COMPLETE THIS FORM AND RETURN TO:

San Ignacio Villas Inc. - HOA

1865 W Demetrie Loop, Green Valley, AZ 85622

OR e-Mail: HOASanIgnacioVillas@gmail.com

Owner Name #1: Click here to enter text. Lot #: Click here to enter text.

Owner Name #2: Click here to enter text.

SIV Property Address: Click here to enter text.

Owner/s Mailing Address: Click here to enter text.

Phone Owner 1: Click here to enter text. Email 1: Click here to enter text. Phone Owner 2: Click here to enter text. Email 2: Click here to enter text.

E-mail is the primary means of communication with SIV Home Owners and the HOA Board of Directors.

All correspondence is to be mailed to:

☐ Mailing address OR ☐ SIV Property address

Ownership Type: Check One

☐ I/We are full time residents of SIV

☐ I/We are part-time residents of SIV

☐ I/We are part-time residents of SIV AND periodically rent out our unit

☐ Investment/Non Resident owner

Emergency Contact:

Name: Click here to enter text. Phone: Click here to enter text.

If RENTAL property, Complete the following information:

Rental Agency/Management Company: Click here to enter text.

Contact: Click here to enter text. Phone: Click here to enter text.

Address: Click here to enter text.

Email: Click here to enter text.

Acknowledgement of Declaration, Bylaws and Rules and Regulations

I/we hereby acknowledge that the Declaration (CC&R’s), Bylaws and Rules and Regulations of the Association constitute a contract between the San Ignacio Villas HOA and me/us (the owner). By signing this statement, I/we acknowledge that I/we have read and understand the Association's contract with me/us (the owner). I/we also understand that as a matter of Arizona law, if I/we fail to pay my/our association assessments, the Association may foreclose on my/our property.

Owner Age Verification:

As a Property Owner's Association in Arizona classified as 55 years of age or older, we are required by law to survey and certify that the Association is in compliance.

Per Article 16, Section 16.6 - Age Restrictions of the CC&R's, San Ignacio Villas Inc. HOA is an age restricted community. In order to maintain this exemption, at least one residing occupant must be 55 years of age or older. No person under the age of 18 shall reside “permanently” in a residence. “Permanent” is considered more than 90 days in any twelve-month period.

If at any time you rent out your property, your tenant(s) must also abide by the above. If you are placing your property with a Rental Agency/Property Management Company you are responsible to insure compliance with the age restriction. Additionally, your advertising media (VRBO-Airbnb-Website, etc.) must clearly state the 55+ age restriction.

By signing below, I/we hereby verify that I/we understand this exemption, I/we acknowledge that I/we have received the SIV HOA Declarations, Bylaws and Rules and Regulations, I/we and/or our tenants will abide by the SIV HOA Declarations, Bylaws and Rules and Regulations.

Signature: Click here to enter text. Date: Click here to enter a date.

Signature: Click here to enter text. Date: Click here to enter a date.