Roommates/Spouse: ___________________________________________________

Property: _________________________ Date:___________


___YES, Apartment Selector is being given credit for the lease.

___NO, for the following reason: __________________________________________

Apartment Selector is listed on the Guest Card and Rental Application. _____________
We may be listed under Kcash109.com or Moveraroundfree.com

The rent will be: ___________________ Move in Date: __________________

Completed by:______________________________ Date: ______________


Please fax back the information requested so our accounting department will be prepared for invoicing after move-in and giving the prospect the proper credit for selecting your community. This confirmation that Apartment Selector has been given full credit for the move-in. Apartment Selector may refund a portion of our commission as a rebate or free move to the resident.

Working together makes a difference!

Sincerely yours,


Phone: 214-361-4420 Fax: 214-361-8677
Apartment Selector Leasing Specialist



Please complete and fax or email back as soon as possible