Membership List Opt-out Form

Membership List Opt-out Form

, am the current owner of real property located within

(Association"), with the street address of

and have full authority to make legal decisions affecting my Lot.

Pursuant to California Civil Code section 5220, and any successor statute, I hereby exercise my right to opt out of sharing my name, property address, mailing address or any of my personal information with any other member of the Association. I prefer to be contacted by an alternative process as described in Corporations Code section 8330(c).

This opt out shall remain in effect until changed by me or my legal representative.

Name of member

Association Address

Alternative Mailing Address

Signature

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Date

Month

Day

Year

Hours