Residential Requirements Form - Krainin Real Estate

First Name:

Last Name:

Street 1:

Street 2:

City:

State:

Zip:

Phone Type:

Phone One:

Second Phone Type:

Phone Two:

Email:

Number of Occupants:

How many bedrooms do you require?

Any Smokers:

Any pets? Please describe
(How many? Breed? Size? Age? Any bad habits? References?)

What time frame do you need?

What date to start?

Price Range or Max/Month (not including utilities):

Are you willing to take a property that is on the market?
This means you would agree to showings by brokers (with prior notice)

Furnishings:

Do you need a garage?

Do you need a basement?

Location Preferred:

Other acceptable locations:

Any special requirements -- allergies, difficulty with stairs or slopes, etc.:

Anything else you'd like to add: