Cocoplum HOA Application

1. Who will live in the home

Full name and date of birth for everyone who will live there.

Resident 1 Date of birth Resident 2 Date of birth Resident 3 Date of birth Resident 4 (if any) Date of birth Resident 5 (if any) Date of birth Resident 6 (if any) Date of birth

2. Your contact info

Please check these are right — fix anything that changed.

Dalton’s cell Olga’s cell Dalton’s email Olga’s email Your current home address

3. One quick question

The HOA asks this of every applicant.

Has anyone in your household ever been convicted of a felony? If yes, please explain

4. Dalton’s work

Current job — the HOA verifies income (rent can’t be more than 30% of yearly income).

Employer Employer address Supervisor’s name Yearly income If you left this job, why?

5. Olga’s work

Current job. If Olga is not working right now, just write “Not employed” under Employer.

Employer Employer address Supervisor’s name Yearly income If you left this job, why?

6. Where you live now (for the background check)

Your current landlord — if you own your home or live with family, write that instead.

Landlord / company name

For the background check itself, Brent will call you for your Social Security numbers — we never collect those online.

7. Cars

The HOA issues gate bar codes from your registrations.

Car 1 — year, make & model Car 2 — year, make & model (if any)

8. Pets

We have no pets

If you do have a pet:

9. References

Three people who know you (not family). They’ll also each write a short letter — Brent will explain.

Reference 1 — name Phone Reference 2 — name Phone Reference 3 — name Phone

10. Sign

Typing your full name is your signature. It tells the HOA you agree to their background check and their community rules.

Dalton Houge — type full name Olga Polanco — type full name Date