Community Fee Agreement

Which community is this form for? *

Name of Resident/Potential Resident *

Apartment Number *

Move-In Date *

Date	today
Name of Resident/Potential Resident	__________
Name of American House Location	the community selected above
Apartment Number	__________
Non-Refundable Community Fee	$1,500
Move-In Date	__________

Resident and/or Responsible Party Signature *Sign with your mouse, finger, or stylus.