Jackson Real Estate - Madison County Homes for Sale

Rental Questionnaire
Town & Country Property Management, Inc.
1944 Highway 45 By-Pass, Suite 8
Jackson, Tennessee 38305
Vacancy: 731-664-3472
Phone: 731-668-7078
Fax: 731-664-3407

Date:		Work Phone:
Name:		Home Phone:
Email:		Best Time To Call:
Address:		City
		State
		Zip

Employer:		Hire Date:
Work Email:		Social Security #:
Employer Address:		City
		State
		Zip

What date are you relocating?
When is your next visit?
Price Range:	to

Area:
Children:		Ages:
Pets?		Total Occupants:

Are you willing to sign a 12 month lease? Yes: No:
Do you want an: Apartment: Duplex: House:
Other (Describe):
# of Bedrooms: Bathrooms: Sq. Footages:
Are you planning on purchasing a home within the next 6 - 12 months? Yes: No:
*Each rental applicant must fill out this form*