F: 866.370.4510 | rdennard22@aol.com | robindennard.com
I am looking to rent a: 
The maximum rent I can pay is:
Anticipated Move-in Date: 
I need a place where Section 8 is accepted:
# of Bedroom needed: 
Utilities Must Be Included: 
Do you have any pets?
I have a: 
If you have a dog, what type is it?
Do you need to stay in a certain school district?
If yes, which
CONTACT INFORMATION
RENTAL INFORMATION...
PET INFORMATION
SCHOOL INFORMATION
DESIRED LOCATION (select 1 city/town per box)
PRIMARY AREA OF INTEREST
SECONDARY AREA OF INTEREST
THIRD AREA OF INTEREST
First Name 
Last Name 
Telephone Number
Email: janedoe@gmail.com
(Month)
As a  New York State Licensed Real Estate Broker and Realtor, I promise to provide each one of my clients with professional and quality service. I will use all resources available to me to assist you in your search. 

Sometimes my fee is paid by the landlord but sometimes it is not. A typical agent fee is one month's rent.


My fee ranges from a FLAT FEE of $250 - 1 MONTHS RENT based on income and ability to pay.

Or, if my fee is covered by the landlord you pay NOTHING at all.
**PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT YOU FEEL MAY BE HELPFUL**
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Full Name
Phone #
Email Address
ROBIN L. DENNARD - LICENSED REAL ESTATE BROKER
2 Lagrange Avenue, Suite 207, Poughkeepsie, NY 12603 | O: 845.232.5356 | D: 845.216.9950 | F: 866.370.4510 | E: robin@rldrealty.com
1 BR2 BR3 BR4+ BR
YesNoNot necessarily
YesNo
YesNo
CatDogBoth
YesNoNot necessarily
I accept your services as my agent and agree to pay your fee if it's not covered by the landlord.