Occupant Registration Form

Occupant Registration Form

Use this from to register Renters or Tenant only.

Not for Owners listed on the Assignment of Lease

Today's Date*

Property Information

Division-Block-Lot*

Property Address*

Lessee Contact Information

Lessee Name*

Lessee Mailing Address*

Lessee Phone Number*

Lessee Email Address*

Occupant / Renter Contact Information

Occupant / Renter Name*

Occupant / Renter Mailing Address*

Occupant / Renter Phone Number*

Occupant / Renter Email Address*

Are there other occupants or renters?*

Yes

If Yes, please list all*

Occupant / Renter Vehicle Information

Is there a vehicle for the occupant / renter?*

Yes

License Plate #

Make / Model & Year

Color

Are there other vehicles on the property?

Select

If Yes, please list the vehicle(s) information*

Lessee Acknowledgements

I ensure that my occupants / renters have received copies of the covenants and policies governing the Lake Cushman Development, and that they understand they are responsible for complying with the covenants and LCMC Policies.*

I understand that park decals will not be issued to Occupants / renters, and that I must obtain guest park passes and guest boat launch passes for them to use the parks.*

I acknowledge that I am responsible for all the activities of my occupants / renters.*

I agree that the above information is true and will notify LCMC of any updates or changes.*

Send me a copy of my responses

Privacy Notice|Report Abuse