Renter Profile Form

Name*
First Last
Email*
Where do you currently live?
Do you rent or own?
- Rent
- Own
How much is your current monthly rent/mortgage?
Are you currently employed?
- Yes
- No
What is your current profession?
Who is your current employer?
How many adults will be living here?
- 1
- 2
- 3
- 4
- 5+
Are you a convicted felon?
- Yes
- No
Comments

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Contact Us

MAXIM Real Estate, INC
PO Box 382
BLOOMINGTON, IN 47402

812-335-1492 (Office)

812-219-6159 (Michael Korus Cell)

812-327-2227 (Shawna Warner Cell)

contact@maximrealestateinc.com

“IDX information is provided exclusively for consumers’ personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing. Data is deemed reliable but is not guaranteed accurate by the MLS.”