Owner Info & Occupancy Form

Owner Info & Occupancy Form
Date:

MonthDayYear
Date
ASSOCIATION INFO
Unit Address:
OWNER INFO
Owner 1 - Designee for Voting and Correspondence:
Primary Phone:
Format: (000) 000-0000.
Other:
Format: (000) 000-0000.
Email:
Owner 2:
Primary Phone:
Format: (000) 000-0000.
Other:
Format: (000) 000-0000.
Email
OCCUPANCY STATUS
How is your unit occupied?
A. Provide Your Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
B. Submit the Tenant Information Form and send a copy of the lease to HEPM:
Link to the Tenant Info Form
Mailing Address:
IF DIFFERENT FROM UNIT ADDRESS
Primary Residence:
Leased/Other: (SEND LEASE AND TENANT INFO FORM HEPM)
INSURANCE INFO
Insurance Provider:
Agent:
Policy Number:
Policy Renewal Date:

MonthDayYear
MORTGAGE INFO
Mortgage Holder and Address:
MISCELLANEOUS INFO
Emergency Contact:
Relationship:
Primary Phone:
Format: (000) 000-0000.
Email:
Vehicle 1: (Parked on site)
Make / Model / Color
Vehicle 2: (Parked on site)
Make / Model / Color
Pet 1: (Type / Breed / Color)
READ PET POLICY IN GOVERNING DOCS
Pet 2: (Type / Breed / Color)
READ PET POLICY IN GOVERNING DOCS
Should be Empty: