Community/HOA Name:
Unit Owner's Name: Unit #:
Address:
Home Phone: Work Phone: Cell:
Email Address:
Tenants:
1) 2)
Lease Period From: To
Tenant's Home Ph#: Work Phone: Cell:
Name of all occupants and age of all minors:
Name: Age: Name: Age:
Name: Age: Name: Age:
Name: Age: Name: Age:
Vehicles:
Year: Make: Model: Color:
License Plate: State: Sticker#:
Year: Make: Model: Color:
License Plate: State: Sticker#:
Pets:
Type: Coloring: Name:
Type: Coloring: Name:
Mortgage Company:
Mailing Address:
Emergancy Contact:
Should emergency access of your unit be required, please list a contact person who may have the ability and authorization to access your unit in your absence. Any damage as a result of forced entry will be the responsibility of the unit owner.
Emergancy Contact's Name: Phone#:
IMPORTANT NOTICE!
Upon any change of information or a change in resident, please contact our office to update your information.

Connecticut State law requires that your unit be equipped with a smoke detector. The use of kerosene heaters or propane tanks within the unit is illegal. We recommend each unit be equipped with fire extinguishers. A copy of the Associations rules and regulations must be provided to any lessee(s) of a rented unit and the lessee(s) understand that it is their responsibility to adhere to these rules and regulations.
Unit Owner's Signature: Tenant's Signature: Date:
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