Name

Phone Number

Email

Rental Address

I would consider my home to be in: I would consider my home to be in:Excellent ConditionGood ConditionFair ConditionPoor Condition

Is the property currently occupied? Is the property currently occupied? Owner occupied Tenant occupied Currently vacant

If tenant occupied, will this tenant probably need to be evicted? If tenant occupied, will this tenant probably need to be evicted? Yes No

I need assistance to get my property ready to rent: I need assistance to get my property ready to rent: Yes No

I plan to eventually move into this property: I plan to eventually move into this property: Yes No

I am currently working with another property manager: I am currently working with another property manager: Yes No

Were you referred by an agent? If so, please let us know who so we can thank him/her.

My goals/intentions for this property are (i.e.: serve as investment property, keep as rental until an ideal time to sell, move to property in the future, etc…)