BOUNDBROOK CONDOMINIUM ASSOCIATION, INC FLORIDA MANGO ROAD WEST PALM BEACH, FLORIDA (561)

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BOUNDBROOK CONDOMINIUM ASSOCIATION, INC. 2601 FLORIDA MANGO ROAD WEST PALM BEACH, FLORIDA 33406 (561) 968-9888 Application for PURCHASE UNIT ADDRESS: CURRENT OWNER: CLUSTER # Desired date Closing: Buyer(s): Phone Phone BOUNDBROOK CONDOMINIUM IS A RESIDENTIAL COMMUNITY FOR PERSONS AGE 55 OR OLDER. AT LEAST ONE INDIVIDUAL AGE 55 OR OLDER MUST RESIDE IN THE UNIT. Incomplete applications will NOT be processed. Upon receipt of fully completed legible application and all required paperwork, processing will commence. Please allow up to 30 days for processing. You will be contacted for an interview/orientation AND Board Approval. BOARD APPROVAL REQUIRED PRIOR TO CLOSING AND/OR OCCUPANCY. THE FOLLOWING ITEMS MUST BE PROVIDED WITH THIS APPLICATION Purchaser who is financing must pay a minimum 20% downpayment to the intended mortgage company, in order to satisfy Boundbrook requirements as stated in the Governing Documents. A Background Check will be performed. Paperwork is part of this application. APPLICATION FEE: $100.00 *NON-REFUNDABLE* Per Applicant or Married Couple; Check or Money Order Made payable to Boundbrook Condominium Assn. PROCESSING FEE: $60.00 *NON-REFUNDABLE* Check or Money Order Made payable to CMC MANAGEMENT. Copy of your Driver s License(s)/Photo I.D. Copy of vehicle registration(s) Copy of purchase or rental contract Please Note: TITLE COMPANY OR CLOSING ATTORNEY MUST REQUEST AN ESTOPPEL BEFORE CLOSING TO DETERMINE MONIES OWED TO THE ASSOCIATION BY THE OWNER OF THE PROPERTY. IF THIS PROCESS IS NEGLECTED, THE NEW OWNER MAY END UP BEING LIABLE FOR DELINQUENCY. A Certificate of Approval, which is required to close and prior to moving in, will be provided to the purchaser after the interview/orientation. **You must supply Management Company with a copy of your Warranty Deed and mailing address after closing. Purchaser is also required to inform the management company of any changes in mailing address.** Current Owner should supply purchaser with a copy of the Governing Documents and Rules and Regulations. If there are none available, copies may be purchased at www.condocerts.com. Two additional pages of the Decaration are Cluster Specific and may be picked up at the Boundbrook Office. REALTOR: PHONE:

BOUNDBROOK CONDOMINIUM ASSOCIATION, INC. > BOUNDBROOK CONDOMINIUM is a community designed and intended to provide housing for residents who are age 55 or over, No permanent occupancy of any apartment is permitted by a person under the age of 18. In addition; apartment must be permanently occupied by at least one person age 55 of over. > UNIT MUST BE OWNED FOR AT LEAST TWO YEARS BEFORE RENTING OUT > No lease shall be for less than one (1) month or for more than twelve (12) months. A unit may only be leased once per 12 month period. Lease renewals or extensions are subject to re-approval by the Board of Directors. > Unit Owners may be held responsible for any common areas that have been damaged by unit owners family their guests/invitees, or tenants/renters. > Dogs are prohibited. Two indoor cats, quiet birds and fish in tanks are permitted. No exotic pets. > The fully completed, legible application, including all required paperwork, must be submitted to The Management Company on behalf of Boundbrook Condo Association in a timely fashion for processing to allow closing to take place within 30 days of receipt of such paperwork. An Interview is required. The Property manager or a representative, will contact the applicant(s) for the interview. > Use of this apartment is for single family residence only. No corporation, company, partnership, or trust may purchase an apartment, other than for estate planning purposes only. > No boats, campers, motor homes or other recreational vehicles or trailers permitted to park on the Condominium premises. > Occupancy regulations: One bedroom apartment - no more than two (2) occupants. Two bedroom apartment - no more than four (4) occupants. Three bedroom apartment - no more than six (6) occupants. *ALL MUST BE VETTED Diane McKenzie, L.C.A.M Property Manager Diane@cmcmanagement.biz

