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First Name:
Last Name:
Email:
Phone Number:
Date of Birth:
Desired Location:
Racine
Kenosha
Oakcreek
Desired Apartment Size:
1 bedroom
2 bedroom
Evictions:
Yes
No
Pets:
Yes
No
Please list all pets:
Number of occupants:
Please list all occupants:
Have you ever been convicted of a felony?
Yes
No
If yes, please explain:
Desired lease term:
6 months
1 year
Employment:
Monthly Income:
Today's Date:
OFFICE HOURS: Monday - Friday: 9:00AM to 5:00PM
Saturday: 10:00AM to 4:00PM
Sunday: Closed