Seven Oaks Community Center, Inc.

Request Manager

Pursuant to state and federal law, every owner or resident of a home in Seven Oaks must complete an age verification form to certify his or her eligibility to reside in Seven Oaks, an age restricted 55+ senior community. All residents must provide a proof of age Whenever there is a new resident in the home, a new age verification form must be submitted. Forms and age verification information will be held in confidence to the extent permitted by law. Seven Oaks Community Center, Inc. reserves the right to verify any information given below.

Note:

Every resident who has not previously provided proof of age must attach a copy of one of the following

following:

a) Driver’s license (b) Passport (c) Birth Certificate (d) Government document declaring age.

This Online Form is Divided Into Seven Sections.

Section I - Accounting Credentials for the Community Center
Section II - All Residents Ages 55 Years of Age and over living on the property.
Section III - Non-Resident Owners
Section IV - Residents Under 55 Years of Age.
Section V - Residents Under 55 (Disabled or Disabling Illness or injury)
Section VI - Health Care Provider
Optional Attachment. (age verification documents) limit size 4mb per attachment

Instructions On Completing The Form

All submitters of this form must complete Section I

All Tenants/Owners 55 and over residing on the Property must complete Section II

All Non-Resident Owner (Remote) must complete Section II and Section III

list your tenants and date of birth in Section II

All Residents under Age 55 must complete section IV

All Health Care Provider under age 55 must complete Section V

Note: Need to find your Lot Number? (4 digits 1-1767)

Please select here to view a listing of all Lot numbers with addresses.

For Microsoft Windows - Press CNTL F to open search window and then type in your street address.
For Apple Operation Systems - Press COMMAND F to open search window and then type in your street address.

Age Verification Form 2024-2025

Name

Section I - Accounting Credentials for the Community Center

Lot Number (from 1 to 4 digits)

Property Address

Phone Number

E-Mail Address

By typing my name and/or names of the tenants , I accept this transmission as a legal document. Go to Forms if you prefer a printable version.

I have read the cover page and agree to a Digital Signature

Yes

Date

Section II -List All The Residents 55 and Older Living in Property

Print Signature Name (1)

Date of Birth (mm/dd/yyyy) format

Print Signature Name (2)

Date of Birth (mm/dd/yyyy) format

Print Signature Name (3)

Date of Birth (mm/dd/yyyy) format

Emergency Contact Information

Section III. Non-Resident Owners

Remote Owner's Name

Remote Owner's Mailing Address

Remote Owner's Phone Number

I also agree to provide the names and Senior Resident information for all tenants as well as information about future tenancy changes.

Owner's Electronic Signature Name & List the Name of Tenant(s) in Section II

List the Name of Tenant(s) in Section II

Lease Terms: Start and End

Emergency Contact Information

Section IV. Residents Under 55 Years of Age.

Residents under 55 Age, click on Select and choose your option

Print Signature Name

Date of Birth (mm/dd/yyyy) format

Are you a Permanent Resident who meets both A and B of the following requirements

A. I was residing with the qualifying resident or senior citizen prior to the death, hospitalization, or other prolonged absence of, or the dissolution of marriage with, the qualifying resident or senior citizen.

B. I am 45 years or older, or was a spouse, registered domestic partner, cohabitant or person providing primary physical or economic support to the qualifying resident or senior citizen. See Health Care Provider section below.

B 1 - Are you providing primary physical support

Yes No

B 2 - Is the qualified resident or senior citizen disabled - If you answered yes, you are required to submit a confidential “Letter of Certification” (available at the office) .

Yes No

B 3 - Are you providing economic support - If you answered yes, you are required to submit a confidential “Economic Provider Certification” (available at the office).

Yes No

Section V. Residents Under 55 (Disabled or Disabling Illness or injury)

I am a disabled person or person with a disabling illness or injury who is a child or grandchild of the senior citizen or a qualified permanent resident

Yes

Print Signature Name

Date of Birth (mm/dd/yyyy) format

Section VI Health Care Provider

I am not 55 years of age, but I qualify as a Permitted Health Care Resident hired to provide Live-In, Long Term or Terminal Care Provider to:

I agree that if the Senior Resident no longer resides in the home, I will move out of the residence within 90 days. There is a limit of one caregiver per residence.

Yes

Print Signature Name

Date of Birth (mm/dd/yyyy) format

Date

Proof Of Age

Every resident who has not previously provided proof of age must attach a copy of one of the following following: a) Driver’s license (b) Passport (c) Birth Certificate (d) Government document declaring age. - up to 10 attachments are allowed,

For additional attachments, you must select the Submit button, then on the next page presented, select “Return to forms” then select “Add new Attachment”.

Confirmation

Selecting the Submit Button is your conformation of successful delivery of form

Optional Attachments

Maximum File Sizes: 4 MB each

File 1
File 2
File 3
File 4
File 5
File 6
File 7
File 8
File 9
File 10