FAME

R E 5 I D E N C E 5
GREENMIST
PROPERTY MANAGEMENT CORP.

TENANT INFORMATION SHEET

PROJECT: Fame Residences Condominium Corporation Date: ________
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UNIT INFORMATION ,,,
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Building I Unit No. Area I Parking Slot No. 6277

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Tower 1 2532
Turn-over Date Move-in Date May 02, 2023
TENANT PERSONAL INFORMATION ',t,!
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Last Name First Name Middle Name
Penzon Lance Anderson M
Home Address Billing Address

#47 Peso st. St. Michael Pandayan, Meycauayan, Bulacan Preferred means of communication (Please choose
Telephone Fax Number Mobile Number one and tick box below):
Number D Email: Penzon.lance@gmail.com
(At:a&t= m<licatt: rmail aJJress)
D Unit Mailbox
+63 995 8424 181
Citizenship Date of Birth Place of Birth Civil Status Sex
0 Single □ Male
□ Married □ Female
□ Separated/
I

Divorced
Filipino October 12, 1996 Manila, Philippines □ Widow/er
Occupation Company Name Text Office Address / Office Number
IT IBM UP-Ayala Land TechnoHub QC, PH
Person to notify in case of emergency Contact Numt>er Email Address

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+63 915 5595 943 benjopenzon@gmail
Benito Penzon III
.com
AUTHORIZED REPRESENTATIVE "
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Name Relationship
Benito Penzon III Father

Contact No. of Representative Other instruction:

+63 915 5595 943
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OCCUPANTS OF THE UNIT ,.<'!, ,., y y; }'le Ji! .. h\;.'lk'iii.
Name Aqe Sex Relation Remarks
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Benito Penzon III 44 Male Father

I hereby confirm that all information stated herein is true and correct.
Lance Anderson M. Penzon Maecy T. Tan
Tenant Name and Signature Unit Owner name and signature

Note: All information stated herein shall be kept confidential by the Condominium Corp. and the Property Management
Office.
Form No.: Fl0-0-012115-A
Effectivity: