Homeowner Information Form

In order to complete our records please fill out this Homeowner Information Form and click submit to return it to our office. This information is kept confidential and not distributed outside of our office. This information is required for all residents in case of any emergencies.

Homeowner name*:

Valley Lakes Address*: Round Lake, IL 60073

Mailing Address (if different):

City: , State: Zip:

Home Phone*: Work Phone: Cell Phone:

email address: Receive email updates

Emergency Contact Name*: Phone Number*:



Tenant Information (if home is rented)

Tenant Name:

Tenant Home Phone: , Work Phone:

* = required information

Additional Notes

Verification code*: captcha
Please type the Verification code shown above:

* To help us stop SPAM and ensure your message is delivered entering this code helps us screen out junk messages.

Thank you

If you are a resident of Natures Cove or Remington Trails you should check with your townhome association, they will also require this information for their records. Please be sure to submit information to both associations if applicable.

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