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Fishtown Room Rental
Please fill out each question as completely as you can. This will help me decide who to choose! The more info you give the better!
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First Name
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Last Name
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Email Address
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Phone Number
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Age
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Are you willing to move in Sept 1st?
Yes
No
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Will you sign a sub-lease for a whole year?
Yes
No
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Can you easily finance $550 per month in rent?
Yes
No
Maybe
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Occupation? Please describe your job and work schedule. How long you have been employed.
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Gross Income (per month) | Or ___$/hr @ ____ hrs per week?
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Present Address
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Current Rent (per month)
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Other income used for monthly expenses?
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Do you have a car?
Yes
No
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Do you have any pets? (please note pets are not allowed)
Yes
No
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Have you ever refused to pay rent for any reason?
Yes
No
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Have you ever been evicted or sued for unpaid rent?
Yes
No
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How clean are you?
Very Messy
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Very Clean
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