Short-Term Tenant Registration Form & Lease

Penn Estates Property Owners Association

304 Cricket Dr. East Stroudsburg, PA 18301 P: 570.421.4265 F: 570.421.1092
Short-Term Tenant Registration Form & Lease

Form must be filled out completely and shall be submitted at least three (3) days in advance of registration.
Date

MonthDayYear
Date
Lot/Section:
Owner of Record:
Mailing Address:
Owner's Home No.:
Please enter a valid phone number.
Owner's Business No.:
Please enter a valid phone number.
Cell No.:
Please enter a valid phone number.
Email:
example@example.com
Lease Start Date:

MonthDayYear
Date
Lease Expiration Date:

MonthDayYear
Date
Registered Tenant:
Current Mailing Address:
Tenant's Home No.:
Please enter a valid phone number.
Tenant's Cell No.:
Please enter a valid phone number.

TENANT & GUEST REGISTRATION

All Tenants and registered occupants must be listed below

- If the length of stay of a Tenant will exceed twenty-nine (29) days, do not complete this form. Please submit the Long-Term Tenant Registration Form. A copy of the Long-Term Tenant Registration Form can be found at www.pepoa.org.
- Tenants violating PEPOA governing documents, including but not limited to the rules and regulations, copies of which are available on our website (www.pepoa.org), may be cited for such violations.
REGISTERED ANIMALS

Copies of vaccinations (rabies and distemper) must be provided for each animal, and they must be registered with PEPOA upon check-in.

TENANT VEHICLE INFORMATION

Tenants and registered occupants listed on page 1 of this form that are driving vehicles must present requested information to obtain a "Gate Entrance Pass." This pass must be displayed on the dashboard at all times during the term of the tenancy. Tenants and guest of Tenants not displaying a valid Gate Entrance Pass may be stopped and denied access until proof of authority to enter the Community is provided.

A Tenant may not be registered or permitted entry into the Community if this form is unaccompanied by the Owner's payment of the applicable tenant registration fee and a signed Annual Owner Certification of Compliance Form is not on file. Also, the Owner of Recored must supply an executed copy of the Short-term Minimum Lease Agreement. Alternatlively, if all of the terms of the Short-term Minimum Lease Agreement are incorporated into a separate lease agreement, the Owner of Record may supply the alternative lease agreement instead.

CLICK HERE to download the
Short-Term Rental Minimum Lease Agreement Form
Attach Completed Short-Term Minimum Lease Agreement Form *

Cancelof

By my signature below, I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge.
Date

MonthDayYear
Date
Signature

Clear
FOR ADMINISTRATION USE ONLY:
Received By: _______________________________

Tenant Registration Fee Paid: ______________

Lease Received By: ________________________

Entered By: ________________________________
Date Received: _______________

Date Received: _______________

Date Received: _______________

Date Received: _______________
Should be Empty:

Penn Estates Property Owners Association