ukestateagency
Full Name
Property Address
Date of Birth
Your email
Phone number
Number of Occupants
Include ages of child if any
Monthly Income
Do you have pets? YesNo
Employment Status EmployedSelf-EmployedStudentOther
Do you have any adverse credit history or previous evictions? YesNo
Do you have a guarantor? YesNo
Current Address and Reason for leaving
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