Age Affidavit – Occupancy Form There was an error trying to submit your form. Please try again. Sunland Village East 2145 South Farnsworth Drive – Mesa, Arizona 85209Phone: (480) 380-0106 Age Affidavit - Occupancy Form This field is required. I am a: Homeowner/Unit Owner Authorized Representative This field is required. SVE Property Address / Unit Number: This field is required. This field is required. This field is required. This field is required. This field is required. I reside at the address above: Yes No If no, is this a rental property? Yes No I certify that I, the Homeowner/Unit Owner, Authorized Representative or my Tenant is: 55 years of age or older Under 55 years of age but residing with a qualifying 55+ occupant Under 55 but is at least 45 years of age Acknowledgment & Certification I understand this community is designated as “housing for older persons” and isintended to comply with the Housing for Older Persons Act of 1995 (HOPA) and related federal and state laws requiring that at least 80% of occupied units have at least one resident 55 years of age or older. * This field is required. Signature: This field is required. FOR OFFICE USE ONLY By initialing, I confirm that I witnessed this document being signed by the Homeowner/Unit Owner or an Authorized Representative: ____________ Submit There was an error trying to submit your form. Please try again.
