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‘PROPERTY MANAGEMENT CORP FSOSA JB & UNIT INFORMATION SH EET Please check box: C Tenant ( unit owner Unit No Parking Slot No. ‘ate of Unit Acceptance ‘ove ia Date | Frequency of Stay (nonce check) LastName. Fst Name 7 weakly monthly Davarery ——& fulltime Home Address ‘Mailing Address for Statement of Account ~ Tel No. Fax No. [ottene Email Address i Citizenship Date of Birth Place of Birth Civil Status ‘sex ~ — L po - 2 es ‘Name * Contact No.of Representative Remarks i Owners Signature All information contained herein shall be treated with confidentiality and shall be used exclusively for Property Administration Office records only. CONTROLLED FORM DO NOT EDIT issuance Date: “TS FOR & AVAIABLE AT CLIENT SERVICES AND DEVELOPM ENTE DEP Be

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