Country Manors Association, Inc.                                                                Phone 561-498-8300
4900 Country Manors Blvd.                                                                         Fax 561-498-4099
Delray Beach, FL 33445                                                                              Email cmaoffice@countrymanors.net

Notification/Application for Approval of a Sale or Lease of a Condominium

The sale or lease of a Country Manors unit must be approved by the Board of Directors.  An interview by a screening
committee must take place at Country Manors prior to the Board meeting and the closing of the property.  All
owner(s)/occupant(s) must attend the interview.  The Board meetings take place the second Friday of the month.  A
copy of the completed contract or lease must be attached to this application plus a check in the amount of $100.00 for a
processing fee made payable to Country Manors Association, Inc.  It should be given to the interviewers on the day of
the interview.

Is this a sale or lease ? ________________

Name of  current unit owner ________________________________________________________________________

Address _______________________________________________________________________________________

Applicant information

Name _________________________________________________________________________________________

Address _______________________________________________________________________________________

Telephone number _________________________________              Date of Birth ____________________________

Other occupants name and relationship to applicant _____________________________________________________

Has the applicant or other occupant ever been convicted of a felony ?    Yes       No
If yes, then add a brief summary on the back of this page.

Do you have sufficient assets or income to cover regular maintenance and recreation lease payments?    Yes     No

Credit references ( 2 banks names and locations )
______________________________________________________________________________________________

______________________________________________________________________________________________

Two active accounts ( list name and addresses )
______________________________________________________________________________________________

______________________________________________________________________________________________

Two Personal references ( list names and addresses )
______________________________________________________________________________________________

______________________________________________________________________________________________

I/We authorize Country Manors Assoc. Inc., or its agent, to check out our credit and to verify all information submitted on
this application. It is further understood and agreed that any misrepresentation presented in this application will
constitute grounds for disapproving the application for purchase or lease.

Dated this __________ day of ________________________ 20____


Witnesses Signature                                                            Applicant(s) Signature
__________________________________________        ________________________________________________

__________________________________________        ________________________________________________