1. Property Address:	*
2. Owner's Name:	*
3. Owner's Home Address:	*
4. Owner's Telephone Number	*
I/We, the owner of the above mentioned property, located in Country Place, relinquish our rights to use the facilities of Country Place, Inc. for this property, and transfer these rights to the below named tenant(s), providing the tenant provides proof of Renters Insurance showing liability coverage and Country Place, Inc. as an additionally insured on this policy.
6. Tenant's Name:	*
7. Tenant's Phone Number:	*
8. List of Full-Time Residents:	*

Membership Transfer Agreement