Homeowner Census Form

EXCELSIOR AT HIGH POINT

Date Completed:

SECTION B: HOMEOWNER INFORMATION
Unit Address:
Billing Address:

Owner Name: Email:
Co-Owner Name: Email:

Home Phone #: Work Phone#: Cell Phone #:

SECTION C - RESIDENT INFORMATION (List all residents)

SECTION D - TENANT INFORMATION (In accordance with governing documents, lease is required for rented units)
Lease Begin Date: Lease End Date:

SECTION E - VEHICLE INFORMATION (If no vehicles, put "no car" in the first field)
(Please provide any information that may be applicable to your community)

SECTION F - PET INFORMATION (If no pets, put "no pets" in first field)

SECTION G - HOMEOWNER EMERGENCY CONTACT INFORMATION:
Name: Relationship:
Address:
Cell Phone #: Other Phone #:
Email:
Comments:

SECTION H - HOMEOWNER (SECOND) EMERGENCY CONTACT INFORMATION:
Name: Relationship:
Address:
Cell Phone #:   Other Phone #: Email:
Comments:

SECTION I - AUTHORIZED AGENT:
Name:   Email:
Position: Phone Number:
Company:

Select All that Apply:
AR/BalanceKeysMaintenanceFull Access

(To name an authorized agent, please complete one of the following links):
https://fsresidentialeast.com/authorization-to-release-information/
- This will NOT update your billing address to your agent's
https://fsresidentialeast.com/3rd-party-agent-authorization
- This WILL update your billing address to your agent's

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Signature Certificate

Excelsior at High Point - Census Form (Including Pets)

Unique Document ID: 9f54dd5fb323ccb496657861caa050641b8194e9

Build. Track. Sign Contracts.

Timestamp	Audit
September 17, 2026 4:29 pm UTC	Excelsior at High Point - Census Form (Including Pets) Uploaded by Community Support Services East - [email protected] IP 2600:4040:575b:7700:dda9:3dcc:ca99:f969
September 17, 2026 4:54 pm UTC	CSS East - [email protected] added by Community Support Services East - [email protected] as a CC'd Recipient Ip: 2600:4040:575b:7700:2818:d9a0:bfb8:ddaf
September 18, 2026 12:54 pm UTC	Document owner [email protected] has handed over this document to [email protected] 2026-09-18 12:54:55 - 2600:4040:575b:7700:dda9:3dcc:ca99:f969
September 18, 2026 1:14 pm UTC	Document owner [email protected] has handed over this document to [email protected] 2026-09-18 13:14:13 - 24.199.220.58
September 18, 2026 2:04 pm UTC	Document owner [email protected] has handed over this document to [email protected] 2026-09-18 14:04:44 - 2600:4040:575b:7700:dda9:3dcc:ca99:f969

This audit trail report provides a detailed record of the online activity and events recorded for this document.

https://fsresidentialeast.com/