BLOOMS MILL HOMEOWNERS ASSOCIATION, INC.
RESIDENT AND VISITOR PARKING PASS APPLICATION
Owner Information
Your Street Address in the Community:
Owner Name(s) and Contact Information (list all legal owners according to your deed)
Owner(s) Billing address (if different from the property address):
Who lives in this home?
Occupant Name(s) and Contact Information - Please list everyone who lives in the unit.
*If your home is rented, you must also upload a copy of the current lease below.
(Allowed file extensions are jpg, jpeg, jpe, gif, png, pdf. For any other format, please email them to [email protected].) If you experience any problems attaching your lease to this application, email it separately to [email protected].
To receive parking passes, please provide the necessary information below to insure that only homeowners will be parking in our community.
Vehicle Information
Upload your vehicle registration below. No passes will be issued without valid Virginia registration. (Please DO NOT submit DMV screenshots. We need the printed card)
Upload a copy of your driver's license below. No passes will be issued without this information.
EACH HOUSEHOLD WILL RECEIVE TWO RESIDENT HANGTAGS AND ONE VISITOR HANGTAG UNLESS AN OPTION IS CHECKED BELOW. (If a visitor pass has already been issued, you will not receive another one)
This form was completed by:
I am:
Date Completed:
