Age Verification and Unit Resident Information Form

"*" indicates required fields

Age Verification and Unit Resident Information Form

The owner of record for each unit must complete the following form. It is important that your Association has this information on file to comply with the Federal Fair Housing Act of 1995 regarding age restricted communities.

Complete information for all occupants.

Unit Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email:*

# of persons*

Please enter a number from 1 to 10.

List of Occupants:

Name

Age

File name age verification attached

Age Verification Of All Occupants Must Be Attached:*

Driver's License, Birth Certificate, Passport, Immigration Card, Military ID
Please Note: Any numbers not directly verifying the date of birth on an occupant can be blacked out for privacy and security purposes

Drop files here or

Max. file size: 50 MB.

Age Verification and Unit Resident Information Form

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