You have indicated that you intend to sell your home in Addison Trace to one or more people.

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ADDISON TRACE HOMEOWNERS ASSOCIATION, INC. C/O OXYGEN ASSOCIATION SERVICES, INC. 1489 W. Palmetto Park Rd. Suite 505 Boca Raton, FL 33486 (561) 999-9701; FAX (561) 999-9703 Email: admin@lippmanfc.com Dear Addison Trace Homeowner, You have indicated that you intend to sell your home in Addison Trace to one or more people. The Addison Trace documents and rules and regulations require that an application be completed by the person(s) who will be purchasing your home. Enclosed is the application. A fee of $150 must also accompany the application which includes processing for up to 2 adults. The Board of Directors has mandated that the responsibility for the completion and submission to the management company of the application and the $150 processing fee is the sole responsibility of you, the homeowner. This application and fee must be submitted prior to the sale of your home. New owners must not take occupancy of the home until after you have received approval from the Association. Before approval can be given, every person who will be residing in your home must sit for an informational meeting with a member of the Board of Directors. If you have any questions, please do not hesitate to call Oxygen Association Services at (561) 999-9701. Sincerely, John Pagano, LCAM Property Manager for Addison Trace On Behalf of the Board of Directors

Addison Trace Homeowner s Association OXYGEN ASSOCIATION SERVICES, INC. 1489 W. Palmetto Park Rd. Suite 505 Boca Raton, FL 33486 Telephone: (561) 999-9701 Fax: (561) 999-9703 Email: admin@lippmanfc.com INFORMATION FROM PROPOSED PURCHASER The Association requires an application fee of $150 which includes processing for up to 2 adults, paid to the order of Addison Trace Homeowner s Association. DATE: [ ] SALE (PLEASE ATTACH SALES CONTRACT) UNIT ADDRESS: CURRENT OWNER: PURCHASER NAME: DOB: SOCIAL SECURITY #: DRIVERS LICENSE #: PRESENT ADDRESS: PREVIOUS ADDRESS: EMPLOYED BY: EMPLOYER S ADDRESS: HOME PHONE: WORK: CELL: PHONE # FOR GATE ACCESS: EMAIL ADDRESS: PURCHASER NAME: DOB: SOCIAL SECURITY #: DRIVERS LICENSE #: EMPLOYED BY: EMPLOYER S ADDRESS: CITY: STATE: ZIP: LIST PREVIOUS EMPLOYERS FOR THE PAST (3) THREE YEARS:

IF PEOPLE OTHER THAN SPOUSE AND CHILDREN WILL BE OCCUPYING UNIT, PLEASE COMPLETE THIS SECTION: NAME RELATIONSHIP AGE PLEASE LIST VEHICLES: MAKE / MODEL YEAR COLOR LICENSE PLATE # & STATE LIST ALL PETS, BREED AND WEIGHT. PLEASE ATTACH CERTIFICATES AND PICTURES: BANK REFERENCES: CHECKING ACCOUNT #: SAVINGS ACCOUNT #: CHECKING ACCOUNT #: SAVINGS ACCOUNT #: EMERGENCY CONTACT: EMERGENCY PHONE: EMERGENCY PHONE: PLEASE READ: I/We hereby make application for residency at Addison Trace Homeowner s Association, Inc. I/We certify that all information above is true and that any falsification or misrepresentation of the facts could result in legal action. I/We do hereby further agree and understand that the Association may choose at any time prior to the informational meeting to request a background check and a credit check may also be required. I/We acknowledge receipt of the Declaration of Homeowner s By-Laws and Rules and Regulations. I/We will be bound by the Declaration of Homeowner s By-Laws, Articles of Incorporation and the Rules and Regulations of the Association as amended, from time to time. I/We further understand that any violation(s) of the above mentioned items may result in fines, legal action, eviction or foreclosure. d this day of, 20 DATE RECEIVED: BOARD MEMBER SIGNATURE: INFORMATIONAL MEETING DATE:

APPLICANT: UNIT ADDRESS: Checklist for Addison Trace HOA Sales Application [ ] All individuals over 18 have submitted a separate application. [ ] No questions/requested information have been left blank. [ ] Non-refundable processing fee of $150 payable to Addison Trace Homeowner s Association is attached. Additional $60 processing fee per adult resident when more than two adults will be living in the unit, payable to Addison Trace Homeowner s Association is attached. [ ] Copy of Sales Contract is attached. [ ] Certificate from vet and pet pictures are attached, if applicable I/We hereby make application for residency at in the Addison Trace Homeowner s Association. I/We certify that all information provided in conjunction with this application is true and any falsification or misrepresentation of the facts could result in legal action. I/We do hereby give permission to the Association and its representatives to conduct a background check including but not limited to a nationwide criminal background check in conjunction with this application. In making application, I/We agree to be governed in accordance with Addison Trace Homeowner s Association Documents and Rules and Regulations.

APPLICANT: UNIT ADDRESS: [ ] Application Completed/Received By Current Homeowner. [ ] Current Homeowner s (or designated agent, such as a realtor or estate executor, in case of absentee ownership or death of owner) [ ] All Respective Credit and Criminal Background Checks Completed. Verifier s [ ] Resident Information Review Completed. Governing Rules Reiterated. Association Representative s [ ] Current Homeowner or Designated Agent/Estate Executor Attests Buyer(s) Receipt and clear understanding of HOA Documents and Rules and Regulations as well as receipt of appropriate keys, garage remotes and remotes for front gate access. Board Member s : Board Member s : Informational Meeting : To Be Discussed at Board Meeting on (): 11/2016