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Parkway Lane Condominium Resident Information Sheet

1906
7/10/2015
Unit # ___________
Todays Date _______________
Occupant: Owns or Rents / Date In: ______________ Date Out: ______________

Attach copy of current lease agreement.

OWNER

All Satellite Dish installations must meet requirements and be Pre-Apporved by the HOA.

Yoon Nyeo Noh


Name: M or F __________________________________________________
Drivers License: ____________________ D.O.B. ____/____/____
4748 Old bent tree ln #1906
75287
tx
dallas
Address: ______________________________________________________
City _____________________
State ________
ZIP _____________

Contact Information: email: __________________________________________________ ________ Cell phone: ___________________________


Emergency Contact person: (other than owner listed above) _________________________________ Cell phone: __________________________
Home Owners Insurance: Policy Holders Name: __________________________________________ Cell phone: ___________________________
Insurance Carrier: __________________________________ Carrier phone: ___________________ Policy #: _____________________________
OCCUPANT(S) (List all persons living in unit. A photo copy of each persons Drivers License must be sent along with this form)
Jun Min Noh

Photo copy attached

10 02
38711641
tx D.O.B. ____/____/____
1996
(1) Name: M or F _________________________________________ Drivers License #: _______________
State: ___

Contact Information: Home phone: ______________________


Cell phone: ______________________ Work phone: ______________________
4693638238
light blueTag #: ________
2009 Make: ________________
Auto Year: ____
Model: _______________
Color: _______
Nissan
versa
by5t102 PWL Space: ______ PWL Permit #______
Photo copy attached

(2) Name: M or F _________________________________________ Drivers License #: _______________ State: ___ D.O.B. ____/____/____
Contact Information: Home phone: ______________________ Cell phone: ______________________ Work phone: ______________________
Auto Year: ____ Make: ________________ Model: _______________ Color: _______ Tag #: ________ PWL Space: ______ PWL Permit #______
Photo copy attached

(3) Name: M or F _________________________________________ Drivers License #: _______________ State: ___ D.O.B. ____/____/____
Photo copy attached

(4) Name: M or F _________________________________________ Drivers License #: _______________ State: ___ D.O.B. ____/____/____
Emergency Contact person: (other than occupant listed above) _______________________________ Cell phone: __________________________
PETS

No pets over 25 lbs. No more than two pets per unit. All pets must be on leash and accompanied by owner when outside.

(1) Dog Cat Other _________ Pets Name: _____________ Breed: ______________ Color: ___________ Weight: ____ D.O.B. _____
Registration # with City of Dallas: ________________________ Exp: ________ Rabies Vaccination # ________________________ Exp: _______
(2) Dog Cat Other _________ Pets Name: _____________ Breed: ______________ Color: ___________ Weight: ____ D.O.B. _____
Registration # with City of Dallas: ________________________ Exp: ________ Rabies Vaccination # ________________________ Exp: _______
All pets must be registered with the Homeowners Association and the City of Dallas and have proof of all required shots and vaccinations as outlined
in the Parkway Lane Homeowners Association Rules & Regulations and Bylaws.

I have received the 2012 Rules and Regulations and Bylaws packet with addendum and agree to follow set rules. I understand that by not following
such rules I am subject to fines, eviction, and possible punishment by law.
1906
Yoon Nyeo Noh
Name (print): ___________________________________________________________________________
Unit #: _________________________

7/10/2015
Signature: _____________________________________________________________________________ Date: ___________________________

All owners must file this signed information report on all tenants with the Homeowners Association in order to receive their parking permit(s).
Any cars without parking permits will be ticketed with possible fines to the owner and then be given 10 days to file this form, or vehicle will be towed
at owners expense. This completed form, the background check (subject to review and approval by the Homeowners Association), and a copy of the
signed Lease Agreement, and a current copy of Drivers License must be delivered to the Homeowners Association BEFORE a tenant can move in.
Parking Stickers are to be displayed on the inside of the front windshield next to the state stickers.

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