Properties at Tilton Bernstein Management, Inc.

You will not be able to send this form without fully providing all of the requested information marked with a red asterisk (*).

Please indicate your resident status:* Owner Tenant

Community Directory

The information filled out below may be included in a community directory exclusively for distribution to Kalorama Place owners and tenants.* Yes No (Skip to Committee)

Name(s):
Address:

Phone # - Home:
Phone # - Work:
E-Mail Address:
Profession:
Interests:

Committees

Please contact regarding serving on the committees checked below.

Covenants
Landscaping
Social

Owner/Resident Information Form

Unit Number:*
Unit Address:* (Street/Building)
Owner(s) Name(s):*

Telephone Numbers (Please include area codes) -
Home:*
Work:*
Home:
Work:
Mortgagee Data -
Mortgage Company:*
Address to which payments are sent -
Street Address:*
City, State, Zip:*
Is the home owner-occupied?* Yes (Skip to Vehicle Information) No
If the home is not owner-occupied -
Resident(s) Name(s):

Residents' Telephone Numbers (Please include area codes) -
Home:
Work:
Home:
Work:
Term of Lease:
Owner's Address -
Street Address:
City, State, Zip:
PLEASE SEND TILTON BERNSTEIN A COPY OF THE LEASE
Please provide the following information for all vehicles that will be parked on the property -
Vehicle #1:
Make:
Model:
Year:
Color:
License Number:
State:
Sticker Number:
Vehicle #2:
Make:
Model:
Year:
Color:
License Number:
State:
Sticker Number:
Vehicle #3:
Make:
Model:
Year:
Color:
License Number:
State:
Sticker Number: