Application to Rent or Buy

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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 of 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 [email protected], or mail to:  Western Shores Association, P.O. Box 895614, Leesburg, Fl. 34789.

Name(s)    ____________________________________________________

                 ____________________________________________________

Current Address _______________ Phone # ( ) ____________________

E-Mail Address _____________________________________________

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 _______________________________________

Please be advised that at least one occupant of the home must be at least 55 years of age or older for lessees/renters. No exceptions to this age requirement for lessees/renters shall be permitted as per Article II 2.3 (2)d.

Age Verification of Applicants – Include copies of driver’s license or other proof of age.

Name _____________________________ DOB _______________

Name _____________________________ DOB _______________

We have read and agree to comply with the Western Shores Declarations of Restrictions and Bylaws.

Buyers will be notified of any violations when you receive your approval notice so you can negotiate with the owner to correct them before closing.

We agree to correct all Declarations of Restrictions violations that exist at the time of purchase within 90 days.

Signature(s) _________________________________

               _________________________________



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