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Cotton 3 Property & Management, LLC
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Intake form
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Name
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Email address
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Phone number
Preferred method of contact
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Phone
Email
What type of housing are you interested in?
Please select at least one option.
Apartment
Single-family home
Townhouse
Condo
Duplex
Desired move-in date
Number of occupants
Do you have any pets?
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Yes
No
If yes, please specify the type and number of pets
Current employment status
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Employed
Unemployed
Student
Retired
Monthly income range
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Less than $1,000
$1,000 - $2,500
$2,501 - $4,000
$4,001 - $6,000
More than $6,000
Any additional comments or questions
Which service or services are you interested in?
Please select at least one option.
Affordable rental housing
Reliable property management
Tenant support and resources
Additional questions or comments
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