Columbia Place Owners Association

C/o Action Property Management.  1133 Columbia St, Suite 106  San Diego, CA 92101

(800) 400-2284  Fax (949) 450-0303  mplascencia@actionlife.com

Owners & Tenants Occupancy Information (OTOI) Form

Date Submitted ____________ Date Received __________

Please provide (Print/Type) the required information below (i) to update existing owner/tenant data and (ii) whenever there is a change of unit owner(s) or tenants. Return the form

to our Association Management (i) at the above address or (ii) place it in the Comment Box (adjacent to elevators in the garage). A fully completed form and payment of the

$150.00 Move Fee must be submitted with each change in unit owner(s)/tenant(s). The new owner(s)/tenant(s) shall then be added to both the entry system and postal directories.

The confidential personal access code(s) is mailed to the appropriate individual(s).

Unit Address (655 Columbia St/620 State St.) # ______, San Diego, CA 92101 VEHICLES AUTHORIZED TO USE PARKING SPACES LISTED BELOW

Name(s) Home Phone Work Phone Make/Model/Year Color License#

( to entry system)

____________________ ___________________ _______________ ________________ __________________ __________________

____________________ ___________________ _______________ ________________ __________________ __________________

____________________ ___________________ _______________

Parking Space #s _______________ _________________

Off-site Mail Address PET REGISTRATION

Address _____________________________________________________

TENANT INFORMATION UNIT ACCESS/EMERGENCY

Unit Address (655 Columbia St/620 State St) #_____, San Diego, CA 92101 Name __________________________ Phone # __________________

Tenant/Family Member Name(s) Home Phone Work Phone Name __________________________ Phone # __________________

( to entry system)

____________________ __________________ ___________________

____________________ __________________ ________________ ___