Appointment Request
Full Name
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First Name
Last Name
Phone
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Area Code
Phone Number
What day and time works best for you to see our rental Monday thru Sunday. 10am - 8pm
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Month
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Day
Year
Date Picker Icon
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Hour
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10
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50
Minutes
AM
PM
AM/PM Option
Are you ready to move in now or are you just looking?
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Please Select
Ready Now
Just Looking
Move in Date Requested
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-
Month
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Day
Year
Date
How many bedrooms are you looking for?
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Please Select
2 bedrooms
3 bedrooms
None of the above
Do you pay cash or have section 8?
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Pay Cash
Have Section 8
What county, city or agency is your voucher with? If NONE, select NONE.
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Miami- Dade County
Hialeah
Homestead
City of Miami
None
Other
# of Bedrooms your voucher is for? If you don't have Section 8, select NONE.
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0
1
2
3
4
5
None
Do you currently pay rent to a landlord? The landlord does not count if it is family or a friend.
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Please Select
Yes
No
Where does your income come from every month? Job? SSI? SSA? Child Support? Disability? Adoption Income? Unemployment Benefits? Write ALL that apply.
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If income is SSI, SSA, Child Support, Disability or any type of Governmental Income, write amount you receive monthly below? If you don't receive any of this income, write NONE.
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If you have a job, how many hours a week do you work? If you have a job, and you are paid salary write Salary. If you have no job, write NONE.
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If you have a job, how much do you make per hour? If you are a salaried employee, write your salary amount. If you don't have a job, write NONE.
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If you work, how long have you been at your job?
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Please Select
Less than 6 months
6 months to 1 year
1 year to 2 years
2 years or more
I don't have a job
Do you have all the $ saved for your deposit? (Cash payers - 2 times the rent, Section 8 - $0)
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Yes
No
How many people does your household consist of?
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1
2
3
4
5
6
What are the ages of all the people in your household?
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How many cars do you have or plan to have during the next year?
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0
1
2
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4
Do you plan on moving in with any pets?
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Yes
No
Have you or anyone over 14 years of age in your household been arrested in the last 7 years? If you lie, I will deny automatically.
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Please Select
Yes
No
Describe any arrests in the last 7 years in DETAIL (date, charge, etc...) for you or anyone over 14 years of age in your household. If none, write none.
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Have you or anyone over 18 years of age in your household had an eviction filed against them in the last 7 years? If you lie, I will deny automatically.
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Please Select
Yes
No
Submit
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