Skip to main content
Welcome! Check out our latest news.
Read more
+1-949-614-5841
info@safesecondhomes.info
Home
About
Services
How It Works
Contact
More
+1-949-614-5841
info@safesecondhomes.info
Intake form
Help us serve you better
Name
*
Email address
*
What is your current living situation?
Please select at least one option.
Renting
Homeowner
Living with family
Homeless
Have you previously experienced a broken lease or eviction?
Select
Yes
No
Please describe the reason for your broken lease or eviction.
What type of rental are you seeking?
Select
Apartment
House
Room
Condo
What is your preferred move-in date?
What is your monthly budget for rent?
Do you have any pets?
Select
Yes
No
If yes, please specify the type and number of pets.
Are you currently employed?
Select
Yes
No
If yes, please provide your occupation.
Do you have any references from previous landlords?
Select
Yes
No
If yes, please provide their contact information.
Which service or services are you interested in?
Please select at least one option.
Flexible rental agreements
Supportive tenant resources
Community connection events
Lease guard warranty protection
Rent reporting
Additional questions or comments
Please confirm that you are not a robot.
Submit
Sorry, we were not able to submit the form. Please review the errors and try again.