Third Party Designation

Third Party Designation

Owner Information

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Designated Third Party Information

Name

First Last

Company Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Designation: (please check one of the following):

Effective Date of Request

Please check one of the following

Designated Third Party listed above IS the primary agent for all Association related matters, to include any notice relating to the rental. Owner will still be copied in on all Association billing, compliance and community notices. Exception: board member eligibility and voting rights.

Designated Third Party listed above IS NOT the primary agent for all Association related matters; however, add the agent’s contact information as alternate for all Account correspondence until otherwise updated by Owner.

Regardless of Designation chosen above, please check any applicable boxes below for the information you wish to have relayed to your designated third party:

Please check all that apply

Bills, Statements and/or Coupon Books

Property Compliance Notices

Pool Keys / Front Entrance Gate Keys / Clubhouse Keys (if applicable)

Signature

Date

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.