LMOA NEW RESIDENT & GUEST REGISTRATION

LMOA RESIDENCY REGISTRATION
I am

New HomeownerNew TenantHomeowner (moving within LM)Tenant (renewing lease/moving within the Lake)Deed in Trust or Corporation
New tenants are required to pay a registration fee of $55. Fee may be paid by mail or in person at Lake Monticello Owner's Association, 41 Ashlawn Blvd., Palmyra, VA 22963. A dropbox is located at this address. Checks can be made payable to: LMOA. Credit Card payments made be made by phone. Call 434-589-8263.
Name of Trust or Corporation
Name on Deed or Lease*

First Name Middle Name Last Name Suffix
Date of Birth*

MonthDay Year
Date
Phone Number*

Area Code Phone Number
Email*
example@example.com
Name of Additional Person on Deed or Lease

First Name Middle Name Last Name Suffix
Date of Birth

MonthDay Year
Date
Phone Number

Area Code Phone Number
Email
example@example.com
Property Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date Lease Begins*

MonthDay Year
Date
Date Lease Ends*

MonthDay Year
Date
Name of Landlord/Management Company

Name Company
Billing Address (if different from above)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please Upload a Copy of Your Official Deed/Lease Here*

Browse Files

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I. Owners are required to list all additional members of the household (including spouse, children, others meeting residency requirements). These are considered "non-owner residents".
Additional Residents
II. Members and tenants may include four (4) guests or guest pairings on the permanent guest list, which is maintained at the Main Gate. To be eligible for a Guest Barcode, your guest must be registered on this form. Please remember Members are responsible for the actions of any guests while in the Lake Monticello Community.

This form can be updated as needed. Guests removed from this list will have barcodes deactivated.
Permanent Guests
By signing below, I certify that the information I have provided is accurate and in accordance with LMOA Policy. I take full responsibility for compliance with LMOA Policy.
The Lake Monticello Beautification Corps would like to resume creating a community phonebook in 2022. Would you like to opt in for the directory?*

YesNo
Signature and Date (click and draw to sign)*

Clear
*
Thank you for taking the time to register your household with Lake Monticello Member Services. As a welcome and 'thank you' please choose one of the following gifts:

Free Day Trip Pool PassOne free round of Golf$10 Gift Certificate for The Pub
Should be Empty:

LMOA RESIDENCY REGISTRATION