Interesting in renting a home or commercial property? Fill out this simple questionnaire.
First Name:
Last Name:
Street Address:
City, State, Zip:
Daytime Telephone Number / Best Time To Call:
Evening Telephone Number / Best Time To Call:
Birthday:
Email:
Occupation:
Present Salary:
$25,000 - $50,000
$50,000 - $100,000
$100,000 - $100,000 +
Number of Years Employed:
Employers Name:
Employers Street Address:
Employers City, State and Zip:
Email:
Do You Currently Own Or Rent?
Own
_____
Rent
Preferred Move-In Date:
January
February
March
April
May
June
July
August
September
October
November
December
2005
2006
2007
2008
2009
2010
Number of Household Members:
1
2
3
4
5
6
7
8
9
10
10+
Number of Adults:
1
2
3
4
5
6
7
8
9
10
10+
Number of Children:
0
1
2
3
4
5
6
7
8
9
10
10+
Price Range Per Month:
$500-$1000
Above $1000
Above $2000
Above $3000
Above $4000
Desired Location:
Desired Building:
Type of Property:
Condo
Co-Op
Townhome
Single-Family
Multi-Family
Land
Investment
Size:
Studio
1 bedroom
2 bedrooms
3 bedrooms
4 bedrooms
5 bedrooms
Number of Baths:
1 bathroom
2 bathrooms
3 bathrooms
Number of Parking Spaces:
1 outside
2 outside
More than 3 outside
1 indoor
More than 3 indoor
How did you Hear About Smart-Realty?
Other
Google / other search engine
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Billboard
Referal
Thank You
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