WTC BACKGROUNDS & DRUG TESTING, INC. We re The Choice Action Request _X_Rental Package (credit, criminal & eviction) Criminal History F.D.L.E. (Florida Department of Law Enforcement DL Records/History (Include DL #: 3 Year 7 Year FACIS Employment Verification SSN Verification Sexual Offender Search Credit Report (Stand Alone) Education Verification Name: First Full Middle Name Last ADDRESS CITY, STATE & ZIP CODE DOB (MONTH, DAY, YEAR) SEX RACE SS # DRIVERS LICENSE NUMBER & STATE BOUNDBROOK CONDOMINIUM ASSN., INC. 561-641-9118 COMPANY NAME COMPANY FAX APPLICANT RELEASE For employment and/or residency, I understand that investigative background inquiries are to be made on me including Consumer Credit, criminal conviction, motor vehicles and other reports. I further understand that WTC Backgrounds & Drug Testing, Inc. will be requesting information from various state and other agencies which maintain records about my history. These records include, but are not limited to, driving, credit, criminal and civil history. I authorize any party or agency contracted by WTC Backgrounds & Drug Testing, Inc. to furnish the above mentioned information and release all parties involved from liability for doing so This authorization and consent shall be valid in original, fax or copy form. APPLICANT SIGNATURE DATE 1897 PALM BEACH LAKES BLVD., SUITE 222 WEST PALM BEACH, FLORIDA 33409 OFFICE 561-296-1746: FAX 561-370-6850: WWW.WTCBACKGROUNDS.COM

WTC BACKGROUNDS & DRUG TESTING, INC. We re The Choice Action Request _X_Rental Package (credit, criminal & eviction) Criminal History F.D.L.E. (Florida Department of Law Enforcement DL Records/History (Include DL #: 3 Year 7 Year FACIS Employment Verification SSN Verification Sexual Offender Search Credit Report (Stand Alone) Education Verification Name: First Full Middle Name Last ADDRESS CITY, STATE & ZIP CODE DOB (MONTH, DAY, YEAR) SEX RACE SS # DRIVERS LICENSE NUMBER & STATE BOUNDBROOK CONDOMINIUM ASSN., INC. 561-641-9118 COMPANY NAME COMPANY FAX APPLICANT RELEASE For employment and/or residency, I understand that investigative background inquiries are to be made on me including Consumer Credit, criminal conviction, motor vehicles and other reports. I further understand that WTC Backgrounds & Drug Testing, Inc. will be requesting information from various state and other agencies which maintain records about my history. These records include, but are not limited to, driving, credit, criminal and civil history. I authorize any party or agency contracted by WTC Backgrounds & Drug Testing, Inc. to furnish the above mentioned information and release all parties involved from liability for doing so This authorization and consent shall be valid in original, fax or copy form. APPLICANT SIGNATURE DATE 1897 PALM BEACH LAKES BLVD., SUITE 222 WEST PALM BEACH, FLORIDA 33409 OFFICE 561-296-1746: FAX 561-370-6850: WWW.WTCBACKGROUNDS.COM

