Peer Property Management Ltd.

* Required fields.

Building *

Suite No. *

1. Purpose

The completion of this form is requested by the Management Company to record the Owners/Residents of the building. The information assists management and the Board of Directors to identify the residents; to identify the responsible parties; to verify the assigned parking, locker and locker facilities; and whom to contact for emergencies and notices. If the information changes in future, your advice to management of the change will be appreciated.

2. Owner Record

Name(s) of Registered Owner(s) *

Home Telephone * Business Telephone

Resident in Apartment *

Yes No

Non-Resident Owners are requested to provide non-resident address below and also required to complete Section 3.

Address Apt #

Owners City Province Postal Code

Home Telephone Business Telephone

3. Tenant / Resident Record

Suite Number * Home Telephone *

Name(s) of Tenant / Residents(s) Home Telephone Business Telephone

1. *

2.

4. E-mail Address

If you wish to receive information and notices by e-mail.

5. Vehicle Record (If applicable.)

License Plate

Make

Model

Year

Parking Space #

6. Locker No. (If applicable.)

7. Emergency Contact

#1 * #2 *

Name

Relationship

Telephone

8. Disabled Persons

The Fire Code dictates that a record be kept of all the persons requiring assistance in case of emergency. Will any occupant of your suite need special assistance in an emergency? *
Yes No

Name of Disabled Person

Nature of Disability

9. Other

Please give details of any other information that you think would be helpful.

Date * Signature *

� 2002 - 2003 Peer Property Management Ltd.