RESOURCES – ONLINE FORMS Application To Purchase Please have applicant fill out this form and FAX back to 321-723-6356 for approval. We will return approved form to Title Company to be included with closing process. Name: First Last Current Street Address City State / Province / Region ZIP / Postal Code PhoneEmail: License Number:Date of Birth: MM slash DD slash YYYY Palm Bay Colony Address: Street Address City State / Province / Region ZIP / Postal Code Names on Deed:List Persons Who Will Be Living In The Home: Name:DOB: MM slash DD slash YYYY Name:DOB: MM slash DD slash YYYY Name:DOB: MM slash DD slash YYYY Are you a Veteran? YesDo you have any pets? YesDog:Cat:Other:Vehicles to be parked on property: Year:Make:Year:Make:Year:Make:Have you ever been convicted of a felony? YesWhat brought you to Palm Bay Colony?I agree to abide the Deed Restrictions of Palm Bay Colony. Signature:Date MM slash DD slash YYYY Office Use Section Only - DO NOT FILL OUT: Approved: Denied: Director’s Signature:Date MM slash DD slash YYYY Office Hours: 2379 Ersoff Blvd NE,Palm Bay, FL 32905 Mon, Wed & Fri: 9:00 – 11:00 Tue, Thu: Closed Sat – Sun: Closed Palm Bay Colony Homeowners Inc Contact Info: 2379 Ersoff Blvd NE,Palm Bay, FL 32905 321-723-9196 pbchoa@live.com FollowFollow