Immediate Home Solutions
 
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Click here to print Application

Preliminary Rental Application

Please fill in the following form as completely as possible and we will contact you when a home becomes available that meets your rental criteria. All information provided will be kept strictly confidential (Privacy Policy). If you don't wish to rent a home now, you can contact us by email with any questions or comments.
Click here to use our Secure & Confidential Questionnaire Secure Form
   C O N F I D E N T I A L   
*Items marked with a red asterisk are required. If you are unable to answer a required question, give us your best guess or enter a "?", "NA", "0", "don't know", etc.  Click here to use our Secure & Confidential Questionnaire.
Your Contact Information

*First Name

*Day Phone

Example: 123 456-7890
*Last Name Evening Phone
*Address Cellular/Pager
*City *Email
*State *Zip Best Time to Call
Your Property Needs
What's the most you can afford to pay monthly for your new home?
How is your credit? Ugly is OK!
How soon are you looking to rent your next home?
In which area(s) do you wish to rent your home?
How many bedrooms do you require?
How many bathrooms do you require?
How many square feet do you require?
Do you require a garage?
Do you require a basement?
Do you have any other special requirements?
How did you hear about us?
Do you have any additional questions or comments?
What property or properties are you interested in?

For Rent-to-Own
4426 Atlantic Avenue Fayetteville, NC 28304
 
*Verification
5742
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C O N F I D E N T I A L
If you have any problem submitting this form, please contact us and let us know.


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Immediate Home Solutions
10612D Providence Road
Suite 547
Charlotte, NC 28277
Contact Us Now!
(704) 900-0400

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