Freeport Rockford Real Estate Stateline Realty Solutions

Stateline Realty Solutions
WELCOME TO YOUR HOME

815 345 4897 phone
815 345 4897 mobile
statelinerealty@gmail.com e-mail

2/7/2012

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.

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.

Kevin O'Leary
Stateline Realty Solutions
Ph: 815 345 4897

IL
www.kevingoleary.com

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