Comments/Questions:

Building, HOA, or COA name: *

Requester's name: *

Requester's phone: *

Please make sure the request is completed fully and accurately to avoid any delays. The request will only be processed once we receive the complete information.

Signature: *

By submission of this request, you affirmed the following: I certify that I am empowered to execute this request as required by Section §559.79, Florida Statutes. I understand that my signature on this written declaration has the same legal effect as an oath or affirmation. Under penalties of perjury, I declare that I have read the foregoing request and the facts stated in it are true. I understand that falsification of any material information on this request may result in criminal penalties or administrative action, including a fine, suspension, or revocation of any license. I understand that an electronic signature shall have the same force and effect as a written signature. The Electronic Signature Act of 1996 (ESA), Florida Statutes §668.001-006, states that electronic signatures have the same legal effect as written signatures, unless "otherwise provided by law." Like most states, Florida has also passed the Uniform Electronic Transaction Act (UETA), Florida Statutes §668.50, replacement of original documents, and transferability. *

I have read & agree

Is this a new request (new owner or renter): *

Yes

Requester's email: *

Current Renter(s) name: *

Intercom Program / update Request
10-business days processing time (sometimes sooner)

Company name (if purchased as a company):

Is this an update to the current income information: *

Yes

Property address: *

Current owner(s) name: *

Intercom Program / update Request10-business days processing time (sometimes sooner)

Intercom Program / update Request
10-business days processing time (sometimes sooner)