FORMS

EP Registration Registration Form part #2

To complete this form, you will be required to attach photos of the drivers licenses of all occupants, vaccination records for all dogs; if you have an RV, front, back, left and right photos of it. Be sure to have your photos available to upload on this device before continuing with this form.

Note:

Emerald Pointe RV Resort may be referred to as EP or EPPOA
All questions with a red star must be answered
If you are the sole person occupying this lot, answer "None" or "No" to all "Occupant 2" questions.
Emergency Contact information is being collected in case both occupants become incapacitated at the same time. (Serious accident or death). List 2 people that EP should contact if this should happen. Do NOT list a spouse/significant other or anyone residing with you in this property!

After verifying you are not a robot at the bottom of this page, and hitting "Submit", a confirmation screen will pop up. At the bottom of that screen it will say "Return to Your Forms". Ignore this statement! This page completes your registration and will be electronically submitted to the office.

EP Registration Form - Page 2

Name

Lot#

Existing Property Owner's Name(s)

EP Street Address

Estimated Arrival Date

Estimated Departure Date

Were you a prior tenant or owner at Emerald Pointe?

Yes No

Number of Occupants in this property

Occupant 1

Occupant 1 - Full Name

Occupant 1 - Email Address

Occupant 1 - Mobile Number

Occupant 1 understands that providing email addresses gives EPPOA permission to contact me by email. I also agree to accept Official EPPOA correspondence at the discretion of the BOD via the above email address.

Yes No

Occupant 2

Occupant 2 - Full Name

Occupant 2 - Email Address

Occupant 2 - Mobile Number

Occupant 2 understands that providing email addresses gives EPPOA permission to contact me by email. I also agree to accept Official EPPOA correspondence at the discretion of the BOD via the above email address.

Yes No

Gate Information

Gate Remote Number - get from property owner

Name to be displayed in the Gate Directory. Only one name per lot may be displayed.

Phone # to be displayed in the Gate Directory. Who has their phone with them most often?

non-EP mailing address

Occupant 1 - Joining our Social Directory

Occupant 1 consents to be included in and have access to the Emerald Pointe PRIVATE Social Directory

Yes No

Occupant 1 understands that if I choose not to be included in the Emerald Pointe PRIVATE directory, I will not have access to it.

Yes No

Occupant 1 agrees to have my email address included in the Emerald Pointe PRIVATE directory.

Yes No

Occupant 1 agrees to have my phone number included in the Emerald Pointe PRIVATE Directory

Yes No

Occupant 2 - Joining our Social Directory

Occupant 2 consents to be included in and have access to the Emerald Pointe PRIVATE social directory.

Yes No

Occupant 2 understands that if I choose not to be included in the Emerald Pointe PRIVATE directory, I will not have access to it.

Yes No

Occupant 2 agrees to have my email address included in the Emerald Pointe PRIVATE directory.

Yes No

Occupant 2 agrees to have my phone number included in the Emerald Pointe PRIVATE Directory

Yes No

List 2 people that EP should contact if one or both occupants become incapacitated. Do NOT list anyone residing with you in this property

Emergency Contact #1- Name and Relationship. This person is not a spouse or significant other

Emergency Contact #1 - Phone

Emergency Contact #2- Name and Relationship. Emergency Contact #1- Name and Relationship. This person is not a spouse or significant other

Emergency Contact #2 -Phone

RV Information - Enter "None" if you have no RV

RV Make and Model

RV Type

RV Year

Length of RV per the manufacturer's designation

I/we have confirmed with the current property owner or with the BOD that the length of this RV is acceptable for this lot.

Yes No

Pets - Only two pets per lot are allowed - Proof of Current Vaccinations are required

No animals with aggressive or nuisance behavior will be allowed in the park.

I/we confirm that there will be no more than two pets on the property

Yes No

Number of Cats

Number of Dogs

Identify any other pets

Age Compliance

Emerald Pointe is a deed restricted 55+ community per HUD regulations and Emerald Pointe CC&Rs, Art. III, 3.01. Drivers license must be attached below.

These regulations require that 80% of the unit occupancy of this resort have at least one person over the age of 55.

Also note, permanent residents under 22 are not permitted at Emerald Pointe

At least one occupant of this property is aged 55 or over and no one under 22 will be a permanent occupant

Yes No

Please attest to your age(s) below so we may ensure compliance.

Occupant 1 Name

Occupant 1 is aged 55 or over?

Yes No

Today's Date

Occupant 2 name

Occupant 2 is aged 55 or over?

Yes No

Today's Date

Electronic Signature

tatutes > Title XXXIX > Chapter 668 > Section 50 and our Governing Documents, electronic signatures are acceptable on this form

Occupant 1 - By submitting this form electronically, I agree that my submission constitutes my electronic signature and has the same effect as my handwritten signature and is legally binding.

Yes No

Occupant 2 - By submitting this form electronically, I agree that my submission constitutes my electronic signature and has the same effect as my handwritten signature and is legally binding

Yes No

Comments

Attach 4 pictures of your RV (each side, front and back), Drivers License for each occupant, and current pet vaccinations below

After adding your pictures, confirm you are not a robot and hit submit.

You will receive an email confirmation that your form was received within 48 hours. If you do not receive a confirmation, please call Office Manager Katie Lex at 813-782-0545

Optional Attachments

Maximum File Sizes: 4 MB each

File 1
File 2
File 3
File 4
File 5
File 6
File 7
File 8