Application for Residency

                       Western Shores 2nd Addition Association, Inc.   

                                Application for Residency

Western Shores 2nd Addition is a Deed Restricted Community of private residences.

All buyers and/or renters must be in compliance of the deed restrictions before closing onh the sale of a home or execution of a rental agreement.  Please complete this form and return it to any current Board Member, e-mail it to westernshores2@hotmail.com, or mail to: 

Western Shores 2nd Addition, Inc.

P.O. Box 895614

Leesburg, Fl. 34789

 

Name(s) ____________________________________________________

____________________________________________________________

 

Current Address  _______________  Phone # (      ) ____________________

City _________________ State ____________  Zip ________________

Pet(s)  ____ Yes        ____ No

Number of Pets ________  Type of Pet(s):  ________________________

Do you own a boat?  ____ Yes    ____ No

Do you own a boat trailer?   ____ Yes   ____ No

 

Western Shores Address_______________________  Lot # ______

Lot Owner's Name ____________________

Address if different __________________________

                     Age Verification of Applicants

 

Name _____________________________   DOB _______________

Name _____________________________   DOB _______________

Name _____________________________   DOB _______________