CAMARILLO MIRAMONTE HOMEOWNERS ASSOCIATION

c/o Anchor Community Management, Inc.

P.O. Box 3237 P Camarillo, CA  93011-3237 P (805) 388-3848 P Fax (805) 388-0856

anchorcommunitymgt.com/miramonte.htm

Owner Info:

Owner Name(s):

Property Address:   Paseo Encantada Via Montanez , Camarillo CA 93012

Mailing Address (if different):  If you live on-site, but get mail off-site, please check here:

Phone: h)      w)      c)

Email:

Emergency Contact Info:

     Name:             Phone:

Occupancy:  As owner I will Live in the unit Rent out the unit Use as a second/vacation home select one

Tenant Info:

Names:

Phone: h)      w)      c)

Term of Lease:        From:             To:

Vehicle Info:  Please provide information on the vehicles to be parked in Miramonte, whether owner or tenant.

Make:      Model:     Year:      Color:      License:

Make:      Model:      Year:      Color:      License:

Make:      Model:      Year:      Color:      License:

Pet Info:

 Dog:      Cat:      Breed:    Color:     Dog:      Cat:      Breed:    Color:

Notes:

As homeowner, I have provided my tenants with a copy of the Rules and Regulations (available on the webpage).  I understand that according to the governing documents of the Association, I am responsible for the actions of my tenants as they relate to the Association.  I understand that I must notify Cornwall Security in writing of any change in ownership of current vehicles and purchases of additional vehicles:  3717 E. Thousand Oaks Blvd. Suite 282, Westlake Village, CA 91362  or Fax: 866 497-1738.  Note: This on-line form will be forwarded to Cornwall Security.

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