Vehicle Registration and Proof of Insurance

NOTE: A resident’s recreational vehicle must have a current license plate tag and have a current State vehicle registration. A Resident shall provide Management proof of insurance by providing the Insurer’s name, policy # and valid dates. This form must be resubmitted if changes occur. Failure to provide proof of coverage by January 31 shall result in a fine of one-hundred dollars ($100).

False or misrepresentation of insurance coverage may result in action taken against the lot shareowner

"*" indicates required fields

Lot # / Street*

Shareowner’s Name*

First Last

Shareowner’s Email Address*

Enter Email Confirm Email

Confirmation will be emailed to this address.

Shareowner’s Phone Number*

Number of Vehicles*

One (1)

Two (2)

Three (3)

Vehicle #1 Registration Details

Type - Car / Truck / Motorcycle / Motorhome**

*Motorhome = Class A / Class B / Class C / Van Conversion / Etc.

Year / Make / Model*

License Plate Number & State*

Registration Valid From Date:*

Registration Valid To Date:*

Vehicle #1 Poof of Insurance Details

Policy #*

Insurer’s Name:*

Insurance Valid From Date:*

Insurance Valid To Date:*

Vehicle #2 Registration Details

Type - Car / Truck / Motorcycle / Motorhome**

*Motorhome = Class A / Class B / Class C / Van Conversion / Etc.

Year / Make / Model*

License Plate Number & State*

Registration Valid From Date:*

Registration Valid To Date:*

Vehicle #2 Poof of Insurance Details

Policy #*

Insurer’s Name:*

Insurance Valid From Date:*

Insurance Valid To Date:*

Vehicle #3 Registration Details

Type - Car / Truck / Motorcycle / Motorhome**

*Motorhome = Class A / Class B / Class C / Van Conversion / Etc.

Year / Make / Model*

License Plate Number & State*

Registration Valid From Date:*

Registration Valid To Date:*

Vehicle #3 Poof of Insurance Details

Policy #*

Insurer’s Name:*

Insurance Valid From Date:*

Insurance Valid To Date:*

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