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Name:
Street Address:
City:
State:
Zip:
Do you rent or own?:	Rent Own
Daytime phone number & area code:
Evening phone number & area code:
Pager number (if any):
E-Mail Address:
Area in which I am interested in living:
If "Other", please specify:
Expected move date:
Size of apartment requested:
Price Range:	1 Bedroom 2 Bedrooms 3 Bedrooms
Whose name will be on the lease?
Will you be in the market to buy a home within 6 to 12 months?	Yes No
Buying within 6 months:
Buying within 12 months:
Yes, please have your Home Buying Representative get in touch with me to provide some initial information on the price of homes in the Dallas/Ft. Worth area, locations, mortgage lending rates, and the loan approval process.
Comments or questions:

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