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1. What is your name, phone number, and email address?

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2. Which property are you inquiring about?

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3. When are you looking to move?

Date
Time

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4. How long have you been employed with your current employer?

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5. What is your approximate monthly household income?

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6. If we needed to, would we be able to get references from your employer and former landlords?

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7. How many people will be living with you (including yourself)?

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8. How many evictions have you had in the past 7 years?

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9. Are you bringing any animals with you? If so, breed?

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10. Are you able to get utilities in your own name?

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