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Housing Deposit Refund Request Form
Please complete this form to request the disbursement of your LMU Housing Deposit.
Deadlines to request refund of LMU Housing Deposit:
Fall Semester:
June 30th
Spring Semester:
January 6th
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First Name
*
Your answer
Last Name
*
Your answer
LMU Email
*
Your answer
Phone Number
*
Your answer
LMU Student ID
*
Your answer
Permanent Address:
*
Format:
Street, City, State, County, Zip Code
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Reason for Request of Refund
*
Chose to attend another institution
Could not afford the cost
Decided to defer enrollment to a future semester
Other:
Required
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*
Your answer
Date of Signature
*
MM
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DD
/
YYYY
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