2. Town of Avon Deed Restriction Compliance Survey
   
4. Instructions

   By entering my name, I certify that I hold legal title to the property located at the address listed.

6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Email Address*
19. Check ONLY One*

    1. A. I occupy the Town of Avon unit as my sole place of residence in accordance with the Deed Restriction Agreement.
    2. B. I am approved by the Town of Avon to lease my Property and I lease the Property to a “qualified tenant” as defined in the Deed Restriction Agreement.
21. If you chose option B, please complete the tenant contact information.
23. Tenant First Name
24. Tenant Last Name
26. Tenant Email
27. Tenant Phone Number
29. Tenant Mailing Address
31. City
32. State
33. Zip
35. ACKNOWLEDGEMENTS

    to be completed by resident property owner, OR by tenant if the Property is leased:

    
    

    1. I verify and acknowledge that I have no ownership interest in any other residential property in Eagle County and that the Property is my exclusive and permanent place of residence as required by the Deed Restriction Agreement.

    2. I have worked an average of thirty (30) hours per week on an annual basis for the previous year in Eagle County.

    3. I verify and acknowledge that for the previous year I have been employed by the following employer(s)

    
    
37. Employer Name*
39. Employer Name
41. I SWEAR THE FORGOING ACKNOWLEDGEMENTS ARE TRUE:

    By entering my name below, I declare under pains and penalties of perjury that I have read this affidavit and the statements contained in it are true and correct.

43. Full Legal Name*
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field