Homeowner Name definition

Homeowner Name. Date Requested: Address: Subdivision: E-mail Address: Phone Number: Type of Function: Approximate Number of Guests: Time Requested to Open: Time of Close: Number of Hours : I understand this Lease Application is subject to the terms and conditions of the Foothills Club West Clubhouse Lease Agreement. I also understand that if the provisions of the Lease Agreement are violated in any way, my security deposit may be subject to forfeiture, and additional costs to remedy damages may be charged to my HOA account. Signature of Homeowner: Date_ CLUB WEST USE ONLY Dates of Security Deposit: Security Deposit Amount: Security Deposit Check Number: Date Security Deposit Check Returned: Key Card Number: Amount Refunded: Inspection Checklist Inspection Completed By: Garbage removed: 🞏Yes 🞏No Date of Usage Fee: Usage Fee Amount: Usage Fee Check Number: Date Key Card Returned: Amount Forfeited: Reason for forfeiture: Date: Doors locked: 🞏Yes ��No Counter tops cleaned: 🞏Yes 🞏No Sink, stove, oven, refrigerator clean: 🞏Yes 🞏No Floors swept, mopped, cleaned: 🞏Yes 🞏No Outside perimeter clean: 🞏Yes Chairs and tables stored: 🞏Yes Chair/tables count correct: 🞏No 🞏No Carpet vacuumed: 🞏Yes Restrooms cleaned: 🞏Yes 🞏No 🞏No 130 chairs 🞏Yes 🞏No Structure (walls) undamaged: 🞏Yes 🞏No 9 – 60” round 🞏Yes 🞏No 10 – 96” rectangular tables 🞏Yes 🞏 No Comments: Furnishings undamaged: 🞏Yes Lights and fans turned off: 🞏Yes 🞏No

Homeowner Name. Email: Address: City: State: ZIP: County: Phone: PSO Account Number: House Type: Single Family Townhouse Condo Rental Other Approximate House Age: 1979 or Older 1980-2004 2005 to Present Approximate Square Footage: Basement: Yes No Primary Heating & Cooling Systems: AC/Gas Heat AC/Electric Resistance Gas Heat (no AC) Heat Pump Existing Windows: Single Pane Double Pane Approved Energy Efficiency Upgrades Attic/Ceiling Insulation $400 $ High Efficiency Electric Water Heater Replacement – Qty QTY $80 $ ENERGY STAR® Certified Windows and Doors ($500 max) – Qty $30 per window/door $ Solar Screens ($200 max) – Qty $20 per window $ ENERGY STAR Certified Variable Speed Pool Pump – Qty QTY $400 per pump $ Air Conditioner/Heat Pump Replacement $ SEER 16-16.99 – Qty _QTY $500 $ SEER 17-17.99 – Qty _QTY $550 $ SEER 18+ – Qty QTY $600 $ Ground Source Heat Pump Bonus – Tons TON $350 per ton $ Furnace Electronically Commutated Motor (ECM) – Qty QTY $100 $ Total Installation Cost $ PSO Rebate $ Net Installation Cost $ Homeowner and Service Provider Acceptance RESET FORM Homeowner: I have read and understand the Terms and Conditions attached. I certify that the information I have provided is true and correct and the product(s) and/or equipment for which I am requesting a rebate meets the requirements in this application. I acknowledge that all rebate payments will be made directly from AEP/PSO to the Service Provider. Service Provider: I verify that I have or will follow all applicable rules and standards for PSO's Home Rebates while evaluating the above homeowner’s home, formulating comprehensive recommendations and proposals, and conducting any work resulting from those recommendations. I also certify that the information contained in this form, in the Service software record, and in any contract material submitted for review, is true and complete to the best of my knowledge. Homeowner Signature Date Service Provider Signature Date 2016-2018 Single Upgrade Homeowner Participation Agreement v1.3 – 8/11/16 Public Service Company of Oklahoma Home Rebates – Single Upgrade Terms and Conditions‌‌ Incomplete applications will not be accepted for payment. Your participating Service Provider must provide all supporting documentation. This includes a completed and signed copy of this form, along with a copy of the Service Provider’s invoice, including installation date, equipment type, make, model and serial numbers. All supporting documentation will be submitted by the participat...

Homeowner Name. Signature: Date: Location Address: City: State: Effective for One Date: OR Effective from (date) until further notice. Credit Card Authorization Form Customer Name: Customer # Date Received: Payment Amount: Type of Payment (Circle One): Deposit Balance Due Automated Payment Type of Service (Circle One): Repairs Maintenance Installation Credit Card Type (Circle One): VISA MasterCard Discover AMEX Card Number: Expiration Date:

Examples of Homeowner Name in a sentence

• Name: My CommissionExpires: Form 8 Sample Notice of Foreclosure Date: Dear Homeowner: (Name of Monitoring Agent) is the monitoring agent for your property located at (Development name and address), and, as such, we are listed as a party of interest in your Affordable Housing Restriction.

• Violators of Section 23a are subject to civil fines.Licensee or Homeowner Name (please print)Licensee or Homeowner SignatureDateVI.

• Inspection Address: Homeowner Name: Signature: Date: Contractor Name: Signature: Date: LSIOT COMPLIANCE FORMThis form will be submitted to LSIOT General Manger for review and must be approved.

• Pharmacodynamics of moxifloxacin and levofloxacin at simulated epithelial lining fluid drug concentrations against Streptococcus pneumoniae.

• This AGREEMENT entered into on (date) Signature of Homeowner Approved by Clubroom Coordinator Homeowner Name: Date and Time of Function: Date & Time of Inspection: Name of Clubroom Coordinator: McAlpin on Fourth Condominium Homeowners Association Please note the mezzanine level is considered part of the clubroom and will be included as part of the Homeowner reserving clubroom /cleaningCLEANING AND USAGE CHECKLIST Acceptable Note exceptionMinimum charge when unacceptable1.

• All homeowners are REQUIRED to complete a Satellite Dish Notification PRIOR to installation and return such form to the Association.NOTICE OF SATELLITE DISH INSTALLATION Homeowner Name: Contact Number: Property Address: Satellite Dish Agreement: I, , have read the satellite policy and procedure for the(Homeowner Name)Association and agree to install the device per the requirements.

• Homeowner Name: Homeowner Address: Attached Property Owner(s): I / We have been notified of the proposed modification (I / We agree to match color selection of roof in this application at time of roof replacement.)Address:Name:Signature:Date:Name:Signature:Date: The Site Review Committee appreciates and will review your comments.

• Tape is recommended to finished wood or laminate surfaces and must be removed by renter Failure to comply with any of the above may result in forfeiture of deposit FPHA Homeowner Name: Home Number: Cell: E-mail Address: Address: Type of Function: Date requested: Time: Food served: Liquor served: Decorations used: The homeowner will be responsible for adherence to the rules and regulations for the use of the clubhouse as applicable and attached to this form.

• Realtor Company: Realtor Name: By: Title: Date: EXHIBIT A Schedule of Total Purchase Price: Exhibit B Hunter Homes Corporation LIMITED HOME WARRANTY Homeowner Name: Click here to enter text.

• Contractor Homeowner Name (Check Appropriate Box)License NumberExpiration DateAddress (Street No. and Name)CityStateZip CodeTelephone NumberDate of BirthFederal Employer ID Number (or reason for exemption)Workers Compensation Insurance Carrier (or reason for exemption)MESC Employer Number (or reason for exemption)See Section VII.