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Housing
please fill out this application for housing we will call for assessment.
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Name
Your answer
Phone number
Your answer
Email address
Your answer
Your answer
1.
Your answer
No address
Your answer
No at some places but some places are little more dangerous
Your answer
are you married? This does included common law even if your city does not recogn
Yes
No
Maybe
Widowed
Clear selection
Are you employed?
Yes
No
Clear selection
Anyone in the house hold receiving income
Yes
No
myself
spouse
child
Do you owe any utilities bills
Yes
No
myself
spouse
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