Name:     
Address: 
City:          State:     Zip Code: 
Work Phone:                              Home Phone: 
E-Mail:                                                 Fax: 
HOA Name:                                Age of HOA:         Years
Physical Location: 
Number of:   Units         Buildings              Condos
                      Stories     Townhouses         Detached Homes
 

Amenities/Facilities (indicate number where applicable):
Pools:                         Elevators:                 Spas:                Tennis Courts: 
Large Fountains:       Private Streets:       Poolhouse:       Clubhouse:       
Solar Heating System:       Enclosed Garages:       Covered Carports: 
Electric Gates:                    Lakes/Ponds:                 Central Hot Water: 
Other (please specify): 
Is the association responsible for roofs?  Yes    No
Is the association responsible for exterior painting?  Yes    No
Date of Prior Study: 
Name of previous reserve study provider: 
Please describe in detail any unique factors or requirements: