APPLICATION FOR OCCUPANCY



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APPLICATION TO LEASE

PARK PLACE ASSOCIATION, INC. TOWNHOUSE UNIT

IMPORTANT NOTICE

TO PROSPECTIVE OWNERS AND PROSPECTIVE TENANTS:

THIS FORM MUST BE COMPLETED IN ITS ENTIRETY AND SIGNED WHERE INDICATED. COMPLETE THIS FORM BY TYPING OR PRINTING LEGIBLY.

ONCE COMPLETED IN ITS ENTIRETY BY OWNER AND PROSPECTIVE TENANT, SUBMIT THIS APPLICATION WITH APPLICATION FEE OF $100 TO:

PARK PLACE ASSOCIATION, INC.

#E4

1007 N. FEDERAL HIGHWAY

FORT LAUDERDALE, FL 33304-1422

UNIT OWNER[S] MUST SIGN THE FOLLOWING BELOW FOR APPLICATION TO BE REVIEWED BY THE BOARD OF DIRECTORS:

Date: __________

I/We are the owners of Unit #_____ in Park Place Association, Inc. I am seeking approval from the Board of Directors to lease this unit to the applicants who have completed and signed the attached form.

I have, or will provide to the applicant if approved, a copy of the Association’s By-Laws and Covenants.

______________________________ ______________________________

UNIT OWNER NAME UNIT OWNER NAME

______________________________ ______________________________

SIGNATURE OF UNIT OWNER SIGNATURE OF UNIT OWNER

APPLICANT FOR TENANCY:

TO BE COMPLETED AND SIGNED BY EACH APPLICANT SEEKING

TO LEASE THE UNIT [IF NECESSARY, MAKE COPIES OF THIS APPLICATION FOR EACH POTENTIAL PURCHASER TO COMPLETE]

APPLICANT INFORMATION

Name:

Date of Birth:

Social Security Number:

Do you have children under the age of 18 who will occupy the unit with you? If so, list names and dates of birth:

Do you have any pets which will occupy the unit? If so, describe: [breed, size, color, weight]

Have you ever pled nolo contendere, or been convicted of a felony, in this or any state or jurisdiction? : [If “yes”, provide details of plea or conviction including penalty]

Do you own or have possession of an automobile? [If “yes”, provide make, model, year, license plate number and state of plate issue.]

RESIDENCE HISTORY

[CITY, STATE AND ZIP CODE MUST BE INCLUDED]

PROVIDE RESIDENCE HISTORY FOR THE IMMEDIATE PAST FIVE YEARS

Current Address, including city, state and zip code, and apartment, if any:

Home Telephone:

Date Resided from and to:

If Renting: Landlord/Management Agent Name and Telephone Number:

If Owner: Mortgage Company Name, Address and Telephone Number:

Management/Condo or Homeowner’s Association Name, Address and Telephone Number:

PREVIOUS ADDRESSES:

[A]Address, including city, state and zip code, and apartment, if any:

Home Telephone:

Date Resided from and to:

If Renting: Landlord/Management Agent Name and Telephone Number:

If Owner: Mortgage Company Name, Address and Telephone Number:

Loan Number:

Management/Condo or Homeowner’s Association Name, Address and Telephone Number:

[B]Address, including city, state and zip code, and apartment, if any:

Home Telephone:

Date Resided from and to:

If Renting: Landlord/Management Agent Name and Telephone Number:

If Owner: Mortgage Company Name, Address and Telephone Number:

Loan Number:

Management/Condo or Homeowner’s Association Name, Address and Telephone Number:

CHARACTER REFERENCES

NO FAMILY MEMBERS OR RELATIVES.

1.

Name:

Relationship to Applicant:

Address:

Telephone: Home: Office:

2.

Name:

Relationship to Applicant:

Address:

Telephone: Home: Office:

3.

Name:

Relationship to Applicant:

Friend

Address:

Telephone: Home: Office:

EMPLOYMENT AND BANK REFERENCES

1.

Employer:

Dates of Employment: [Provide information for the past 5 years or since attaining the age of 18, whichever is less]

Address:

Telephone Number:

Supervisor Name:

Department and Position:

Monthly Income:

2.

Employer:

Dates of Employment: [Provide information for the past 5 years or since attaining the age of 18, whichever is less]

Address:

Telephone Number:

Supervisor Name:

Department and Position:

Monthly Income:

3. Prior to that Student at FAU and Part time jobs while studying

Employer:

Dates of Employment: [Provide information for the past 5 years or since attaining the age of 18, whichever is less]

Address:

Telephone Number:

Supervisor Name:

Department and Position:

Monthly Income:

BANK REFERENCE

1.

Bank:

Address/ Branch:

Account Number:

[ ] Checking Account [ ] Savings Account

2.

Bank:

Address/ Branch:

Account Number:

[ ] Checking Account [ ] Savings Account

Read and sign below:

The information I have provided above is true and accurate. I understand that Park Place Association, Inc. will do a full background and financial check, and any other check that it feels necessary to complete the occupant screening of this application. I agree that Park Place Association, Inc. will not be held liable for any inquiries into applicant’s credit file, and I hereby give consent for Park Place Association, Inc. to conduct complete background, financial, credit and criminal checks as part of its review of my application to occupy a unit.

I understand that Park Place Association, Inc. is a homeowners association covenants, by-laws and rules that pertain to all unit owners and purchasers. I agree to abide by all such association covenants, restrictions, by-laws, rules and limitations, existing now and as amended from time to time all them in their entirety should my application be accepted. I understand that the foregoing association covenants, restrictions, by-laws and association rules include without limitation that each townhouse unit may have only two automobiles on association property, and that the automobiles may be parked only in the unit’s assigned space or in the unit garage. Cars are not to be parked in guest parking or double parked along unit garages at any time. I agree to abide by all pool rules. I further agree not to disclose association common area entrance codes or pool access codes to any persons not authorized by the board to reside in a unit. I understand that Park Place Association prohibits pit bulls from residing in any unit or from being on its property. Should Park Place Association need to bring legal action against me for violation of any of its covenants, by-laws and rules, I understand that I am fully responsible for all legal fees and costs of such action.

BY SIGNING THIS APPLICATION, YOU FULLY UNDERSTAND AND HAVE READ THE ABOVE INFORMATION.

SIGNATURE: __________________________________

DATE: _________________________

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