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First Name
Last Name
ADDRESS
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Format: (xxx-xxx-xxxx)
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Lease Term
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12 Months or less
12 Months
Total Household members
Total annual gross income
Please list the annual gross income for the entire household. This would-be earnings before taxes are withheld from your pay.
Any additional income from other sources?
Are all members of your household full time students?
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No
Yes
Note: A full time student is defined as any person that has been enrolled, is currently enrolled, or anticipates to be enrolled for any portion of five months or more during a calendar year in grades k-12 or as a full-time student (as defined by the school) at an institution of higher education.
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