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Certification
HLURB HOA certification for regular registration
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GENERAL INFORMATION SHEET
For the year: _______
1. Name of the Association: __________________________________________
________________________________________________________________
2. Principal Office Address: __________________________________________
________________________________________________________________
3. Board of Directors:
NAME
RESIDENCE
4. Officers of the Association:
NAME/POSITION
5. Original/Additional Members:
NAME
RESIDENCE
RESIDENCE
* Please see attached list of members:
Certified Correct:
____________________________
Corporate Secretary
SUBSCRIBED AND SWORN to before me this ____ day of
______________________, 20____, affiant exhibiting to me his/her Community Tax
Certificate No. ________________ issued on _________________________ at
____________________________.
NOTARY PUBLIC
Doc. No.
Page No.
Book No.
Series of
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