Your cooperation in completing this profile thoroughly and promptly will be greatly appreciated. Please return the completed profile to management as soon as possible.  Fax to 321-799-0630 or mail to Reconcilable Differences, Inc. at 109 Long Point Road, Cape Canaveral, FL  32920.  We do supply owners with a directory of other owners, so if you wish your phone numbers to be unlisted, please check the appropriate box(es) below.

NAME(S) OF OWNER(S):_____________________________________________________________

TOTAL NUMBER OF OCCUPANTS:  __________________________________________________

UNIT #  ________   GARAGE #  __________   DESIGNATED VOTER:_______________________

Mailing Address:  Street:  _______________________  City:  ______________________  State:  _____  Zip:  ________

Telephone numbers:  Condo:    (321)   _______________________                           ____Check to be unlisted.

                     Other Residence:  (____)  _______________________                           ____Check to be unlisted.

                               Cell Phone:  (____)  _______________________                           ____Check to be unlisted.

E-mail address:  ________________________________________                          ____Check if “None” 

Note: The Association and Management WILL NOT share e-mail addresses.

Emergency Contact:  _________________________________    Phone #:  (_____)__________________ Relation:___________________________

Please check one of the following:

                    ____Full Time Resident               ____Rental Only

                    ____Part Time Resident               ____Both Residential & Rental

 Rental Information:  Handled by Owner(s):     ____YES          ____NO

                                                                     Pet:     ____YES          ____NO          Species:____________    Breed: ________________________________

Vehicle Information:

Year                    Make                                        Model                        Color                          Tag #                          State

 ________        __________________        ____________        ____________        ____________        _______

 ________        __________________        ____________        ____________        ____________        _______

Date Information Provided:       _______________________________

NOTE:

1. The Renter/Lessee Form must be completed and submitted to Reconcilable Differences, Inc. for renters/lessee of 30 days or more.

2. The Renter/Lessee Form must be completed and submitted to Reconcilable Differences Inc. for non-renters/quests who will be using your unit while you are NOT there.

3. A copy of the “Rules and Regulations” should be available in each unit for renters/lessee/quests to read.