Resident Information Form
Please fill out the information below to help us serve you better. Thank You!
Association Name
*
Unit(s)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Resident Type
*
Owner
Co-Owner
Tenant
Name
*
First Name
Last Name
Email
*
example@example.com
Alternate Email
example@example.com
Mobile Phone
*
Please enter a valid phone number.
Alternate Phone
Please enter a valid phone number.
Business Name
If unit is company-owned
Resident Type
Owner
Co-Owner
Tenant
Name
First Name
Last Name
Email
example@example.com
Alternate Email
example@example.com
Mobile Phone
Please enter a valid phone number.
Alternate Phone
Please enter a valid phone number.
Resident Type
Owner
Co-Owner
Tenant
Name
First Name
Last Name
Email
example@example.com
Alternate Email
example@example.com
Mobile Phone
Please enter a valid phone number.
Alternate Phone
Please enter a valid phone number.
Resident Type
Owner
Co-Owner
Tenant
Name
First Name
Last Name
Email
example@example.com
Alternate Email
example@example.com
Mobile Phone
Please enter a valid phone number.
Alternate Phone
Please enter a valid phone number.
Vehicle Information
Please list all vehicles and parking spaces (if applicable)
Year
Make
Model
Color
Parking Spot
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
Emergency Contact(s)
Name
*
First Name
Last Name
Relationship
*
Phone
*
Please enter a valid phone number.
Email
Name
First Name
Last Name
Relationship
Phone
Please enter a valid phone number.
Email
Do you own multiple units?
*
Yes
No
Please list a contact name, phone number, and email address for each unit.
Unit Number
Name
Phone Number
Email
Unit
Unit
Unit
Unit
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Agreement to Receive Notices Electronically
Medallion Capital Group provides notices via Email and the Resident Center.
By signing below, you acknowledge the electronic communication method of Medallion Capital Group, and you agree to receive electronic notices.
Signature of Owner or Mortgagee
Date
-
Month
-
Day
Year
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