The Grand at Olde Carrollwood
10311 Club Circle
Tampa, Florida 33618
APPLICATION of Residency             Date_____

A copy of the fully executed Contract for Purchase or a fully executed Lease must be attached to this application.
Unit #_________  Street Address____________________________________

Application for: (circle one) Purchase   Lease   from ________  to _________
Name #1 _________________________   Current Phone ______________
Name #2 _________________________   Current Phone ______________
Three years of continued residential history needed
Current Address _________________________________________ Years _______
                           street                                 city                        state     zip
Previous Address ____________________________________ Years ____
                          street                                 city                        state      zip
Occupation #1  __________________Occupation #2 __________________
#1 Employer ___________________________________________________ 
                Company                                         Phone                     Contact/Title
#2 Employer  __________________________________________________
                 Company                                         Phone                      Contact/Title
#1 How long _________     #2 How long _________
Number of persons to occupy unit  _______
#of children _____     Age  ______     Age _____   Age _____
#of Pets  _____        Breed_____________     Breed_________________
NO Commercial Trucks, RV's, Boats or Trailers
___________________________      ______________________________
      make                             tag             make                                    tag
Driver's license #1 _______________ Driver's license #2 _______________
In case of EMERGENCY notify  ________________________  relationship ____
Address _________________________________________________ _______
            street                                 city           state    zip        phone

My signature indicates the above information is true. The condominium documents, which include the Rules and Regulations must be furnished by the seller/landlord to the buyer/lessee. The applicant(s) have/has been furnished a complete copy of these documents do/does hereby acknowledge receipt thereof and further states that I/we have read and do understand the contents. The applicant(s) agree to fully comply with The Grand at Olde Carrollwood, Assoc., Inc. Documents and Rules and Regulations and acknowledge(s) that failure to comply with any part of the Documents or Rules and Regulations will be considered a breach in the terms and conditions thereof.

______________________  _______   _________________________    ______
signature                            date       signature                               date

I understand that as a condition of a sales/lease I will furnish copies of the Association's Documents including the Rules and Regulations to the buyer/lessee. I further understand that the unit owner(s) is/are responsible for any damages and/or infractions of the Association's rules caused by the lessee, their children, guests or visitors.

_____________________________________________           _______________
Signature of Seller or Agent  for Sale or Lease                                       date
This form must be completely filled out and sales contract or lease contract attached before processing.

Approved/Disapproved   ____________________  date__________