File Evictions – Money Order Receipt Acknowledgment

File Evictions – Money Order Receipt Acknowledgment
Regional Manager Name*

First NameLast Name
Community Director Name*

First NameLast Name
Location Name*
Date*

MonthDayYear
Date
Money Order Information
Money Order Number:*
Amount Issued: *
Acknowledgment of Receipt and Responsibility
By signing this form, I affirm and agree to the following:
- The funds will be used exclusively for the purpose of filing write/eviction(s).
- I am responsible for the proper handling, safeguarding, and timely submission of these funds to the appropriate court or agency.
- I will provide all required documentation, receipts, or proof of filing once the eviction(s) have been submitted.
- I accept full accountability for ensuring the funds are used in accordance with company policy and legal requirements.
Community Director Name:*

First NameLast Name
Community Director Signature:*

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Date*

MonthDayYear
Date
Community Director Email*
example@example.com
Regional Manager Name:*

First NameLast Name
Regional Manager Signature:*

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Date*

MonthDayYear
Date
Regional Manager Email*
example@example.com
Should be Empty:

Acknowledgment of Receipt and Responsibility