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PROPOSAL FORM THIS DECLARATION FORMS PART OF THE LEASE AGREEMENT Estate agent registration number: Application by: Agent Landlord Tenant What is being rented House Flat Plot Etc Other, please specify
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Code What is the address of the landlord's residence? (if there is one) What is the address of the landlord's residence in the property tax records of your state? (if there is one) Name of Landlord(s) Home tel Telephone NUMBER What is the maximum amount of tax due in the next 12 months? (if different from the amount paid for prior year) (If you have any questions or suggestions on this form, please contact us through this form). We reserve the right to ask you additional questions about your rental or rental unit. Please also note that the information you provide in this application will be used to determine if you qualify for the lease and your eligibility to rent a dwelling.

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