Rental Input Data Form
Only Two steps to get listed from this order page: 
STEP 1. Fill out this secure MLS data form to get your information into the MLS system. When completed hit the submit button and it will be instantly sent to us.
STEP 2.  Once your information is sent you will then see a link to print out the "Listing agreement".  (PLEASE CONFIRM ENTIRE AGREEMENT PRINTS OUT ON YOUR PRINTER PRIOR TO SENDING COMPLETED COPY IN) Print it out from your web browser , read and fill it in completely, when done fax it to us at (561) 477-2465 . The fax number is also printed on the top of the form.
Property Owner(s)/Landlord Name(s)  
Rental Street Address & Unit #  
Zip code
Rental List Price Per Month
Owner Home Phone
Work Phone
Cell phone
Fax number
Phone you prefer agents to call 
Email Address:   
             Commission offered to Lease agents if they Lease your property (we suggest 1/2 Month or 5.0% of annual lease) 
Tax assessor folio or parcel ID # Your tax assessor also called  "parcel" or "folio" number will be found on your tax bill.

Development name
Subdivision name
Model name
Type of  home
Construction type of  Unit? 
Is home Attached or Detached
total # of bedrooms?
total # of full bathrooms?
# of half bathrooms?
Design type of  your  home?
Is your home currently
Entrance level of the home
If garage, is it attached to home? 
Number of parking spaces?
Parking description for multiple selections hold Control key down
Any parking restrictions
Lot Description
Is property waterfront?
Waterfront description for multiple selections hold Control key down
Does home have water access?
If yes, what type?
Square feet of living area?
Gross or total square feet under roof?  include garage, etc
What type of view does your home have?  for multiple selections hold Control key down
Private pool?
If pool yes, what type Pool?  for multiple selections hold Control key down
Dimensions of the pool?
Direction front of home faces 
Year home built?
Furnished or unfurnished?
Has any room been converted in home?
What type of dining area do you have?
What floor is the master bedroom on?
What type of flooring?  for multiple selections hold Control key down
Pets allowed for rental?
If yes, any pet restrictions such as weight, size or  type?
# of ceiling fans? 

***Give key marketing points of the property, please limit remarks to roughly four lines*** 

                   Appliances / Equipment included (check all that apply)

Central Vacuum   Washer  Dryer  Microwave Electric Water heater

Refrigerator   Range   Dishwasher    Solar Water Gas water heater

Disposal    Self Cleaning Oven   Smoke Detectors Central Vacuum

Wall Oven     Water Softener Auto Garage Door Opener Alarm system

                                           Exterior Features

Awnings    Sprinkler system     Barbecue     Deck     Fence

Fruit Tree Screened Patio    Hurricane Shutters   Shed

                                            Interior Features

Built-in shelves   Cook Island     Custom Mirrors     Elevator

Fireplace     Foyer     French Doors   Laundry Tub   Pantry  

Wet Bar     Roman Tub   Skylight   Cathedral/Vaulted Ceilings    

Walk-in Closets Split bedrooms Roman tub

Cooling system

Central Electric Air     Ceiling Fan (s ) Window / Wall Units  


Heating system

Central Electric Heat     Gas Heat Wall Unit    Other

Source of  drinking water
Sewage system
Total Cash to Move in
Security Deposit
Cash to move in includes

     Security Deposit 1st Month Rent Last Months rent Pet Deposit Application Fee   

Application fee
Application Fee amount
Is property also for Sale?
Is Rental Renewable?


Rental Includes

 Cable Pest Control Water Insurance Lawn care Security     Trash Removal Pool Service


                        Any restrictions in community

   Tenant Approval Required     Pet Restrictions No Truck / Rec.Veh.  No Lease    Lease OK     Other Restrictions

                                          Subdivision amenities 

Community Pool     Tennis     Golf   Clubhouse     Sauna  Basketball

Exercise Room    Guard Gate  Play Area Common Laundry     Bike / Jog

Security Patrol   Sidewalk  

Directions to home from the nearest main roads. (please limit to four lines)

Listing Program Desired (check off): 


  6 Month Rental Program $199.00    


   Please enter payment information:   

Payment Type
Credit Card or Check Number  
Name that appears on Card or check  
3 or 4 Digit security Code


  (last 3 digits on back of card for MC & Visa or last 4 digits on front of card for Amex)
Address of account holder with zip code   
Credit Card Expiration Date Month Year

   Press submit to send order                                          

If you prefer to pay by check, please make check payable to and mail to:

Community Realty Associates 

 9922 Palma Vista Way Boca Raton, Fl 33428 

(Order will be processed when payment received, you may include photos with your check payment)

Office: (561) 852-1341 or toll free (877) 273-2169

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