Your Email Address:

Owner/s Name:

Property Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

How did you hear about Acuity Group?

Has this property been previously listed on the MLS? please select Yes No

If yes, approximate list date:

Desired move-in date:

Is this an investment property? please select Yes No

If yes, how long have you owned it?

Do you currently occupy this property? please select Yes No

If no, please list your full current mailing address:

What is your current monthly mortgage payment? $

Are you current on your monthly mortgage payment? please select Yes No

If no, are you in foreclosure or short sale negotiation proceedings? please select Yes No

Property type: please select Townhome/Duplex Condominium Single Family Home

Floor plan style: please select Rambler 2 Story Mod. 2 Story Split Entry 3 Level 4 Level Other

Association dues? please select Yes No

If yes, list monthly amount and frequency: $

Number of bedrooms:

Number of bathrooms:

Master Bath? please select Yes No

Year built:

Basement? please select Yes No

If yes, please describe:

Total sq ft finished:

Above ground finished square feet:

Below ground finished square feet:

Garage stall number/s:

Outbuildings or detached garages? please select Yes No

If yes, please describe:

List appliances included in rental:

Washer and dryer included? please select Yes No

Are pets allowed? please select Yes No

If yes, please describe specifications:

Are smokers allowed? please select Yes No

If yes, please list areas smoking is permitted:

Lot size:

Irrigation system? please select Yes No

Handicap accessible? please select Yes No

Are you interested in learning more about our property management/maintenance services? please select Yes No

Would you like someone to contact you to set up a rental analysis? please select Yes No

Additional comments/questions: