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Move in Amounts
Pro-rates rent for __August 2016 (20 days)_______: $786.45
Pet Deposit: No Pets
Next Month’s rent if move in after the 25th: $0.00
Occupancy Permit: $25.00
Total Required at Move-In $ 811.45
All lease holders must sign the lease and all monies due must be paid in full before move-in keys are
given. Please bring your Ameren account number when you arrive to pick up keys.
Although Renter’s Insurance is not required we highly recommend you purchase it and give a copy to the leasing
office. Applicant has 72 hours to cancel this application and receive your entire deposit back. After 72 hours NO
refunds will be given. A 30 day written notice must be given before move out even if you plan to move out on in the
last day of the lease.
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Signature Date Signature Date
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Manager or Leasing Agent Date
*Typed 7/13/2016 by Jessica. The terms of this receipt are subject to change based on approval, apartment, and move in date.