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First Name:
*
Last Name:
*
Main phone:
*
Alternate phone:
E-mail:
# of bedrooms:
N/A
0
1
2
3
4
5+
*
# of occupants:
N/A
0
1
2
3
4
5
6
7
8
9
10+
*
Move by date:
*
Current Area:
*
Reason for moving:
Section 8:
N/A
0
1
2
3
4
5+
Moving papers:
N/A
Yes
No
Type of work:
*
Length of employment:
*
Monthly income:
*
SSI income:
Child support income:
Disability income:
Other income:
Prior evictions?:
N/A
Yes
No
Prior felonies?:
N/A
Yes
No
Pets:
N/A
Yes
No
Type of housing :
Apartment
Single Family Home
Townhouse
Condo
Area of Interest:
---Select---
South
South East
South West
South Suburbs
West
Downtown
North
*
Do you need heat included?:
Heat Doesn't Matter
Heat Included
Heat Preferred
Do you have 1st months rent available?:
Yes
No
Transportation Type:
Car
Bus
How did you hear about UAS Properties?:
---Select---
Referral
UAS Website
Craigslist
Twitter
Facebook
Myspace
Linked In
Other Internet
For Rent Sign
Flyer
Walk In
*
Comments:
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Information deemed reliable but not guaranteed. All measurements are approximate.
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