TOTAL MONTHLY COST $______________ TOTAL MONTHLY COST $_____________ |
| The Residence of Chardon An Assisted Living Community |

| 501 Chardon Windsor Road Chardon, Ohio 44024 Phone: 440.286.2277 Fax: 440.286.2249 |
Your Current Monthly Expenses The Residence of Chardon Mortgage, Rent, Condominium fee $__________ Monthly Fee $__________ Real estate taxes $__________ Included Gas, Electric, Water, Sewer, Trash $__________ Included Local telephone service $__________ Included Basic cable TV service $__________ Included Lawn service, grounds care $__________ Included Snow Removal $__________ Included Groceries, Dining Out, Gratitudes $__________ Included House Cleaning Service (weekly) Laundering of linens and towels $__________ Included Interior Maintenance (Plumbing, electric work, replacing appliances, etc.) $__________ Included Exterior Maintenance (Roof repair, lawn service, driveway, windows, etc.) $___________ Included Social, educational, cultural events, entertainment, crafts and hobbies $___________ Onsite Programs and amenities,such as as more than 100 cultural & educational per year Included 24-hour emergency response system $___________ Included |
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