Rent Questionnaire

Email required to submit online form

Email: *

Adults & Children

How many Adults (18 years +)?
**An Application will be required for each person 18 years and older *  -Please Select- 1 2 3 4 5+

Name

Cell #

Email

# Months at Current Job

Name

Cell #

Email

# Months at Current Job

Name

Cell #

Email

# Months at Current Job

Name

Cell #

Email

# Months at Current Job

How many Children? *  -Please Select- No Children 1 2 3 4 5+

Background

Have you ever been evicted or are you being evicted now? If so, why?

Have you been foreclosed on? Short sale? If so, when? * 

Do you have any criminal judgments, felonies or misdemeanors currently against you?
A criminal background check will be performed so you must be honest. Every case is unique so call me with any questions. If yes, please explain

Are your payments late on any current bills?
If yes, please explain. Additional security deposit may be required if credit score is low.

Do you have items in collections/bankruptcy that will show up on your credit report?
If yes, please explain. Additional security deposit may be required if credit score is low.

Lease & Rent

If you are leasing, what exact month and day does your lease expire?

Have you put in your move-out notice?
If not, how many days notice do you need to give?

What is your current monthly rent?

Are you current on your rent payment?

YesNo

Have you ever been late on your rent payment?

YesNo

Have you saved for your security deposit?
Deposit is equal to one month’s rent and must be paid once your application is accepted. Deposit is in addition to first month’s rent.

YesNo

What day would you like to start your new lease?
I suggest one week before you need to so you have time to move. * 

Income

What is your gross monthly combined income? * 

Max you would like to spend on rent? * 

Take your gross monthly combined income and divide by 3. This is the max amount for which you will qualify. I will base our search on that amount and everything under. Child support can be included.

Property

What city or zip code do you wish to live? If looking in ‘North Dallas’ or Dallas, please provide zip codes. Zip codes found at http://www.zipmaps.net/Texas.htm

#1

#2

#3

#4

#5

#6

Are you open to a townhouse/duplex/condo for more choices?

YesNo

How many bedrooms? -Please Select- 1 2 3 4 5+

How many bathrooms? -Please Select- 1 2 3 4 5+

One or two story or either? -Please Select- One Story Two Story Either

Swimming pool? -Please Select- Yes No Either

Garage space -Please Select- One garage Two garage Doesn't matter

Pets

How many pet do you have? *  -Please Select- No pets 1 2 3 4 5+

Type

Breed

Weight

Age

Type

Breed

Weight

Age

Type

Breed

Weight

Age

Type

Breed

Weight

Age

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A non-refundable pet deposit is required per pet and some landlords have breed restrictions and weight restrictions. 

Washer, dryer and refrigerator are not a requirement for the landlord to provide so you will have to bring your own. If the property does supply some or all 3, they are a non-warrantied item.

This questionnaire is the property of Cindy Petty Realty. Distribution without the permission of Cindy Petty Realty is expressly prohibited.