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Disclaimer:  Unit maintenance inspections are completed up to 4 times per year to comply with insurance requirements.  Renters Insurance is required to protect your belongings.  $55 application/background check fee required per Adult on the lease.

First Name *

Last Name

Email Address *

Mobile Number *

Current Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Will you pay rent using a housing assistance program or Market Rent? *Market RentPermanent VoucherRapid RehousingOther

Is A Housing Specialist or Counselor Assisting with Your Housing Search?YesNo

Counselor's First Name *

Counselor's Last Name *

Counselor's Email Address *

Counselor's Phone# *

Are you able to pay the security deposit (last month’s rent) and first month’s rent when you sign the lease? *YesNo

Do you wish to have an assigned parking space ($150/Month)? *YesNo

Do you wish to have an In-Unit Washer/Dryer ($100/Month)? *YesNo

Do you or anyone that will be living with you have pets? *YesNo

Do you or anyone that will be living with you smoke? *YesNo

Type of Pet *0 / 10

Pet's Age *0 / 2

Pet's Weight *0 / 3

What date do you want to move in? *

How many Adults will move in with you? *#123456

How many Children will move in with you? *#123456

Message0 / 180

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