ANTIETAM SQUARE
PARKING PERMIT APPLICATION
Please complete this application to request parking permit(s).
UNIT OWNER INFORMATION
Owner Name:
Antietam Square Address:
Billing Address, if different from above:
Owner's Email:
Owner's Phone:
Is this unit a rental property?
OCCUPANT INFORMATION - If your unit is rented, a valid lease is required in order for a parking permit to be issued. Please upload your lease here.
Upload Tenant's Lease HERE
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.
Include everyone who lives in the house, including the person completing this form, if applicable, and all children.
Occupant 1 Name:
Occupant 1 Email:
Occupant 1 Phone:
Occupant 2 Name:
Occupant 2 Email:
Occupant 2 Phone:
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.
IMPORTANT: *There is an additional $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.
Property Manager/Authorized Agent, if any:
Name:
Telephone:
Email:
Mailing Address:
VEHICLE INFORMATION
Vehicle 1:
Make:
Model:
Color:
Year:
License Plate Number:
License Plate State:
VIN:
Vehicle 2:
Make:
Model:
Color:
Year:
License Plate Number:
License Plate State:
VIN:
Vehicle 3:
Make:
Model:
Color:
Year:
License Plate Number:
License Plate State:
VIN:
REPLACEMENT PARKING HANGTAGS ARE $50 EACH. Select the type and quantity below.
No more than two permits will be issued per unit.
I am requesting:
To submit your payment for replacement permits, follow the steps below:
1. Login to your Connect resident portal at https://antietamsquare.connectresident.com/
2. Click 'Make Payment' to access ClickPay
3. Select the 'Edit' button next to the balance
4. Select 'Alternative Amount' to manually enter the charge
Click below to indicate your payment status:
I have submitted a $50 new tenant processing fee:
I am a/an:
List any additional occupants or questions here:
