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Donation Claim

It's time to fill out this form if:

  1. Your application has been approved and your lease has been signed.
  2. You listed Homepowered as the referring source on your lease application and lease contract.

Charity you want us to donate to: 

Community you rented with: 

Their Telephone Number: 

Community Address:

Apt. Number:      Monthly Rent: $     Lease Term: Months

Signed Lease on: // (MM/dd/yyyy)

Your Email: 

Your Name: 

Your Mailing Address - This is only necessary if you want us to send the $100 to you:


Your Phone Number - We will only use this if we have questions for you:

Important!

As soon as your lease is approved and signed, you can submit this form to process the $100 donation to the charity of your choice. Typically, you must occupy your apartment for 30 days before the apartment complex pays the broker, and we in turn receive our fee. We then will send the donation in your name to the charity you choose. Please fill out this form carefully as we will use this information to prepare and send the donation. If you have indicated you prefer to receive the $100 we will follow the same procedure but send the money directly to you.

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