Rental Lease Counteroffer Form

Tenant Full Name

First NameLast Name

Tenant Email Address

example@example.com

Tenant Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Property Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Current Lease Offer Details (as received from landlord)

Proposed Monthly Rent (USD)

Proposed Lease Length

Preferred Move-in Date

Date

Renewal Option Requested

Other

Requested Maintenance or Repairs Prior to Move-in

Pets, Parking, or Other Lease Conditions

Additional Notes or Requests