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Authorization to Release Information

I, , as the legal owner(s) of the property located at within (Association), authorize , to act on my behalf and obtain any information and/or items requested. I hereby authorize FirstService Residential and my Association to release all pertinent information and/or items including, but not limited to, violation notices, architectural review applications, work orders, amenity keys/fobs, and other account-related matters.

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**Please note this will not update your account billing address**

Contact Information for Authorized Individual(s):

Email address:

Phone number:

Address:

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Your legal name

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Please Confirm full name and signature.

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Timestamp

Audit

June 26, 2023 6:15 pm EDT

Authorization to Release Information Uploaded by Haley Overton - [email protected] IP 98.124.101.173

June 26, 2023 6:34 pm EDT

Resident Support - [email protected] added by Haley Overton - [email protected] as a CC'd Recipient Ip: 4.71.176.253