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O you pay child support? YES NO If yes, $ per month. Do you pay alimony? YES NO If yes, $ per month. Do you pay child care? YES NO If yes, $ per month. ADDITIONAL INFORMATION: Do you have a Water Bed? YES NO Do you have a Washing Machine? YES NO Do you have a Dryer? YES NO Do you currently have a Household Pet ? YES NO ; How many cars will be parked at the premises? if YES, what type? (copies of registration must be pro.

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