Civil Code 4041

Request for Annual Notice of Address, Representative and Occupancy Status

Civil Code, §4041 requires each homeowner to provide the Northstar Property Owners Association (NPOA) with the following information on an annual basis. This request for information is also required to be sent by associations to their members at least 30 days prior to making the Association’s own Annual Budget Report disclosures under Civil Code §5300.

(Civil Code Section 4041)

1.The mailing address to which notices from the Association are to be delivered:

Please complete this form and return it to the Association within 30 days.

NOTE: If an owner fails to provide the information set forth in items 1 and 2 above the last address provided in writing by the owner or, if none, the property address shall be deemed to be the address to which notices are to be delivered.

Please return this information to the association at the following address or email:

Northstar Property Owners Association 2200 North Village Drive Truckee, CA 96161 npoa@npoa.info 2.An alternate or secondary address to which notices from the Association are to be delivered:

3.The name and address of your legal representative, if any, including any person with power of attorney, or other designated person to be contacted in the event of your extended absence:

Property Address Member Name Date

4.Is the separate interest that you own (check one):

Owner-Occupied

Vacant Rented Out

Undeveloped

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