HOMEOWNERS INFORMATION

Dear New Homeowner:

Please fill in the information below and return to:

CLOSING DATE: _______________

North Penn Real Estate

2131 N Broad St, Ste 201
Lansdale, PA 19446
215-855-9526 Tel
215-855-0767 Fax (both sides please!)
reevesm@northpennrealestate.com (both sides please!)

TODAYS DATE: _______________

NAME OF COMMUNITY: ___________________________________________________________________
UNIT ADDRESS:

______________________________________________________________________
______________________________________________________________________

MAILING ADDRESS: (IF DIFFERENT FROM ABOVE) ___________________________________________________________

______________________________________________________________________
BUYER/OWNER 1:
FIRST / LAST NAME: ___________________________
DATE OF BIRTH*: _____________________________

BUYER/OWNER 2:
FIRST / LAST NAME: _______________________
DATE OF BIRTH*: _________________________

*(Required for Active Adult Communities)

*(Required for Active Adult Communities)

HOME TELEPHONE #: __________________________

WORK TELEPHONE #:__________________________
MOBILE TELEPHONE #:_________________________
EMAIL ADDRESS:______________________________
VEHICLE MAKE / MODEL:_______________________
VEHICLE LICENSE#:____________________________

HOME TELEPHONE #: _____________________

WORK TELEPHONE #:______________________
MOBILE TELEPHONE #:_____________________
EMAIL ADDRESS:__________________________
VEHICLE MAKE / MODEL:___________________
VEHICLE LICENSE#:_______________________

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

OWNER OCCUPIED: YES OR NO

INVESTMENT PROPERTY: YES OR NO

IF INVESTMENT PROPERTY, PLEASE PROVIDE TENANT MOVE-IN DATE:___________ & INFO BELOW:
TENANT 1:
TENANT 2:
FIRST / LAST NAME: ___________________________ FIRST / LAST NAME: _______________________
DATE OF BIRTH: _______________________________ DATE OF BIRTH: __________________________
*(Required for Active Adult Communities)

*(Required for Active Adult Communities)

HOME TELEPHONE #: __________________________

WORK TELEPHONE #:__________________________
MOBILE TELEPHONE #:_________________________
EMAIL ADDRESS:______________________________
VEHICLE MAKE / MODEL:_______________________
VEHICLE LICENSE#:____________________________

HOME TELEPHONE #: _____________________

WORK TELEPHONE #:______________________
MOBILE TELEPHONE #:_____________________
EMAIL ADDRESS:__________________________
VEHICLE MAKE / MODEL:___________________
VEHICLE LICENSE#:_______________________

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

Revised 9/21/2015

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# OF PETS:_________
NAME OF PET:_________________________________
NAME OF PET:_________________________________
NAME OF PET:_________________________________
NAME OF PET:_________________________________

BREED:__________________________________
BREED:__________________________________
BREED:__________________________________
BREED:__________________________________

ADDITIONAL BUYER / OWNER / TENANT:

ADDITIONAL BUYER / OWNER / TENANT:
FIRST / LAST NAME: ___________________________ FIRST / LAST NAME: _______________________
DATE OF BIRTH: _______________________________ DATE OF BIRTH: __________________________
*(Required for Active Adult Communities)

*(Required for Active Adult Communities)

HOME TELEPHONE #: __________________________

WORK TELEPHONE #:__________________________
MOBILE TELEPHONE #:_________________________
EMAIL ADDRESS:______________________________
VEHICLE MAKE / MODEL:_______________________
VEHICLE LICENSE#:____________________________

HOME TELEPHONE #: _____________________

WORK TELEPHONE #:______________________
MOBILE TELEPHONE #:_____________________
EMAIL ADDRESS:__________________________
VEHICLE MAKE / MODEL:___________________
VEHICLE LICENSE#:_______________________

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

ADDITIONAL BUYER / OWNER / TENANT::

ADDITIONAL BUYER / OWNER / TENANT:
FIRST / LAST NAME: ___________________________ FIRST / LAST NAME: _______________________
DATE OF BIRTH: _______________________________ DATE OF BIRTH: __________________________
*(Required for Active Adult Communities)

*(Required for Active Adult Communities)

HOME TELEPHONE #: __________________________

WORK TELEPHONE #:__________________________
MOBILE TELEPHONE #:_________________________
EMAIL ADDRESS:______________________________
VEHICLE MAKE / MODEL:_______________________
VEHICLE LICENSE#:____________________________

HOME TELEPHONE #: _____________________

WORK TELEPHONE #:______________________
MOBILE TELEPHONE #:_____________________
EMAIL ADDRESS:__________________________
VEHICLE MAKE / MODEL:___________________
VEHICLE LICENSE#:_______________________

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

AUTHORIZE CONTACT INFORMATION TO BE

PRINTED IN COMMUNITY DIRECTORY? Y / N

IF THERE IS AN ELECTRONIC SYSTEM USED TO PROVIDE ENTRY THROUGH A GATE OR DOOR,

PLEASE PROVIDE:
YOUR LAST NAME , YOUR FIRST NAME (AS YOU WOULD LIKE GUESTS TO SEE IT IN THE DIRECTORY)
__________________________________________________________________________________
TELEPHONE # (THAT THE SYSTEM WILL CALL TO NOTIFY YOU OF A GUESTS ARRIVAL)
__________________________________________________________________________________
PIN # YOU WISH TO USE / TRANSPONDER OR FOB # ISSUED TO YOU (IF APPLICABLE)
__________________________________________________________________________________

ADDITIONAL COMMENTS:_________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Revised 9/21/2015

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