ERA TENANT APPLICATION

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ERA TENANT APPLICATION

* MARKS REQUIRED FIELDS, IF NOT APPLICABLE PLEASE INPUT "N/A"

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Date of Birth *

MM

/

DD

/

YYYY

Gender *

Choose

Female

Male

Non-Binary

Prefer not to disclose

Marital Status *

Choose

Single

Married

Divorced

Widowed

Common-Law Spouse

Seperated

Legally Separated

Home# *

Your answer

Work# *

Your answer

Cell# *

Your answer

Email Address *

Your answer

Race *

Choose

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Hispanic or Latino

Are you an Armed Forces Veteran? *

Yes

No

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