N 83rd St and Capitol – Pre-Qualification Form * First Name * Last Name Your Phone Number: * Your Email Preferred Method of Contact By Phone By Email * How Did You Hear About Us? Please Select One Craigslist Google Journal Sentinel Yahoo Rentals.com Other * Your Date of Birth Please give the name and date of birth for any other persons that you will be living with over 18 * Current Address * How long have you lived at your current place? * Number of Children * Do you have any pets? Please Select One Yes No * What property or properties are you interested in? * Income - provide breakdown for total monthly income for all persons applying * Check all that apply for the persons on this application Please Select One Employment SSI W2 Other * How long have you been at your current job? put 0 if not employed * Has anyone ever been evicted? Please Select One Yes No * Wiil anyone be receiving Rent Assistance? Please Select One Yes No * What date would you like to move? * How much would you be able to put down?