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Name: *

Phone *

How long have you rented your current unit? *

Why are you moving? *

How many landlords have you had in the past 5 years? *

What is your monthly rent payment now? *

Is the electric bill in your name now? If no, explain in comments box below. *

What date would you like to move into home? *

Do you own a checking account? *

Property your interested in. *

Method of rent payment now. *

Do you participate in the section 8 program? *

Must fill out form before a viewing is scheduled.

I'm aware. Everyone 18 years of age or older must fill out an application at a cost of $50.00 each. Application consist of rental, employment history and criminal background check *

Total number of occupants *

Is your credit score above 650? If no, explain in comments box below. *

Your gross monthly household income *

Comments

Have you ever been served an eviction notice? If yes, explain in comments box below. *

Have you ever been convicted of a felony? If yes, explain in comments box below. *

Email: *