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Rental Property Input Form

 

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Cloverleaf Realty, Inc.                                 Fax Number: (804) 798-9796

Rental Property Input Form

Personal Information

Full Name

Mailing Address

Home Phone

Other Phone

Email Address
Relation to         Rental Property Today's Date
Listing Information
Status Immediate Occupied Future Available
Date Avail. Rental Price $
Property Information
Type Apartment Lease Term Month
House Year
Condo/Townhouse Other
Deposit $ Application Fee $
County/City Occupancy Date
Unit No. Area
Street Direction Street No.
Street Name Street Extension
PO Box Zip Code
Legal Description
Neighborhood
Subdivision Elem. School
Middle School High School
Acres Take Picture Yes   No
Directions

Building Information
Finished Sq.Ft # Rooms
# Bedrooms # Bathrooms
# Levels Garage Yes   No
# Cars # Fireplace(s)
Pool Yes   No Pets Yes   No
Smoking Yes   No Furnished Yes   No
Remarks
Rental Features

Parking

(Mark all Applied)

 Assigned Double Width Paved Drive
Carport In Alley Underground
Circular Drive No Parking Unpaved Drive
Common Drive Off Street Valet
Covered On Street Visitor

Garage Type (Mark all Applied)

 Apartment Direct Entry Oversized
Attached Heated Storage Above
Auto Door Open No Garage Unfinished
Detached Other Workshop

Style

(Mark at Most 2)

 2-Story Custom Row House
A-Frame Log Salt Box
Cape Mobile Home Split Foyer
Colonial Modular Transitional
Contemporary Other Tri/Quad. Level
Cott./Bungalow Ranch Tudor

Siding

(Mark at Most 2)

 Aluminum Cement Shingle
Asbestos Clapboard Steel
Asphalt Glass Stone
Block Hardboard Stucco
Brick Log Vinyl
Cedar Other Wood

Cooling

(Mark all Applied)

 2 Zoned AC Geothermal None
Central Air Heat Pump Other
Electrical Individual Wall Timer T-Stat
Gas A/C Indv. Window House Fan

Heating

(Mark all Applied)

 2 Zoned Heat Forced Hot Air Radiator
3 or More Zones Geothermal Space Heater
Baseboard Heat Pump Steam
Coal Stove Hot Water Timer T-Stat
Electric Hot Water Coil Wall Furnace
Floor Furnace Other Wood Stove

Appl/Equip.

(Mark all Applied)

 Attic Fan Freezer Satellite Dish
Central Vac Gas Cooking Self/Con Clean
Compactor Gas Grill Smoke Alarm
Dishwasher Humidifier Stack Wsh/Dry
Disposal Ice Maker Stove
Double Oven Intercom Stove Hood
Dryer Microwave Sump Pump
Elec. Air Cleaner Oven Washer
Elec. Cooking Range Water Purifier
Exhaust Fan Refrigerator Water Softener

Amenity

(Mark all Applied)

 Association Extra Storage Playground
Basketball Gated Comm. Profess Mgmt.
Clubhouse Golf Course Putting Green
Common Area Hot Tub Resident Mgmt.
Common Laundry Jogging Path Road Maintained
Common Room Kiddie Pool Sauna
Control Access Landscaping Security Guard
Dock Lifeguard Swimming Pool
Elevator Marina Tennis Court
Exercise Room On Bus Line Water Front

       

        I hereby grant permission to post this rental property on www.LocalHomesForRent.com
        I understand there is no fee for this service. I agree that all information I have provided
        above about this property is accurate to my knowledge.

        I agree to contact www.LocalHomesForRent.com when my property is no longer available for rent.

 

I agree or disagree to the terms above.
 
             

 

 

 

 

 

 
 
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Copyright © 2004 Local Homes For Rent. All Rights Reserved.
Last modified: July 17, 2009