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Y violation of subdivision restrictions, rules or regulations by yourself or others? Yes No (f) Are you aware of any condition or claim which may cause an increase in assessments or fees? Please explain any “yes” answers you gave in this section (attach additional pages if needed): 2. CONDOMINIUM, CO-OP OR SHARED COST DEVELOPMENT (if applicable) (a) (b) (c) (d) Name: Condominium Co-Op Other shared cost development (explain): Type: Assessment: $ per month quarter half-year year. Assessment .

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