APPLICATION FOR LEASE OR PURCHASE

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TIMBERLANE HOMEOWNERS ASSOCIATION OF PBC, INC. C/O GRS MANAGEMENT ASSOCIATES, INC. 3900 WOODLAKE BLVD., SUITE 309 LAKE WORTH, FL 33461 PHONE (561) 641-8554 / FAX (561) 641-9448 APPLICATION FOR LEASE OR PURCHASE ( ) $100 background check fee (per married couple), payable to GRS Management (nonrefundable) ( ) $100 Application Fee, payable to Timberlane Homeowners Association (non-refundable) ( ) $150 Community Amenities Security Deposit, payable to Timberlane Homeowners Association of PBC. ( ) Completed lease/sales contract attached ( ) Copy of driver s license **MINIMUM CREDIT SCORE OF 620 REQUIRED** APPROVAL REQUIRED Application must be delivered to GRS Management Associates office at above address and all documents must be submitted with the application. Contact: Property Manager: Leslie DiStefano 561-641-8554 or Ldistefano@grsmgt.com

Lease or Purchase Application Timberlane Homeowners Association of PBC, Inc. Please print legibly and complete all the sections LEASE BEGIN DATE: LEASE END DATE: PROPERTY ADDRESS UNIT INFORMATION MOVE-IN DATE CURRENT OWNER NAME CONTACT # APPLICANT NAME APPLICANT INFORMATION C0-APPLICANT NAME PRIMARY CONTACT # PRIMARY CONTACT # EMAIL EMAIL CURRENT MAILING ADDRESS CURRENT MAILING ADDRESS EMERGENCY CONTACT NAME & TELEPHONE EMERGENCY CONTACT NAME & TELEPHONE MARTIAL STATUS MARRIED ( ) SINGLE ( ) MARTIAL STATUS MARRIED ( ) SINGLE ( ) OTHER OCCUPANTS REALTOR INFORMATION REALTOR S NAME PHONE # EMAIL

ADDITIONAL INFORMATION EMPLOYMENT HISTORY ARE YOU: Self-Employed? Yes ( ) No ( ) Retired? Yes ( ) No ( ) EMPLOYER CO-APPLICANT/SPOUSE EMPLOYER PHONE # PHONE # EMPLOYED FROM: TO: EMPLOYED FROM: TO: DEPARTMENT OR POSITION DEPARTMENT OR POSITION SUPERVISOR SUPERVISOR MONTHLY INCOME MONTHLY INCOME VEHICLE INFORMATION If you have any recreational vehicles, (vans, boats, motorcycles) please specify. NOTE: Certain vehicles may be prohibited. PET INFORMATION (Write none if no pets) TYPE BREED RABIES LICENSE TAG # COLOR WEIGHT TYPE BREED RABIES LICENSE TAG # COLOR WEIGHT TELEPHONE # TO PROGRAM INTO GATE SYSTEM GATE ACCESS REQUEST OFFICE USE ONLY GATE #

Timberlane Homeowners Association of PBC, Inc. ADDENDUM TO LEASE APPLICATION THIS ADDENDUM is made between ( Landlord ) and ( tenant(s) ) for unit: effective this day of 20 and is intended to and shall supplement, amend and modify that certain Lease dated, in the following respects: 1. Tenant(s) are subject to and shall abide by Florida Statutes: Assessments: Tenant Occupancy: Where an owner is delinquent in any monetary obligation to the Association, the Association can make a demand for the tenant to pay to the association the future monetary obligations related to the Association unit owed to the Association. The demand must be in writing. If the tenant fails to comply, the Association may have the tenant evicted in accordance with Florida Statutes. The unit owner shall give the tenant a credit against rent due to the unit owner for any amounts paid by the tenant to the Association. 2. In the event the landlord/owner becomes delinquent in payment of assessments (regular, general or special) or other charges to the Association, the Association may notify the tenant. Upon such notification, the tenant shall be obligated to pay the rent required under the lease to the Association, until all delinquent assessments and other charges have been paid in full. During the period of time the tenant is paying the rent to the Association, the landlord shall not seek to evict the tenant for non-payment of rent. LANDLORD TENANT TENANT

3900 Woodlake Blvd., Suite 309 Lake Worth, FL 33463 Phone (561) 641-8554 Fax (561) 641-9448 APPLICANT AUTHORIZATION I, hereby, authorize and request any present or former landlord, employer, school, police department, financial institution, agency or other persons having personal knowledge about me, to furnish bearer with any and all information in their possession regarding me in connection with an application for residence. I, hereby, authorize GRS Management Associates, Inc. to provide information to First Advantage Background Services, Corp. to obtain and verify such information including accessing consumer reporting agencies as well as performing a criminal and eviction record search. I have been notified that a consumer report will be requested and understand that the information that First Advantage Background Services, Corp. obtains is to be used in the processing of my purchase or lease application. I, hereby, release and hold harmless GRS Management Associates, Inc. and First Advantage Background Services, Corp., its affiliates, employees and agents and any other organization that provides information from any and all liabilities arising out of the use of such information in connection with First Advantage Background Services, Corp. Print Applicant s Name: _ Applicant s Signature: Social Security Number: Driver s License Number: Date: Date of Birth: State: Print Applicant s Name: _ Applicant s Signature: Social Security Number: Driver s License Number: Date: Date of Birth: State: Additional occupants over 18 please provide a separate authorization form.