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Birthday
Month
Day
Year
ANY PETS/ANIMALS
YES
NO
Have you ever been convicted of a crime?
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It is against the law to discriminate any person in the terms, conditions or priveleges or rental of a dwelling, facilities in connection with such dwelling, because of race, color, religion, sec, handicap, familial status or national origin. Applicant authorizes the verification of all statements and information provided in the application including rental history, current and income. Applicant certifies that all statements provided in this lease application are true, correct and complete.

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