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Wednesday, February 22, 2012

Rental Request Form

Please complete the form below about the rental property that fits your needs. Complete the form as detailed as possible, as it will help to find a more accurate match for your needs.

 

Property Information
 

[ * Indicates a Required Field. ]
Desired City or Area: *
Desired State: *
Size of Home: sq. ft. or more. *
Price Range: Min. /mo.  Max. /mo. *
Size of Lot/Land:   or more.
Number of Bedrooms: or more.
Number of Bathrooms: or more.
Floors: or more.
Car Garage: or more.
Property Type: *
Age:
 
Amenities and Other Features
Please check all that apply.
 

    Property Features
Granite Countertops Stainless Steel Appliances
Fireplace Disability Features
Balcony Dock
Boat Launch Horse Facilities
Horses Allowed Swimming Pool
Spa RV Parking
Walk-in Pantry Dining Room
Den/Office Attic
Basement Laundry Room
Loft Bonus Room
Master Suite/Retreat
     Lot Features

Corner Lot Cul-de-Sac
On Golf Course Water Front
City Lights View Mountain View
River View Ocean View
Water View Hillside View
Garden View Lot: Private

     Community Features
Clubhouse/Rec. Room Exercise Area
Community Golf Course Recreation Facilities
Security Features Senior Community
Community Spa/Hot Tub Community Swimming Pool
Gated Community
 
Additional Comments
Provide any other information, questions or concerns here.

To whom shall I send this information?

First Name:

 *

Last Name:

 *

E-mail Address:

 *

Daytime Phone:

 *

Evening Phone:
What is your current address?

Address:

City:

State:

Zip:

 *
When do you plan on renting a home?
  *
Are you currently working with a real estate agent?

 
How did you hear about this site? *
 

Type the characters that you
see in the above image:

Your privacy is important. Your information will not be shared, sold or exchanged
with anyone outside of the scope of this service.

 

 
Melissa Zimbelman - Broker-Owner
LUXE International Realty
Ph: 702-655-5460  -  Fax: 866-805-6318
8430 W. Lake Mead Blvd. Ste. 100
Las Vegas, NV 89128
www.luxeinternationalrealty.com
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