RENTAL BILLING FORM

Agent Name
Applicant Name
Co-Applicant
MLS #
Apt #
Property Name
Address
City
Zip code
Phone #
Fax
Move date
Rent Amount
Commission %
*Billable Amount actual invoice amount
Bonus Amount separate bill
Name on Application Yes
Registration #
Leasing agent who confirmed move in
Broker or Personal Lead

Any special requirements or notes?

# of Bdrms

Lease Term

Cash Rebate Amount

Client email