Clone of Tenant Request for Early Lease Termination

Non-Refundable Security Deposit Waiver
This form is used to opt into the Security Deposit Waiver Program.
Name:*

First NameLast Name
Mobile Phone Number*

Area CodePhone Number
Email*
You must use the email address we have on file for you in your Resident Portal
Address of the property:*

Street Address

Street Address Line 2

CityState

Zip Code
Lease Start Date*

MonthDayYear
Date
I hereby agree to the Security Deposit Waiver Program, in lieu of a refundable security deposit. Tenant hereby agrees instead to pay a one-time administrative fee and pay a monthly Security Deposit Waiver Administrative Fee due on the same date as the rent each month, with the full understanding and agreement that these fees are not refundable at any time or under any circumstances.*

I agree
I hereby agree that rent over $2000 per month is subject to a $750 one time, non-refundable Security Deposit Waiver Administrative Fee and a $75 monthly fee. And rent under $2000 per month is subject to a $500 one time, non-refundable Security Deposit Waiver Administrative Fee and a $50 monthly fee.*

I agree
I hereby agree that the property address above will not be secured and removed from the market until the one time, non-refundable Security Deposit Administrative Fee.*

I agree
I hereby agree that all Security Deposit Waiver fees are non-refundable under any circumstances.*

I agree
I hereby agree that if I decide not to move forward with renting the above property, the one time Security Deposit Administrative Fee is non-refundable and will not be returned.*

I agree
Sign Here:*

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Non-Refundable Security Deposit Waiver