The Patio Homes of Chestnut Creek Owners Association, Inc.
RESIDENT OCCUPANCY SHEET FOR DIRECTORY AND EMAIL USE PERMISSION
Please provide the information listed below to ensure that we can contact you if there is an emergency and to update
our records. This Form will be emailed directly to databasechanges@sunstatemanagement.com for changes throughout the year updating us with your current information.
PLEASE SPECIFY ONE MAILING ADDRESS

Owners Name

Property Address

Local Phone #

Use Above Information as Main Mailing Address
Yes -use above as main mailing address

Your email

Cell Phone #

This number will be used for text communication regarding Association matters. Please watch for an “opt-in” text in the future.
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Alternate Mailing Address

Alternate Phone #

Use Above Information as Main Mailing Address
Yes - use the alternate address as my main mailing address

Emergency Contact Name

Emergency Contact Phone #

July 1, 2010, the Florida Legislation enacted a new law governing the publication of owner personal information such
as phone numbers, email addresses and alternate addresses. Please indicate below if you do or do not want this
information published in the annual owner roster (check one) and sign.
Yes - I do want this information publishedNo - I do not want my e-mail address published in the annual roster, but I do give authorization to the Board of Directors or their management designee to contact me by e-mail.

Your Digital Signature:

Date: