Unit Owner:                                                                                               Unit Number:                                  

Realtor/Agent:                                                                              Telephone #:                                              

Applicant:                                                                                                                                                                

Spouse:                                                                                                                                                                   

Current Address:                                                                                                                                                    
                                                                                (Street)

                                                                                                                                                                                      
                                               (City)                                (State)                Zip Code)                       (Country)           

Home Phone:                                  Business Phone:                                    Closing Date:                           

Applicant Occupation:                                                                      Copy of Drivers License:                     

List other persons who will reside in the Unit and their relationship to applicant:

Name:                                                                                           Relationship:                                                      

Name:                                                                                           Relationship:                                                      

Name:                                                                                           Relationship:                                                      

Name:                                                                                           Relationship:                                                      

Description of Vehicle(s) that will be on premises: Condominium rules prohibit trucks, boats, boat trailers, any trailers, mobile homes, vans, motorcycles, recreational vehicles or buses on condominium property.

                                                                                                                                                                                    
     Make                      Model                                                 License                             State                   Permit #

                                                                                                                                                                                    
     Make                      Model                                                 License                             State                   Permit #

I DECLARE THAT THE ABOVE INFORMATION IS TRUE AND CORRECT

                                                                                                                                                                   
           Signature of Applicant                                                                                    Date

                                                                                                
           Print Name

                                                                                                                                                                   
           Signature of Licensed Agent/Owner                                                                 Date

                                                                                                
           Print Name

                                                                                                                                                                   
                                                                                                                          Date Application Rec'd