Rental Application

Applicant must pay a non-refundable fee of $20.00 for Apartment/Furnished and Unfurnished Room rentals to Extreme Realty Associates. **Please note: Apartment availability is based on ALL required money deposited in office. Total deposit includes 1st Month rent, Security deposit, and Brokers fee. For Room Rentals: 1st week Rent, One week Deposit

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* First Name
* Last Name
* Email
* Phone Number
* Current Address
* Name of Landlord
* Landlord's Phone Number
* Reason for moving:
Are you currently employed?	Yes No
Do you have any vouchers/programs?	Yes No
If you answered 'Yes' please select what applies	Select an option Section 8 LINC FEPS HASA
Date to Move in:
Total Number of Occupants	please specify between adult and children
	* Enter the text in the image:
	* Required
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