• Rental Inquiry

    I am Takiyah Coleman, A Real Estate Professional with Premier Realty Homes. I am happy to assist you in your rental search process. I am confident that, working together, we can find the perfect property. It would be helpful if you would take a few minutes to work through these questions. Your answers will not only help me do a better job for you, it may also help you get clearer on what’s most important to you in your next rental.PLEASE NOTE: I’m Currently NOT Accepting Section 8 & You MUST have a 620 CREDIT SCORE OR HIGHER.
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  • Thank you for taking the time to complete this form. We appreciate your interest and look forward to reviewing your information.
  • Applicant Information

  • Date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Rental Readiness and Background

  • Are you working with another realtor?*
  • Do you have 3x the rent saved & ready for move in?*
  • If no, please submit this form when you have the funds available.
  • Do you have any prior evictions?*
  • Do you have any criminal history?*
  • Household and Application Count

  • Search Criteria

  • When is your desired move in date?*
     - -
    2 digit month, 2 digit day, 4 digit year
  • What type of property are you looking for?*
  • How many Bedrooms?*
  • How many Bathrooms?*
  • Pets, Income, and Move-In Funds

  • Can you provide proof of income?*
  • Are you able to pay First, Last & Security to move in?*
  • Lead Source and Agreement

  • How did you hear about me?*
  • PLEASE BE AWARE THAT BEFORE SEEING ANY PROPERTY YOU WILL BE REQUIRED TO SIGN A BUYER BROKER AGREEMENT. THIS AGREEMENT STATES THAT I WILL BE THE ONLY EXCLUSIVE REALTOR THAT YOU WILL BE ABLE TO WORK WITH.
  • Do you accept this agreement?*
  • Should be Empty: