Homeowner Information
First Name
  Joe
Last Name
  Gast
Email Address
  joegast@aol.com
Phone
  (214) 801-2195
Street Address (Fairfield home to be Leased)
  1151 W Titleist Drive
Lot Number
  29
Security Gate Access Information
Homeowner transferring existing remote device?
 

  • No

Homeowner transferring existing access card?
 

  • No

Homeowner requests the following security gate access devices:
Security Gate Access Codes
 

  • No

Tenant Information
Lease Term
  90 days
Date Tenancy Begins
  02/02/2021
Date Tenancy Ends
  04/06/2021
List names of ALL adults to reside in home
 

First & Last Name Phone Number Email Address
Bud Wise 412-389-5509 budwise13@gmail.com

List ALL vehicles
 

Make / Model / Color State / License Plate #
Acura MDX black hnc7941

Read CC&R's Article X, Section 10:10
 

  • Yes, as the homeowner/Leasing Agent, I have read and understand Fairfield HOA CC&R’s Article X, Section 10:10 RENTALS*

Read CC&R's Article III, Section 3.2
 

  • Yes, as the homeowner/Leasing Agent, I have read and understand Fairfield HOA CC&R’s Article III, Section 3.2 Delegation of Use of Common Areas *

Provided Governing Documents
 

  • Yes, I the homeowner/Leasing Agent, have provided my Tenants with a copy of the Fairfield Governing Documents.*

Print Homeowner's Name
  Joe Gast
Date of Submission
  02/02/2021