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Tenant Intake Form

  1. This is a:
  2. Is your rent currently paid up to date?
  3. How was landlord notified that residence needed repairs?
  4. Is there a copy of repair request?
  5. Have there been difficulties getting repairs made in the rental prior to this incidence?
  6. Do you authorize the Minimum Housing Inspector to contact the landlord regarding this issue?
  7. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  9. This field is not part of the form submission.