Date_________    Unit#__________
Current Owner___________________
Applicant Name__________________
Co-applicant Name_______________
____ _________ _________________
Rent Purchase  Date(s)

Present Address_________________________________________________________
How Long___________________ Phone______________________
  If less than 2 years, former address__________________________________

Vehicle 1: Make__________ Model_________ State/Plate #__________________
Vehicle 2: Make__________ Model_________ State/Plate #__________________
No RVs, campers, trailers, commercial vehicles, boats, ATVs are allowed on premises at any time.

Employer_____________________________________ How Long__________________
Address_________________________________________________________________
Position___________________________________________ Phone_______________
Co-applicant Employer_________________________ How Long_________________
Address_________________________________________________________________

Children living/staying with you: How many____ Age(s):__________________

Character References:
Name_______________________________________________ Phone_______________
Address_________________________________________________________________
Name_______________________________________________ Phone_______________
Address_________________________________________________________________

Emergency Contact__________________________________ Phone_______________
Address_________________________________________________________________

Purchaser Only: Pet Type____________________ Weight______________

Acknowledgment:
I acknowledge that I have read The Jupiter Beachcomber Condominium 
Association By-Laws and agree to abide by them.
Signed______________________________________________ Date_______________
Signed______________________________________________ Date_______________

  A check for the Application Fee ($100) must accompany this application.




Board of Directors:
Date Received__________ Application Fee Amount_________ Check #_________
    Bank______________________________ Account #________________________
Approved___ Disapproved___ Date of Action_______________________________
Please attach explanation if needed.
Signed________________________________  ________________________________
      ________________________________