| I am interested in a: |
| Rental Tenant (Traditional) |
|
| Rent-To-Own Tenant (Rent-To-Sell Program) |
|
| Either - First Available (Quickest) |
|
Source of Call:*
|
*If Referral, who referred you?
|
| Do you need to sell your home quickly? * |
Yes
No |
First Name:*
|
Last Name:*
|
Your Address:
|
Your Address Line 2:
|
City:
|
Your State:
|
Your Zip Code:
|
Home Phone:*
(
)-
-
|
Work Phone:
(
)-
-
|
E-mail Address:
|
Address of Property:*
|
Address of Property- Line 2:
|
City of Property:*
|
State of Property:*
|
Zip Code of Property: *
|
Area of Property:*
|
|
| # of Bedrooms (NOT including Bonus Room):* |
|
| Is there a Bonus Room? |
|
| # of Bathrooms:* |
|
| Garage:* |
|
| Square Footage:* |
|
| Features: |
|
| Are you the Owner? * |
Yes
No |
| If no, who is? |
|
| Is it listed with a Realtor? * |
Yes
No |
| If yes, what is the Multiple Listing Service (MLS) number?* |
|
| How much do you think your property is worth? * |
|
| What is your total monthly
payment for this property?* |
|
| Is your property occupied? * |
Yes
No |
| Is there a mortgage balance?* |
Yes
No |
| If so, how much? * |
|
| Is your property in move-in
condition? * |
Yes
No |
| Will you lease out your home out until it is sold?* |
Yes
No |
| Questions/Comments? |
|
