2022 Owners Annual Registration Form

Penn Estates Property Owners Association

304 Cricket Dr. East Stroudsburg, PA 18301 P: 570.421.4265 F: 570.421.1092
2024 Owners Annual Registration Form

Please complete to ensure we have the most current information regarding your property.
FAILURE TO COMPLETE AND RETURN BY FEBRUARY 15, 2024 WILL RESULT IN LOSS OF AUTOMATED GATE CARD ACCESS AND FINE
Date

MonthDayYear
Date
Lot/Section:
Pin #:
Owner # 1 Name:
Owner # 2 Name:
Property Address:
(This is the physical address of the property in PEPOA)
Mailing Address:
(If different from property/physical address)
Home Phone:
Please enter a valid phone number.
Work Phone:
Please enter a valid phone number.
Cell Phone:
Please enter a valid phone number.
Email:
example@example.com
Is this a rental unit:
If yes, please select which type applies:
*Remember, all tenants must be registered using the tenant registration forms, which are available online or at the Administration Office.

Please list all vehicle information registered (linked/cleared) to the property with and without gate cards

The above information is accurate as submitted. Any and all changes to the above shall be submitted to the Administration Office within 48 hours.
Homeowner's Name:
Date

MonthDayYear
Date
Homeowner's Signature:

Clear
FOR OFFICE USE ONLY
Tops Entered By: ________________________________________

Gatehouse Entered By: __________________________________

Scanned By: _____________________________________________

Owners Log Entered By: _________________________________
Should be Empty:

Penn Estates Property Owners Association