Apartment Rent Rebate Form

Claim your rebate check! I will rebate back to you, 10% of my referral commission on the lease you signed...usually $50 to $200! It's easy, just remember to write in "Bobby Schultz / Keller-Williams Realty" on your rental application..section titled "Why You Rented Here..." ...then fill in the info below and submit it! Or just call me and give me the info.


First Name: Last Name:
Email: Phone:

Info About the Apartment You Rented...

Apartment Name:
Unit #:
Move-in Date (mm/dd/yy):
Length of Lease (in months):
Amount of Monthly Rent $