Crosspointe Village Homeowners Association

CROSSPOINTE VILLAGE HOMEOWNERS ASSOCIATION

HOMEOWNER INFORMATION AND OPT-OUT FORM

If you do not want your name and address to be disclosed to other members of the Association, you may elect to have the Association withhold your private information. To opt-out of sharing your name, property address, mailing address and email address with other members of the Association that may request the membership listing, complete this form and return it to Cardinal Property Management, Inc., as noted on the bottom of the form. Membership lists are only provided to a homeowner when a legitimate written request has been received, in accordance with California Corporations Code.

*This opt-out shall remain in effect until changed by you, via written notification to the Association, through the Managing Agent.

DESIGNATION FOR OPTING-OUT OF DISCLOSURE OF PERSONAL INFORMATION

______I/We opt-out of the sharing of my/our name, property address, mailing address and email address under the Association membership list, pursuant to Civil Code Section 5220. I prefer to be contacted via the alternative process described in Corporations Code Section 8330(c). This opt-out shall remain in effect until changed by me/us via written notification to the Association’s Managing Agent.

______I/We do not opt-out of the sharing of my/our name, property address, mailing address and email address under the Association membership list.

I understand if I/we have opted-out of the sharing of my/our name and personal information noted above, the contact information below will be used solely for unofficial Association communication, i.e. newsletters, community updates, reminders, etc.

Signature: ______Print Name: ______

Signature: ______Print Name: ______

Association Property Address: ______

Home Phone #: ______Work Phone #: ______

Cell Phone #: ______Email Address: ______

When completed, please mail, fax or email this form to:

______(Association Name)

c/o Cardinal Property Management, Inc.

825 N. Park Center Dr., Suite 101

Santa Ana, CA 92705

Fax: (714) 779-3400

Email: