Property Form

Your Full Name:

Social Security Number:

E-Mail Address:

Office Phone Number w/ Area Code:

Home Phone Number w/ Area Code:

Cell Phone Number w/ Area Code:

Property Address:

City, State ZIP:

Date Available:

Insurance Company Name:

Insurance Policy Number:

Insurance Company Address:

Insurance Phone Number w/ Area Code:

Mortgage Company Name:

Mortgage Company Address:

Mortgage Phone Number w/ Area Code:

Termite Bond In Effect:

Select an answer…
Yes
No

Termite Company Phone Number w/ Area Code:

Termite Company Account Number:

Termite Contract Renewal Date:

Length of Lease:

Monthly Rent:

Deposit Amount:

Pets Allowed:

Select an answer…
Yes
No

Pet Deposit Amount:
Normally $175 per pet, and non-refundable.

Is this Property for sale?

Select an answer…
Yes
No

If for sale, will it be on the market during a lease?

Select an answer…
Yes
No

Number of Bedrooms:

Number of Baths:

LR:

DR:

FR:

Eat-in Area:

Garage:

Fence:

DW:

Washer and/or Dryer:

Stove:

Refrigerator:

Fireplace:

Microwave:

Personal Property to Remain:

Estimated Square Footage:

Keys (need 3 sets):

Garage Door Remotes:

Electric Company Name:

Gas Company Name:

Water Company Name:

Home Warranty Company Name:

Home Warranty Company Phone Number w/ Area Code:

Home Warranty Company Policy Number:

Additional Comments: