Renter Intake Form

Lyneise Coakley, Realtor

Allison James Estates and Homes (305) 925-0958 coakleylyneise@gmail.com www.RealtorLyneise.com
Renter Intake Form

Please provide information below, so we may better serve you.
Complete all required fields and as much of the rest as you can. The more information I receive the better your results will be. If you have any questions regarding the information you are asked, please coakleylyneise@gmail.com Please see my Privacy Policy for any concerns regarding privacy.
*

First NameLast Name
Valid Email*
House Number

Area CodePhone Number
Cell Number*

Area CodePhone Number
Work Number

Area CodePhone Number
Co-Applicant (if applying)

First NameLast Name
Valid Email*
example@example.com
Valid Email*
Phone Number
Days /Time Available to Tour*
Deposit / Move-in Funds on hand (typically landlords require 1st, last, and deposit. So be sure you will have this ready if approved or prior to move date)*
Your Full Name*

First NameLast Name
How did you Find Us?*
If other, please provide name of referral
What area would you like to live*
EX: Zip Codes, Cross Streets, or Specific Subdivision Names or you may list the Key Map #s of your desired locations
What kind of property are you interested in?*

Apartment CommunityTownhouse/CondoHigh/MidriseLoftRental HomeSenior Living
Financial Assistance*

NoneIncome Restricted/Tax CreditHUD HousingSection 8/Have VoucherCo-Signer
Desired Move Date*
Date lease expires, or window of dates
Desired Monthly Rent (min-max)*
Lease Term*
Bedrooms*
Bathrooms*
Year Built (min-max)
Desired Square Feet (min-max)
Indicate desired size of home, if known (i.e. 1,400)
Washer/Dryer Requirments*
Floor Preference*
Pets?*
Type of Pet (if applicable)
Please enter the type, breed, and size of your pet (i.e. dog, Retriever, 50 lbs)
Desired Amenities (Check all you want)

FurnishedHigh CeilingsGranite CountersBlk/SS appliancesWood FloorsPatioGarden TubLaminate FloorsConcrete FloorsExposed HVACBerber Carpet
Parking

Reserved SpacesParking GarageCovered SpaceNot an issue
Garage Style

AttachedDetached
"Must Have" Property Amenities (Check all you want)

Pool/SpaFitness CenterGated AccessPlaygroundBusiness CenterDog/Walk TrailAll Utilities IncludedSplit Floor PlansShuttle/Bus RouteMetro Lite Rail AccessHandicap Friendly
Please List All Properties you have already toured before Contacting me
Credit category*
This information is used to predetermine rentability, but neither guarantees nor denies rental application.
Name of Current Employer
Time at Current Employment
Total GROSS Monthly Household Income
Total Number of Occupants*
Special Circumstances*

No Rental HistoryBroken LeaseEvictionsBankruptciesForeclosuresMisdemeanorsFelonsNone
Please Provide Dates and Payoff amounts of any Ck Items
Please send a copy of your driver's license

Browse Files
A valid driver's license is required to view any home Cancelof
TERMS OF SERVICE!

View Complete Terms of Service, Special Offers, FAQ's and Privacy Policy at https://realtorlyneise.com. For more information on my services click here.

1. My service is available at NO COST to you the Customer, and using me will never add a dime of cost to your purchase or rental transaction or subtract from any Specials being offered to you. In fact my individual services are designed to help you identify market savings that you would have otherwise missed. I have access to all Florida rentals, sales, investments on and off the market. This allows me to save you time.

2. FOR RENTAL APARTMENTS: In exchange for my Real Estate Services Provided at your request, should you see a property you must agree to indicate and acknowledge Lyneise Coakley as your Realtor and source of referral on any Guest Cards where you visit and on your leasing application. I will be notified once you are approved and have a Move-In Date, the complex will compensate me for my work and you can claim any specials that may be offered. THE COMPLEX MAY NOT NOTIFY ME, YOU MUST EMAIL OR COMPLETE THIS FORM.
LET'S GET YOU MOVING!!!!*

I agree to the above Terms of Service
Should be Empty:

Lyneise Coakley, Realtor

Renter Intake Form