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* Is This :  House  Or   Apartment

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Date You Need To Move ? *

What is bringing about your apartment move? (The reason why you are moving?)*

Date You Will Begin Looking : *

Desired Location(S) (Area or Town) : *

*Your Price Range ?

Number Of Bedrooms Needed ? *

What is your monthly income before taxes?*

Do you have broken leases? If yes, how many?*

Do you have evictions? If yes, how many?*

Do you have felonies? If yes, how many?*

Lease Term - # Of Months Desired : *

Do You Need A Washer & Dryer Or W/D Connections : *

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