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ÑXXÑ&úÿpPddÝ ƒ¤T!ÝÓÓÝÝÔ_ÔÑ,°ÑÑX°ÑÒX°ÒÒX°ÒÓÓòòòòÔ€XéXÐXÔÔ‡XGÂXÐXéÔÔ‡&nß %ÐXGÂÔÑ€Zç]ÑÌà@kk[ìàOAKS€NORTH€COMMUNITY€CENTERˆÐ \ Ðóóà@‹‹Uìàòòòòð ðA€Senior€Citizen€Housing€DevelopmentððóóóóˆÐ ` Ðà@œœLìà12578€Oaks€North€Drive,€San€Diego,€California€92128„1699ˆÐ d Ðà@r r RìàTelephone€(858)€487„0120€ð¨ð€Fax€(858)€487„5328ˆÐ b ÐóóÌòòÔ#†XGÂX %&nß¿#ÔÔ‡ ú4 XXGÂÔÌÌTO:óóà°àààAll€Oaks€North€ResidentsÐ Ø € ÐòòFROM:óóààBoard€of€DirectorsÐ ª R ÐòòSUBJECT:óóààOwner/Tenant€Age€Verification€FormÐ |$ ÐÌAs€you€know,€Oaks€North€is€housing€for€older€persons,€or€€òòòò"A€Senior€Citizen€Housing€Development".óóóó€€This€meansÐ Â Ðthe€Oaks€North€CC&R's€restrict€occupancy,€residency€and€use€of€homes€within€Oaks€North€on€the€basis€of€age€orÐ è Ðfamilial€status.€€Civil€Code€Section€1368€requires€senior€communities€such€as€Oaks€North€publish€the€followingÐ ´\ Ðstatement€regarding€such€restrictions:Ð €( ÐÌThe€age€restrictions€that€apply€to€Oaks€North€are€enforceable€only€to€the€extent€permitted€by€Civil€Code€Section€51.3Ð À Ðwhich€provides€that€residents€of€senior€communities€include€senior€citizens€(persons€55€or€older)€or€"qualified€permanentÐ äŒ Ðresidents",€€as€that€term€is€defined€below,€or€compensated€providers€of€live„in,€long€term€or€hospice€care€to€seniors.Ð °X ÐÌA€"qualified€permanent€resident"€is€someone€who€satisfies€both€of€the€following€requirements:Ð Hð ÐÌà8°à(a)à8°(#°(#àis€45€years€of€age€or€older,€or€a€spouse,€co„habitant€(persons€who€live€together€asÐ àˆ Ðhusband€and€wife€or€persons€who€are€domestic€partners€within€the€meaning€of€SectionÐ ¬T Ð297€of€the€Family€Code)€or€someone€providing€primary€physical€or€economic€supportÐ x Ðto€a€senior;€òòòòandóóóóÐDìÐ Ð ÐÌà8°àà8°(#°(#àwas€residing€with€the€senior€citizen€prior€to€the€death€or€dissolution€of€marriage€or€uponÐ âŠ Ðhospitalization€or€other€prolonged€absence€of€the€senior€citizen.òòòòóóóóÐ®VÐ Ð ÐÌà8°àààòòòòORÐFî°(#°(# ÐÌòòóóóóóóÓ€ D(× 83FÓØ! !Øà8°à(b)à8°(#°(#àis€a€disabled€person€or€person€with€a€disabling€illness€or€injury€who€is€the€child€orÐ âŠ! Ðgrandchild€of€the€senior€citizen€who€needs€to€live€with€the€senior€citizen€because€of€theÐ ®V" Ðdisabling€condition.Ðz"#Ð Ð ÐÌà8°àTemporary€residence€by€persons€less€than€55€years€of€age€(guests)€is€permitted€for€a€period€not€inÐ !º% Ðexcess€of€sixty€(60)€days€in€any€twelve€(12)€month€period.ÐÞ!†&°(#°(# ÐÌà8°àTo€qualify€as€a€permitted€health€care€resident,€the€service€provided€must€be€substantial€in€nature€andÐ v#!( Ðmust€provide€assistance€with€either€necessary€daily€activities€or€medical€treatment€or€both.ÐB$ê!)°(#°(# ÐÌIn€order€to€meet€the€federal€and€state€requirements€for€senior€communities,€the€Center€must€maintain€information€onÐ Ú%‚#+ Ðresidents€living€in€the€community.€€State€law€requires€information€on€each€resident,€and€federal€law€requires€seniorÐ ¦&N$, Ðcommunities€to€be€able€to€demonstrate€that€at€least€80%€of€the€occupied€units€are€occupied€by€at€least€one€person€55Ð r'%- Ðyears€of€age€or€older.€€In€order€to€meet€this€requirement,€the€Association€performs€annual€surveys€of€residentsðð€agesÐ >(æ%. Ðand€related€information.