Please provide the information below to keep our community database current. To ensure that we have correct information, a copy of the settlement sheet or lease agreement must be attached when the change involves a sale of a property or a new tenant. Thank you.

Primary Residents / Owners Name(s):: _____________________________      _________________________________

Date: ________      Lot Number: ________      Email address:______________________________________________

Phone: (__________)_____________       Work: (__________)_____________       Cell: (__________)_____________

Address: _____________________________________________________________________________________

_______________________________ Birthdate: ________       _______________________________ Birthdate: ________

_______________________________ Birthdate: ________       _______________________________ Birthdate: ________

_______________________________ Birthdate: ________       _______________________________ Birthdate: ________

_______________________________ Birthdate: ________       _______________________________ Birthdate: ________

_______________________________ Birthdate: ________       _______________________________ Birthdate: ________

Are you the... Owner? _____ Tenant? _____ Relative? _____ Agent? _____

Should Homeowner’s assessments be mailed to the Owner?_____Tenant?_____Agent?_____

If not the Owner ....     Owner’s Name:      _________________________________________________________________

Owner’s Address:      _________________________________________________________________________________

Phone #____________________ Fax # ____________________ Email ________________________________________

Agent’s Name (if any):      _______________________________________________________________________________

Agent’s Address:      _________________________________________________________________________________

Phone #____________________ Fax # ____________________ Email ________________________________________