REFERRAL FORM – ELITE Rental Properties Inc.

able document We

REFERRING AGENT/BROKER/ATTORNEY'S FULL NAME:

REFERRING AGENT/BROKER/ATTORNEY'S CELL PHONE:

REFERRING AGENT/BROKER/ATTORNEY'S EMAIL:

WHICH LICNESE DO YOU HOLD AND WHAT IS YOUR CURRENT STATUS:

LICENSE NUMBER:

CLIENT'S FULL NAME:

CLIENT'S CELL PHONE:

CLIENT'S EMAIL:

PROPERTY ADDRESS:

Address Line 1

Address Line 2

City

State

Zip Code

Please advise us of any information you think we should know about the client and their situation:

Please answer.

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