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HOUSEHOLD INFORMATION
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Date Needed:
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January
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May
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July
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December
I am:
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male
female
You'd rather live with:
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male(s)
female(s)
either sex
Age range:
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18-21
21-25
26-30
31-40
40-50
50+
Monthly rent:
I am a:
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Working person
Undergraduate Student
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I am:
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a non-smoker, prefer non-smokers
a non-smoker, smokers O.K.
a smoker
Pets:
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None
Cat
Dog
Reptile
Fish
Bird
Monkey
Ferret
Other
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