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211 Maple Ave; Room C; Regular Rear bedroom
Student Information
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Mobile
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Work
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Mobile
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Work
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Co-Signor Information
Altoona Development Requires a Parent/Guardian Co-Signor for all Student Housing Leases
Co-Signor Name
*
First
Middle
Last
Co-Signor Primary Phone
*
Co-Signor Primary Phone Type
*
Mobile
Home
Work
Co-Signor Alternate Phone
Co-Signor Alternate Phone Type
*
Mobile
Home
Work
Co-Signor Email
*
E-Check/ACH Direct Payment
Altoona Development requires E-Check/ACH Direct Payment enrollment for all Student Housing Leases. With this program, your monthly payments will be deducted on the 1st Day of each month from the Checking Account you provide to us. No payments will be processed as part of this submission. We will only use this information to compile a full lease that contains our E-Check/ACH Form. If this information is not submitted now, it will have to be hand-written into the lease prior to being accepted as a valid lease by Altoona Development. The ONLY exception to this requirement if full-payment of the contract amount at lease signing.
Bank Name
*
Name on Account
*
Type of Account
*
Personal Checking
Personal Savings
Business Checking
Business Savings
Routing Number (9 digits)
*
Account Number
*
Additional Information
Any additional notes or information you'd like to send to Altoona Development: