Registration Form
Contact Information
Name:
Email:
Address:
Phone: (h):
(w):
(cell):
(pager):
Property Information
Buying
Renting
Leasing
Price Range:
Check all that apply to describe the type of property you are seeking:
Co-op
Studio
Commercial
Condo
1 Bedroom
Retail
1-4 Family
2 Bedroom
Garage
5 & Over
3 Bedroom
Other:
Details of Occupancy
Total # of Occupants:
Pets: Yes
No
Date of Move:
Job Description
Applicant 1
Applicant 2
Title:
Title:
Salary Range:
< 10K
10-20K
20-30K
30-40K
40-50K
50-60K
60-80K
80-100K
100-130K
130-160K
160-200K
over 200K
Salary Range:
< 10K
10-20K
20-30K
30-40K
40-50K
50-60K
60-80K
80-100K
100-130K
130-160K
160-200K
over 200K
Duration of Employment:
< 1 year
1 year
2 years
3 years
4 years
5 years
5-10 years
10-15 years
15-20 years
> 20 years
Duration of Employment:
< 1 year
1 year
2 years
3 years
4 years
5 years
5-10 years
10-15 years
15-20 years
> 20 years
Credit:
Excellent
Good
Poor
Credit:
Excellent
Good
Poor
Additional Comments
If you have anything to add, please detail it below:
Contact: Jim Milani, Sun-Wood Real Estate, 43-02 42nd Street, Sunnyside, NY 11104
Phone: 718.361.7222, Fax: 718.784.3115, Email:
jmilani@sunwoodrealestate.com
