Full Name________Alina-Maria Davidescu__________________________________________ Home Phone

( & nbsp; ) _928 310 9331_______________________

Date of Birth___________04/03/1991______________________
Other Phone ( ) ___________________
Current Address____1500 S San Francisco_______________________Apt#___103_____
City_______Flagstaff___________ State__AZ____ Zip____86001____
Reasons for Leaving_______end of contract_____________________Rent $___650_______Phone ( )
____________________________
Are you married___________No_________________
How many people will be living in the house___________2_________________
Do you have a pet___________not yet_________________
Do you have a car____________not yet________________
Occupation_________Research assistant & Teaching assistant___________________
How soon can you have the deposit and rent payment sent to me__________ASAP_______________
How soon do you want to receive the keys___________ASAP_____________________________
Move In Date_________09/07/2015___________________
Your Family Pictures ____________________________