BOUNDBROOK CONDOMINIUM ASSOCIATION, INC. UNMARRIED CO-APPLICANTS USE SEPARATE APPLICATION Address to be purchased: Date Home Phone /Cell Desired Date of Occupancy Name SS # - - DOB / / Last First MI Jr/Sr Prior Spouse SS # - - DOB / / Last First MI Jr/Sr. Prior Other SS # - - DOB / / Last First MI Jr/Sr. Prior Occupants SS # - - DOB / / Present Address Street Apt # City State Zip Code Present Address Phone ( ) Length of Residence: / TO / Mortg/rent/mo $ #Pets Type Weight Mo Yr. Mo. Yr. Previous Address Phone( ) Length of Residence / TO / Monthly MortgageR/Rent $ Mo. Yr. Mo. Yr. Present Employer City & St. PH ( ) Position Dates Employed / TO / Income $ per Mo. Yr. Mo. Yr. Previous Employer City & St. PH ( ) Position Dates Employed / TO / Income $ per Mo. Yr. Mo. Yr. Spouse Present Employer City & St PH ( ) Position Dates Employed / TO / Income $ per Mo. Yr. Mo. Yr. In Case of Emergency Notify ( ) Name Relationship Address Phone Number Vehicle #1 #2 Year Make Model Tag # State Year Make Model Tag # State Military Status: ACTIVE YES NO Spouse: Military Status: ACTIVE YES NO Have you ever left owing money to an owner or landlord? Applicant: Yes No Spouse: Yes No Have you ever been arrested for a felony? Applicant: Yes No Spouse: Yes No Have you ever been convicted of a felony? Applicant: Yes No Spouse: Yes No If you have answered yes to any of the above questions, please explain the circumstances regarding the situation on back of this sheet. AUTHORIZATION OF RELEASE OF INFORMATION: Applicant(s) represents that all of the above information and statements on the application for purchase are true and complete, and hereby authorizes verification of any and all information relating to residential history (rental or mortgage), employment history, criminal history records, court records, and credit records. This application must be signed before it can be processed by management. Applicant acknowledges that false or omitted information herein may constitute grounds for rejection of this application, termination of right of occupancy, and/or forfeiture of fees or deposits and may constitute a criminal offense under the laws of this State. No oral agreements have been made. Applicant s Signature Date Spouse s Signature Date

FAIR HOUSING ACT AGE VERIFICATION FORM BOUNDBROOK CONDOMINIUM ASSOCIATION, INC. Boundbrook Address:, Unit # Cluster # At least one (1) person RESIDING IN THE UNIT must be 55 years of age or older Instructions: Please fill in your unit information above. The following information is required of all unit owners and/or occupants residing in the above referenced unit. The verification form is required pursuant to the Fair Housing Amendments Act of 1988 in order to verify that at least one person 55 years of age or older resides in the units. A copy of any ONE of the following must be provided as proof of age for person residing in unit: Birth Certificate Driver s License/State issued I.D. International Official Document verifying age Passport or Immigration Card Military I.D. Occupants Names Age Document E-mail Phone # Enclosed Address Owner s Name, Mailing Address and Phone # if not occupant: e-mail: Emergency Contact person in absence of occupant or owner: Name: Phone # Dated this day of 20.

BOUNDBROOK CONDOMINIUM ASSOCIATION, NIC. NEW OWNER FORM Date: Cluster # UNIT ADDRESS: Unit # Owner(s) Name(s): Other Occupants: Name: Relationship Name: Relationship *HOME PHONE # CELL PHONE # *E-MAIL: ALT/PHONE # *Some Clusters only permit one (1) vehicle. Check with Cluster Director.* *The clusters that permit two vehicles are first-come-first-serve basis only. Check with Cluster Director* Vehicle #1 Tag # Year Color Make/Model Vehicle #2 Tag # Year Color Make/Model EMERGENCY CONTACT: Please indicate an individual who has a key to your unit and may be contacted to gain access to your unit in an emergency: Name: Address: Phone # Cell # *Your information shall be kept on file and may be used to contact you by the Association Board of Directors, Management, Police, or Emergency Rescue, however, the Association has no intention of sharing your private e-mail addresses, phone numbers or social security numbers as part of the official records.

