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

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