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Antietam Square Condo Parking Application

Haley Overton

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Antietam Square Condo Parking Application

ANTIETAM SQUARE CONDOMINIUM UNIT OWNERS ASSOCIATION PARKING APPLICATION

HANG TAG AND STICKER #:

OWNER NAME(S):

PROPERTY ADDRESS:

ADDRESS WHERE OWNER RESIDES, IF DIFFERENT:

OWNER’S TELEPHONE #:

OWNER’S E-MAIL ADDRESS

The Board of Directors passed a resolution requiring the Lot Owner(s) to provide the names and contact information of the tenants, authorized occupants under the lease, authorized agents and vehicle information in accordance with VA Code Ann. § 55-79.87:1 B. Please provide the following information:

Is this unit a rental property?

NAMES OF OCCUPANTS (Include everyone who lives in the house, including the person completing this form, if applicable, and all children):
Occupant 1 Name:  
Occupant 1 Telephone #:  
Occupant 1 E-mail Address:

Occupant 2 Name:  
Occupant 2 Telephone #:  
Occupant 2 E-Mail Address

Occupant 3 Name:  

Occupant 4 Name:  

Occupant 5 Name:  

Occupant 6 Name:  

List any additional names in the box at the bottom of this form.

Authorized Agent:
Agent’s Telephone # E-Mail Address
Agent’s Address

VEHICLE INFORMATION
7. Vehicle: Make Model
Color Tag Number
Year VIN
Vehicle: Make Model
Color Tag Number
Year VIN

IMPORTANT: *There is a $50.00 processing fee due each time new tenants move into the property. This form and payment of the $50.00 processing fee must be received by the Association before your tenant(s) can get the amenities passes or stickers. All tenants, including children, and authorized occupants must be listed above. To submit your payment, login to your Connect resident portal at https://antietamsquare.connectresident.com/. Once logged in, click 'Make Payment' to access ClickPay. As the charge may not yet appear on your account, select the 'Edit' button next to the balance, then select 'Alternative Amount' to manually enter the charge. 

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Antietam Square Condo Parking Application

Haley Overton

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