Ð )²&/ ÐÌPlease€fill€out€the€òòòòð ðOwner/Tenant€Age€Verification€Formðð€óóóócompletely,€attach€proof€of€age€and€return€it€to€theÐ ¢*J(1 ÐCommunity€Center€in€the€enclosed€envelope.€€The€completed€form€will€be€held€in€confidence,€and€the€informationÐ p+)2 Ðcontained€thereon€will€not€be€disclosed€unless€required€in€connection€with€a€challenge€to€the€Center's€senior€status.€€Ð <,ä)3 ÐÌIf€you€have€any€questions,€please€contact€the€Community€Center€at€(858)€487„0120.€€Thank€you€for€your€cooperationÐ Ô-|+5 Ðand€assistance€in€this€matter.Ð .H,6 ÐÔ#†XGÂX ú4x#ÔÔ% € ÔòòÔ#†XéXXXGÂ #ÔÔ‡XGÂXXXéÔÔ‡Â¾ÊÂXXGÂÔóóÌà€""·€%àÔ#†XGÂXÂÂ¾Ê#ÔÔ‡Â¾ÊÂXXGÂÔAttachment€7à€@€%€%Ã€%àˆÐ 0¾-8 Ðà€|"|"¸€%àPage€1€of€1Ô#†XGÂXÂÂ¾Êg#ÔòòˆÐ À0h.9 ÐÐ j1/: ÐÑZç]Ñâ ZâÑXXÑâ ZâÑ Ñà@QQXìàòòÔ‡&nß %ÐXGÂÔOAKS€NORTH€COMMUNITY€CENTER,€INC.ˆÐ X Ðà@‹‹Uìàòòð ðA€Senior€Citizen€Housing€DevelopmentððóóˆÐ \ Ðà@œœLìàóó12578€Oaks€North€Drive,€San€Diego,€California€92128„1699ˆÐ ` Ðà@r r RìàTelephone€(858)€487„0120€ð¨ð€Fax€(858)€487„5328Ô#†XGÂX ”&nß‚#ÔóóˆÐ ^ ÐòòÌÌà@¯¯WìàòòOWNER/TENANT€AGE€VERIFICATION€FORMóóóóˆÐ 4Ü ÐÌÒHXÒÒHXÒÔ‡ôŽòXXGÂÔÓ €ÓEvery€owner€of,€or€person€residing€in,€a€home€in€Oaks€North€òòMUSTóó€òòANNUALLYóó€complete€an€age€verification€form€toÐ ® Ðcertify€his€or€her€eligibility€to€reside€in€Oaks€North,€a€senior€community.€€All€residents€must€attach€proof€of€age€(copy€ofÐ Ì t Ðdriver's€license,€birth€certificate,€etc.).€Whenever€there€is€a€new€resident€in€the€home,€a€new€age€verification€form€mustÐ Š2 Ðbe€submitted.€€The€Community€Center€reserves€the€right€to€verify€any€information€given€below:Ð Hð ÐÒXHlÒÒXHzÒÒ„DXÒÓ €Óà°àòòòòð&ðóóóóààI€own€and€reside€in€the€home€identified€below.Ð e ÐÌà°àòòòòð&ðóóóóààI€am€a€renter€or€lessee€of€the€home€identified€belowÔ#†XGÂXòôŽˆ#ÔÔ‡ôŽòXXGÂÔÔ#†ô?ì!òòôŽð#ÔÔ‡ôŽò!òô?ìÔÐ Kó ÐÌÓ€ JHLMNOPQRS(9„x8DÓÝ"‚H3£"ÝÝÝòòòòà°àÝ‚H3£ ÝÔ29„Ôð&ðÔ3 Ôà0àÝÝóóóóMy€spouse€(or€co„habitant)€also€resides€in€the€home€identified€below.€€His/her€name€and€dateÝƒH3£ HÝŒÐ1ÙT$T$ ÐŒÝ Ýà°àààof€birth€(please€attach€proof€of€age)€are€as€follows:Ð Y ÐÌà°ààà__________________________________________________€€€€______________________Ð Õ} Ð€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Name€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Date€of€BirthÐ “; ÐÔ#†XGÂXòôŽ#ÔÔ‡ôŽòXXGÂÔÔ#†ô?ì!òòôŽS#ÔÔ‡ôŽò!òô?ìÔÌÓ€ UHLMNOPQRS(É„xxJHLMNOPQRSÓÝ"‚Lé;"ÝÝÝòòòòÝ‚Lé;¿Ýà0°àÔ2É„Ôð&ðÔ3 Ôà0°T$°T$àÝÝóóóóI€own€òòòòBUT€DO€NOT€RESIDEóóóó€in€the€home€identified€below.€All€residents€of€the€home€identifiedÝƒLé;¿òÝŒÐ·T$T$ ÐŒÝ Ýà°àààbelow€are€listed€by€name€as€follows:€€(then€proceed€to€PART€2€on€page€2)Ð 7ß ÐÌà°àòòàà___________________________________€€€€€_____________________________________Ð ³[ ÐÌà°ààà___________________________________€€€€€_____________________________________Ô#†ô?ì!òòôŽ#ÔÔ‡ôŽò!òô?ìÔÔ#†XGÂXòôŽÜ#ÔÔ‡ôŽòXXGÂÔòòóóóóÐ ?ç ÐÒ„XÒÓ €ÓòòòòóóóóÌÓ5‡"Ê5ÓÓ?+X X€Î‹I` GƒÒÀ’X°œX?ÓòòòòÓ €ÓàÎàóóòòð&ðà8‹àóóóóBy€checking€this€box€and€signing€under€Part€2€on€page€2€of€this€form€(skipping€Part€1)€I€certifyÐ ³[ Ðthat€there€have€been€no€changes€in€ownership€of€and/or€residency€in€the€home€identified€belowÐ Ûƒ Ðsince€the€prior€Owner/Tenant€Age€Verification€Form€was€submitted.€òòòòÐ™A!‹M!‹M! 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