Freeport Rockford Real Estate Stateline Realty Solutions

Stateline Realty Solutions
WELCOME TO YOUR HOME

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fax
statelinebroker@aol.com e-mail

7/31/2010

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

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

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.

No Comments.

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.

visitors since 8/21/2006

Kevin O'Leary

IL
www.kevingoleary.com

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