Regarding Restrictions Applicable to Boundbrook Condominium Unit State of Florida County of Palm Beach Before me, the undersigned authority, personally appeared who, after being sworn, deposes and says: 1. This affidavit is based upon Affiant's personal knowledge of the facts, acknowledgements and agreements set forth in this document. 2. Affiant is a named buyer/s or renters in a contract to purchase/rent a condominium unit that involves real property located in Palm Beach County, Florida (the "Property"), described as: Condominium Unit Unit# of Boundbrook Condominium, a Condominium, According to the Declarations Thereof, as recorded in Official Records Book. At Page, of the Public records of Palm Beach County, Florida, as may be amended from time to time; together with an undivided interest in common elements as set forth in said Declaration with all other appurtenances thereto. 3. A 55+ Community. Affiant acknowledges that the Property is located within a community that qualifies as housing for older persons under applicable federal, state and local law, and Affiant agrees to hold the Property out for occupancy only by persons 55 years of age and older and to abide by all age restrictions in the documents governing the Property, including but not limited to restrictions regarding persons under age 55 and persons under age 18. 4. One Vehicle Limitation. Affiant acknowledges that the Property is located within a community that limits and restricts parking and that limits parking by all owners and occupants of any one unit to the single parking space associated with the condominium unit, and Affiant agrees to only park one vehicle on the Property in the single parking space associated with the unit and not in any guest parking space and to abide by all parking restrictions in the documents governing the Property, including but not limited to restrictions limiting parking of a vehicle on the Property.

5. No Dogs Allowed. Affiant acknowledges that the Property is located within a community that limits and restricts pets and that permits only one or two indoor cats for any one unit, and Affiant agrees to abide by all pet restrictions in the documents governing the Property. 6. Affiant acknowledges that this agreement applies to anyone who might occupy the Property, including but not limited to. Affiant's family. guests. tenants, employees, agents, licensees and invitees, Affiant specifically waives any right to occupy the Property so long as such occupancy would violate any restrictions in the Declaration and other documents governing the Property, as well as the stated and express intentions of this affidavit, including any rights under all statutes, laws, rules, regulations, covenants or the like as well as the common law, 7. Affiant agrees and acknowledges that this affidavit is a material representation to Boundbrook Condominium Association, Inc., and its Condominiums, and that approval would not have been granted for Affiant to acquire the Property without this affidavit. Further Affiant sayeth naught. Witness Affiant Witness The foregoing instrument was sworn to and subscribed before me on, 20 by, who is (personally known to me) or produced as identification. Notary Public My commission expires:

UNIT OWNER EMERGENCY INFORMATION FORM (Please print) Date Name Spouse Boundbrook Address: Phone # Cell Phone # E-mail address OTHER RESIDENCE Street Address City State Zip Phone # at other residence IN CASE OF EMERGENCY, PLEASE NOTIFY Name Street Address City State Zip Phone # Cell Phone # PLEASE PROVIDE A KEY TO YOUR UNIT: KEY TURNED IN TO MANAGEMENT: YES NO OR Provide the name of a local person who has a key/access to your unit: Name Bldg Unit Phone # Pursuant to Florida Statute 718.111(5), the Association has the irrevocable right of access to each unit during reasonable hours, when necessary, for the maintenance, repair or replacement of any common elements or of any portion of a unit to be maintained by the Association pursuant to the Declaration or as necessary to prevent damage to the common elements or to a unit or units. If the Association incurs expense, such as locksmith charges, to gain access to a unit because a key or person with a key is not readily available, the unit owner(s) will be charged for all such expenses to their unit or adjacent units so harmed. After a hurricane or other disaster, each unit will be examined immediately for possible damage.

CERTIFICATE OF APPROVAL FOR PURCHASE Pursuant to the Governing Documents of Boundbrook Condominium Association, Inc.; the association, by and through its President, Secretary or their designee certifies approval of the following transaction between: as SELLER(S) and as PURCHASER(S) BOUNDBROOK CONDOMINIUM ASSOCIATION, INC. C/o CMC Management, Inc. 2950 Jog Road, Greenacres, FL 33467 561-641-1016 ~ 561-641-9118 fax For the PURCHASE of the following property which is located in Palm Beach County, Florida: Unit #, West Palm Beach, FL 33406 In Witness Thereof, executed this day of, 20. Approved by: Print Name Position Signature Witness: Print Name Signature