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INTENT TO STAY yn BUDGET SUITES OF AMERICA (Tax Exempt Status) Please ensure that all information is correct and printed legibly on this form. MOVE Pursuant to Arizona sales tax law, this letter serves to notify you that I will be staying in your residence for at least 30 consecutive days. My move in date is and I will be moving out on or after Seo Tt Pahom Print Name Signature Date After staying 30 consecutive days, a refund check will be issued from our corporate office for taxes charged. MOVE OUT Under penalties of perjury, I declare that facts stated on this form are correct and true and that I have been a resident in your residence fiom to : Sot Bahem Signature Date Mailing Address: Under penalties of perjury, I declare that I have verified the facts stated on this form(s) and to the best of my knowledge and belief, all the facts are correct and true. Refund Check Ordered Yes_____ Date: Property Manager No (Did not stay 30 consecitive days) Property Refund checks issued by mail may be subject to a stop payment fee if the check is not received and the resident wishes the cheek to be reissued. ‘These instances will be reviewed on an individual basis (0 make a determination that we recived the correct information. White Copy-Corporste Yellow Copy-Property TENANT INTENT TO STAY QUESTIONNAIRE WHAT IS:YOUR INTENDED LENGTH OF STAY? eo SELECT-ONE BOX ONLY! O 1WHEK O 2WEEKS O 3 WEEKS 430 DAYS OR MORE, Sat hr Ket ; PRINT NAMB - PRIMARY PRINT NAME — TENANT 2 SIGNATURE —PRIMARY SIGNATURE — TENANT 2 OOF} - 102.3 DATE DATE, WWW.BUDGETSUITEG.COM

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