Pet Verification Form – Carillon House Association

Please read the following pet rules. By submitting the form below you are agreeing to them

The pet is allowed outside your Unit only when on a handheld leash and accompanied by
you or another resident.
Pets are prohibited from being tied up on the patio, balcony or anywhere on the common elements.
All solid waste must be immediately cleaned up, double bagged and disposed of in the North garage dumpsters.
Pets are prohibited inside the pool grounds or in the penthouse; however accommodations will be made for service or companion animals.
The rules and regulations that apply to pets also apply to visitors’ pets. Please refer to pet rules in your handbook for any additional information.
All animals are to be registered with Montgomery County as applicable laws apply. Any county registration number must be listed on this form.
Failure to adhere to these rules and regulations is a violation and may result in appropriate action.

Name *

First

Last

I hereby certify that I do have a pet that will reside in my Unit. My pet(s) (maximum of two) include: *

Pet #1 - Breed *

Pet #1 - Weight *

Pet #1 Name *

Pet #1 Color? *

Pet #1, Montgomery County. Registration # *

Pet #2 - Breed

Pet #2 - Weight

Pet #2 Name

Pet #2 Color?

Pet #2, Montgomery County. Registration #

I reside at 2230 S Patterson Blvd, Dayton, OH 45409 and my unit number is? *

Resident Phone #'s (mobile, home, work)

Email *

The pet is allowed outside your Unit only when on a handheld leash and accompanied by you or another resident. Pets are prohibited from being tied up on the patio, balcony or anywhere on the common elements. All solid waste must be immediately cleaned up, double bagged and disposed of in the North garage dumpsters. Pets are prohibited inside the pool grounds or in the penthouse; however accommodations will be made for service or companion animals. The rules and regulations that apply to pets also apply to visitors’ pets. Please refer to pet rules in your documents and this document. All animals are to be registered with Montgomery County as applicable laws apply. Any county registration number must be listed on this form. Failure to adhere to these rules and regulations is a violation and may result in appropriate action.. By entering my name below I have read the rules and agree to them *

Please tell us any other miscellaneous information you think we should know about your pet(s) in the space below.

This area is for Apple Property Management Only - Date Received and Agent

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Please read the following pet rules. By submitting the form below you are agreeing to them

The pet is allowed outside your Unit only when on a handheld leash and accompanied by you or another resident.

Pets are prohibited from being tied up on the patio, balcony or anywhere on the common elements.

All solid waste must be immediately cleaned up, double bagged and disposed of in the North garage dumpsters.

Pets are prohibited inside the pool grounds or in the penthouse; however accommodations will be made for service or companion animals.

The rules and regulations that apply to pets also apply to visitors’ pets. Please refer to pet rules in your handbook for any additional information.

All animals are to be registered with Montgomery County as applicable laws apply. Any county registration number must be listed on this form.

Failure to adhere to these rules and regulations is a violation and may result in appropriate action.

The pet is allowed outside your Unit only when on a handheld leash and accompanied by
you or another resident.