DANIELS PRESERVE HOMEOWNERS ASSOCIATION INC. C/O Sterling Property Services 27180 Bay Landing Drive, Suite 4 Bonita Springs, FL 34135 239-947-4552 239-495-1518 fax I/We, hereby apply for approval to purchase the home at (ADDRESS Required) in Daniels Preserve and for membership in the Association. A complete copy of the signed purchase agreement is attached. Application fee - $150.00 NON-REFUNDABLE check is attached. (Do not add to closing costs.) In order to facilitate consideration of this application, I represent that the following information is factual and correct, and agree that any falsification or misrepresentation in this application will justify its disapproval. I consent to your further inquiry concerning this application, particularly of the references given below. 1. Full name of Applicant: (Required) 2. Full name of Spouse: (Required If Applicable) Home Address: (Required) Telephone: Home Work Email: (All Required) 3. Occupation: (Required) Indicate retired with "X": 4. Company or Firm Name: (Required) 5. Business Adress: Phone: (Both Required) 6. If renting, name of current or most recent landlord Address: City: State: Zip: Phone: 7. Two personal references (local if possible). (All Fields Required) Name: Address: City: State: Zip: Phone: Name: Address: City: State: Zip: Phone: 8. Mailing address for notices connected with this application: (All Fields Required) Name: Address: City: State: Zip: Phone: 9. Please mark with an "X" the number that applies, I am purchasing this unit with the intention to: (1) reside here part-time (2) reside here on a full-time basis (3) lease the unit Please be sure to print and read "Rules and Regulations" before Initialing #10. 10. I am aware of, and agree to abide by the Declaration for Daniels Preserve Homeowners Association, Inc., the Articles of Incorporation, By-laws and any and all properly promulgated rules and regulations. 11. I acknowledge that the parcel I am purchasing is subject to assessments, interest, late fees and collection costs and if there are any of these outstanding at the time of my purchase, I will be financially responsible for them. It is my responsibility to ensure that any outstanding amounts are paid to the Association during closing. I acknowledge receipt of a copy of the Association rules as set forth in #10 above and agree to all conditions as set forth in #11 above. (PLEASE INITIAL)
AUTHORIZATION: I/We hereby authorize Sterling Property Services, LLC and/or Daniels Preserve Homeowners Association, Inc. to verify all information contained on the application, which may include a full background check, including but not limited to credit, employment, income, eviction, and criminal and authorize that they contact any persons or companies listed on the application. Applicant: Date: Applicant: ______Approved ______Disapproved Date ______________ BY: ________________________________________________ Officer, Director or Agent