to me?
Is there anything else you'd like me to know, that would help me serve you better?
FOR RENTALS ONLY
Will you be renting with a housing voucher program?
Yes
No
If yes, please provide the current amount of your housing voucher.
Submit Application
Should be Empty: