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2. Property address to be Deed Restricted*
4. Applicant/Owner*
6. Current mailing address*
8. Email*
10. Phone Number*
14. Type of Property*

    1. Single Family
    2. Condominium
    3. Town Home
    4. Duplex
    5. Vacant Lot
    6. Other
16. Number of bedrooms*
    -- Select One --012345
17. Number of bathrooms*
    -- Select One --1234
19. Number of parking spaces*
20. Garage*
    -- Select One --YesNo
24. Do you currently own this property?*

    1. Yes
    2. No
26. If owned, is there a mortgage or lien?*

    1. Yes
    2. No
27. If purchasing are you under contract?*

    1. Yes
    2. No
29. What is the market value of the property?*
30. What is the Grand County assessed value of the property?*
32. Is there a homeowner's association or dues?*

    1. Yes
    2. No
34. Are there any pending/upcoming special assessments or required maintenance*
38. How will your property bring value to the Fraser Community as a deed restricted home?*
40. Where are you currently employed?*
42. Do you own any other property?*

    1. Yes
    2. No
43. If yes, Please provide additional information
45. What dollar value do you think the deed restriction is worth?*
47. Is there additional information you wish to share?
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field