CONDO ASSOC RESIDENT - 2011 INFORMATION FORM

XX CONDO ASSOCIATION - 2011 INFORMATION FORM

Condo No. ______________ Residents of this unit are:

____________________________________E-mail address ___________________________

and _________________________________ Florida phone # __________________________

In case of EMERGENCY, please notify: _________________________________

Relationship ________________ Address __________________________________

Phone No. _________________________________

And/Or: __________________________________

FOR SEASONAL RESIDENTS - OFF-season information:

Address: __________________________________

Phone No. _________________________________ E-mail address ___________________________

All unit owners are required by Florida law, to carry HOMEOWNERS INSURANCE. Please advise:

My policy is held by (name of Insurance Company) __________________________________________

The renewal date is (month) (year) __________________________________________

2nd floor owners - Do you have a hatch to the attic in your unit? _______

SPECIAL NEEDS (need for insulin, cannot navigate stairs, kosher food only, oxygen dependent or other considerations in emergency i.e. hurricane, power outage, etc.)

___________________________________________________________

* Please return or mail this information to XX, WPB, FL 33417

Thank You