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Homeowner Information and Authorization Form
Homeowner Information and Authorization Form
Julianne
2022-03-10T10:27:34-05:00
At Pelican Property Management we are continually making strides in our goal of providing the most efficient means of communication. We have recently made significant upgrades to our systems that enable us to provide both email and electronic notifications in regard to your community. The email and electronic communication will include, but not be limited to, notice of association/board meetings, proxies, ballots and membership information. Prior to enabling this feature on your account, we are required by law, under the “The Real Property Act” (MD Ann. Code Real Property, Section 11-139.1), to gain your written authorization. NOTE: The current property management company is Pelican Property Management, 8725 Loch Raven Blvd., 410-645-1865. The HOA shall maintain the electronic mailing addresses of those members who consent to receive notice and to vote by electronic transmission. By providing my email address as noted below, I hereby verify and confirm that any vote received by the HOA from this email address may be considered to be authorized by me, the Unit/lot owner. I understand and acknowledge that each vote sent by this email must include my name and address in order to be counted. I understand that my authorization will remain in effect until my consent to receive notice and/or vote by electronic transmission is revoked. I further understand that my consent to receive notice and/or vote by electronic transmission can be revoked by me at any time by notifying the HOA directly or the HOA’s current property management company I agree to promptly notify the HOA of any changes in my email address, so as to have a current email address on file with the HOA. Under Maryland law you have the option of requesting a paper ballot. If you choose to opt out of the online voting, please indicate by checking the opt-out box below.
I wish to opt-out of all email and electronic correspondence including, but not limited to, notice of association/board meetings, statements, letters, online voting, proxies, ballots and membership information.
Tell us why you wish to opt-out
*
I wish to opt-out of having my information included in any future community directories.
Owner's Information
Name
*
First
Last
Property Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Mailing Address: (if different from above)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email Address, to be used for HOA communication:
*
Mobile Phone
Home Phone
Work Phone
Is this Unit Rented
*
No
Yes
Consent
By clicking the box below, I am electronically signing this Electronic and Email Authorization Request.
*
I electronically sign this document.
Date
MM slash DD slash YYYY
Additional Owner's Information
Additional Owner's Name
First
Last
Email
Mobile Phone
Home Phone
Work Phone
Tenant Information
Tenant Name
*
First
Last
Mobile Phone
Home Phone
Work Phone
Email
Upload Lease Information
*
Drop files here or
Select files
Max. file size: 50 MB.
Additional Tenant Inforamtion
Additional Tenant Name
First
Last
Mobile Phone
Home Phone
Work Phone
Email
Please provide emergency contact information of someone not living with you (preferably someone with a key):
Name
First
Last
Relationship
*
Phone
*
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Do they have a key
*
Yes
No
Additional Information
Please list names & ages of any other authorized occupants:
Name
Age
Please List your Vehicles
Make
Model
Year
Color
License Plate Number
Pets
Type of Animal
Breed
Sex
Age
Confirmation
Please sign and date
*
By clicking this box, I confirm that the information provided is accurate.
Date
*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
Δ
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