Text Box: flowerleis6@gmail.com Text Box: ROOM REVIEW HOT FORM

Mahalo for your interest of our room, pls fill & submit this form if you want to make a appointment to see the room.

1. one privet room with partial furnish ( bed, mattress , desk and chair ) share bathroom and living room.  Fill Form Time: 4 min  

 2. no smoking   3. no cooking   4. coin laundry out side of the premise  5. single person occupy  6. NO GUEST OVERNIGHT!

Name      Phone               Age 

E mail                  Male        Female

Present Address   How Long 

Landlord Name            Contact Number    

Eviction     Late Payment      May I ask  

Law Violation in past 10 years                  No

Present Employer    Firm

Phone      Address.

Position Held   How Long Monthly Salary

 ROOM SELECTION              Moving in Date

ROOM VISITING APPOINTMENT   Date       Time         Waiting List

Minimum Requirement for all prospective Tenant prior to move in this premise.                

1. A copy of your photo ID. 2. Minimum Physical Clearance :

3. ONE MONTH DEPOSIT PLUS PRESENT RENTAL ( CASH ONLY )

4. Rental contract minimum 30 days. 5. Landlord Reference Form.

Yes, I accepted your rental term, condition and requirement.

COVID - 19 Verification Test                Yes       Date

Yes, I am a disability person!   then click here to submit the detail of your physical problem!

                   Hit Counter        Hit Counter                

Important Note: current room setup that may difference than the photo shows due with tenants move in and out and their personal interest !

 

 

 

 

ROOM BASIC:                                                                                                          back to top

1. one privet room with partial furnish ( bed, mattress , desk and chair ) share bathroom and living room.    

 2. no smoking inside the building    3. no cooking     4. coin laundry out side of the premise

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mahalo for your interest of our room, please fill and submit this form if you want to make a appointment to see our room.

 

 

 

boss,em_phone,position,em_long,m_salary,move_date,date,time

 

 

 

 

 

6. ONE MONTH DEPOSIT PLUS PRESENT RENTAL ( CASH OR MONEY ORDER ONLY )

Text Box: ROOM PHOTOS

boss,em_phone,position,em_long,m_salary,move_date,date,time

landlord,phone,rent_price,  

Landlord Name   Phone   Rental  Price

 

UTILITY CHARGE   

 

OPTION:  Kitchen & Microwave $27.50     Air Condition $25.00+Electric        Refriger Space $15.00 for Electric

                  Wash Machine & Dryer $29.50  Trash dump daily $30.00         Parking $45 to $125      

Rental $_________     Utility $_______      Option $_______    $________   $_______   Grand Total $________