Rental and Rent2own Questionnaire
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First Name
Last Name
Email
Cell phone number
Length of time at Employment
Years
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0 year
1 year
2 year
3 year
4 year
5 year
6 year
7 year
8 year
9 year
10 year
11 year
12 year
13 year
14 year
15 year
Months
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0 months
1 months
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
Length of time at Previous Employer
Years
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0 year
1 year
2 year
3 year
4 year
5 year
6 year
7 year
8 year
9 year
10 year
11 year
12 year
13 year
14 year
15 year
Months
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0 months
1 months
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
Comments
what is the street name of the property you're interested in?
How long have you live in your current home
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0 year
1 year
2 year
3 year
4 year
5 year
6 year
7 year
8 year
9 year
10 year
11 year
12 year
13 year
14 year
15 year
How long did you live in your previous home
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0 year
1 year
2 year
3 year
4 year
5 year
6 year
7 year
8 year
9 year
10 year
11 year
12 year
13 year
14 year
15 year
Do you have a co-signer ?
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Yes
No
Not Sure
What is your Credit Score?
Please select…
300-579 Very Poor
580-619 Needs Improvement
620-650 Average
650-700 Good
700-800 Great
Any prior Foreclosure or Evictions
Please select…
Yes
No
Not Sure
Bankruptcy
Please select…
Yes
No
Not Sure
Do you prefer to
Please select…
Rent the property
Buy using Rent2own
Buy for Investment Purposes
What is your max down payment if you qualify for rent to own?
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1000
2000
3000
4000
5000
6000
7000
8000
Do you have any security deposits ?
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Yes
No
Not Sure
Do you have the first months payment
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Yes
No
Not Sure
What date would you like to move in
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Within 1 week
Within 2 week
Within 3 week
Within 4 week
Do you have any pets ?
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Yes
No
Not Sure
How many ?
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0 pets
1 pet
2 pets
3 pets
Why are you moving ?
How many people will be living in the unit ?
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1
2
3
4 or more
what is your monthly income ?
Please select…
$1000
$2000 and over
$3000 and over
$4000 and over
what is your household income?
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0-2000
2000-4000
4000 and above
Have you ever been convicted of a felony?
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Yes
No
Not Sure
Have you ever broken a rental agreement?
Please select…
Yes
No
Not Sure
How many vehicles do you own ?
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0
1
2
3
Are you a smoker?
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Yes
No
Not Sure
For what reasons could you not pay on time?
Do you have a checking account?
Please select…
Yes
No
Not Sure
Do you have a savings account?
Please select…
Yes
No
Not Sure
Name of Previous Landlord(s)
Phone Number of Previous Landlord(s)
Name of Current Employer
Phone Number of Current Employer
Name of Previous employer
Phone Number of Previous employer
have you ever been convicted of a felony
Yes (if yes is selected please explain below)
No
Please Explain
why do you think you would make a good tenant or buyer?
Is there any additional information we should know?
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