List Rental Property - Rate Submission Form : For Year 2015 www.iLoveSeaisle.com NJ Realty, Inc. a Long & Foster Company Use the TAB key to go to the next item. Do not use the enter key!
Today's Date:
Owner Name:
Home Mailing Street Address:
Home City:
Home State:
Home Zip Code:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Fax Phone Number:
E-Mail Address:
2nd E-Mail Address:
Social Security # / Federal ID #:
Make Checks Payable To:
Rental Property Address:
Unit/Floor (If a Single, type in Single):
# of Bedrooms:
# of Bathrooms:
Unit Phone Number:
Maximum Number of People:
Security Deposit Protection Plan
Owner Has Pet On Premises (YES or NO):
Comcast Account #:
A/C Repair & Phone #:
Appliance Repair & Phone #:
Electrician & Phone #:
Plumber & Phone #:
Cleaning & Phone #:
Authorized to order repair work up to $300.00 - Type in below YES or NO:
Would You Consider Selling Your House (YES or NO):
Rates for 2015 (Please indicate the rent amount or rate even for weeks or periods that are rented already with a description of "Owner", "Owner Rental" or the "real estate office name", and date the rental was taken off the market. If there is a cancellation or change we will have the rate. For example: 3500 Owner Rental 8-25-14)
Rental commission is 10%.
You are authorized to pick up a copy of our key from
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