Rental questionnaire

Name *

First Name

Last Name

Phone

(###)

###

####

Number of Bedrooms Desired? *

1

2

3+

House

Do you have verifiable history of renting with a management company or private landlord (not a relative)?

Yes

No

Your current landlord is:

Managment Company

Private Landlord

Family Member

Tenant Type

Voucher Holder

Market Rent/Cash

Do you have any evictions? *

Yes

No

Do you have any bankruptcies? *

Yes

No