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Excelsior at High Point - Census Form (Including Pets)

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Homeowner Census Form

EXCELSIOR AT HIGH POINT

Date Completed:

SECTION B: HOMEOWNER INFORMATION
Unit Address:
Billing Address:

Owner Name: Email:
Co-Owner Name: Email:

Home Phone #: Work Phone#: Cell Phone #:

SECTION C - RESIDENT INFORMATION (List all residents)

Name	Home Phone #	Cell Phone #	Work Phone #	Email

SECTION D - TENANT INFORMATION (In accordance with governing documents, lease is required for rented units)
Lease Begin Date: Lease End Date:

Current Lease

Tenant Name	Tenant Home Phone #	Tenant Cell Phone #	Tenant Work Phone#	Tenant Email:

SECTION E - VEHICLE INFORMATION (If no vehicles, put "no car" in the first field)
(Please provide any information that may be applicable to your community)

Make / Model	Color	License Plate #	State	Parking Space

SECTION F - PET INFORMATION (If no pets, put "no pets" in first field)

Name	Description (Color, species, etc)	Breed	License #	Vaccine Expiration

SECTION G - HOMEOWNER EMERGENCY CONTACT INFORMATION:
Name: Relationship:
Address:
Cell Phone #: Other Phone #:
Email:
Comments:

SECTION H - HOMEOWNER (SECOND) EMERGENCY CONTACT INFORMATION:
Name: Relationship:
Address:
Cell Phone #: Other Phone #: Email:
Comments:

SECTION I - AUTHORIZED AGENT:
Name: Email:
Position: Phone Number:
Company:

Select All that Apply:
AR/BalanceKeysMaintenanceFull Access

(To name an authorized agent, please complete one of the following links):
https://fsresidentialeast.com/authorization-to-release-information/
- This will NOT update your billing address to your agent's
https://fsresidentialeast.com/3rd-party-agent-authorization
- This WILL update your billing address to your agent's

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Homeowner Census Form

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