CLARK SELECT PROPERTIES, INC.
UNDER LEASE FORM
The * denotes mandatory field
Please use this form when your home has been rented.
The MLS status will be updated when this form is received.
This form MUST be received no later than 48 hours from the signing of a lease by you.

  Important This form is auto filled from your MLS Number, Please enter here
MLS #
If not known, please refer to your personal web page

Date of Lease:   
Rented Price: 
Length of Lease:

Renting Agent's Name (Tenant's Agent):
Agency Name: 
Landlord's Name(s):
Property Address: 
Mailing Address (if different):  

Please click in the white area below and then use your mouse to draw your signature. Please try to make your signature as authentic as possible
 
Important: If more than one landlord, all signatures are required
 
   Please Sign (Landlord #1)
  Name: 
Flash plugin is Required.

If you cannot sign in this box, you do not have Java installed.
You must have flash to continue.
To download flash plugin:

    Date:   07-25-2008
 
 
   Please Sign (Landlord #2)
  Name:   
 
    Date:   07-25-2008
 
 
            Broker´s Signature:





            _____________________                                                       Date: _____________________
 
 
 
FORM UL-1 Rev 1.1.07