Homeowner Contact Information

Homeowner Name*

First NameLast Name

Additional Homeowner Name

First Name (Spouse and/or co-owner)Last Name (Spouse and/or co-owner)

Association Name*

Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is the mailing address the same as the property address?*

YesNo

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Homeowner Home Phone Number

Please enter a valid phone number.

Homeowner Mobile Phone Number*

Please enter a valid phone number.

Homeowner Work Phone Number

Please enter a valid phone number.

Designated Email

example@example.com

Email Designation (N.C.G.S. § 55A-1-70)

Additional Mobile Homeowner Phone Number

Please enter a valid spouse and/or co-owner phone number.

Additional Homeowner Email

Please enter a valid spouse and/or co-owner email.

Tenant Information

Tenant Name

First NameLast Name

Tenant Home Phone Number

Please enter a valid phone number.

Tenant Mobile Phone Number

Please enter a valid phone number.

Tenant Work Phone Number

Please enter a valid phone number.

Tenant Email

example@example.com

Leasing Company Information

Leasing Company

Leasing Company Contact Person

First NameLast Name

Leasing Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Leasing Company Phone Number

Please enter a valid phone number.

Email

example@example.com

For PPM, Inc. Use Only. Will Not Be Shared!

*NOTE: The homeowner is responsible for updating PPM immediately when this information changes. Homeowners are responsible for ensuring their tenants comply with all association covenants and policies. If you lease your home, it is requested that you add information regarding the HOA to your lease. The homeowner should pay the assessments directly to the HOA rather than relying on the tenant to do so.