Jerrie Mills, ABR

ENJOY YOUR BUYING OR SELLING EXPERIENCE!
 

DIRECT 251-979-7653    OFFICE 251-626-2030

6351 MONROE ST DAPHNE,  AL 36526
 

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
Attic Basement
Den/Office Dining Room
Disability Features Horse Facilities
Horses Allowed Laundry Room
Swimming Pool Spa
Fireplace RV Parking
Loft Dock
Boat Launch Bonus Room
Balcony Master Suite/Retreat
Walk-in Pantry Granite Countertops
Stainless Steel Appliances
     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.

To whom shall I send this information?

First Name:

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Last Name:

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E-mail Address:

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Daytime Phone:

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Evening Phone:
What is your current address?

Address:

City:

State:

Zip:

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When do you plan on renting a home?
  *
Are you currently working with a real estate agent?

 
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Jerrie Mills  -  Prudential Nichols Real Estate
Ph: 251-626-2030  -  Fax: 251-626-2053
6351 Monroe St
Daphne, AL 36526
www.jerriesoldit.com

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