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SOUTHERN DOOR COMMUNITY LAND TRUST
Housing Is A Human Right!
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communitylandtrust@southerndoor.org
607-358-3937
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Application Form
Full Name
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Email
Address
Historical Rental Information
Current Landlord's Name
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Current Landlord's Phone Number
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Previous Rental History (List last two addresses)
Address 1
Duration of Stay and Reason for Leaving
Address 2
Duration of Stay and Reason for Leaving
Employment Information
Current Employer
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Job Title
Length of Employment
Monthly Income Amount
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