Wait List Application

Wait List Application 2018-01-23T04:17:49+00:00

To complete your registration process please make sure you have completed the WAIT LIST AGREEMENT and the WAIT LIST APPLICATION. 



SingleMarriedWidowedDivorced

Label

Applicant

Second Applicant

YesNo
YesNo
Westminster Village is a smoke free community
YesNo
YesNo
CHILDREN (or nearest relative):





I/We acknowledge that approval for the wait list is made in reliance on the financial information provided on the back of this application. I/We declare that all statements made are true according to my/our best knowledge and belief. I/We understand the application will be reviewed prior to being accepted to the wait list and prior to establishing residency



ASSETS:


Financial Assets

Applicant

Second Applicant



MONTHLY INCOME:

Applicant % to 2nd Applicant

Second Applicant % to Applicant

Upon Death
Upon Death
Upon Death
Upon Death



>