Non-Resident Transponder Vehicle Information Form

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Please fill out this form below and click submit. If you would like to download a hard-copy instead to print, fill out and drop-off at our office you can get it at Non-Resident Transponder Form

 

Non-Resident Vehicle & Driver Information

Driver's Name
Make
Model
Year
Color
State of License Plate
License Plate Number
 

Please check the applicable box below for the non-resident:

Family MemberFull-time Household EmployeeMedical or Home HealthOther (specify in comments)
Comments
 

Resident Contact Details

Resident Name
Home Address
Email
Phone
 

Resident Sponsor & Non-Resident Agreement

We hereby certify as follows:

  1. Resident Sponsor and Non-Resident each represent that all information submitted with this application and agreement is true and correct.
  2. As a condition for the privilege to possess an active transponder, Resident and Non-Resident agree that the Non-Resident is subject to and will comply with all Dominion rules and regulations applicable to Residents, and particularly the rules and regulations pertaining to vehicle operations, safety, and use of roads and transponders. The rules and regulations are available upon request.
  3. As further conditions for the privilege to possess an active transponder, Resident and Non-Resident agree that Non-Resident will use the transponder exclusively to go to and from the Resident’s property. Non-Resident will not allow any other person to use the Non-Resident’s car to access The Dominion. Non-Resident will notify The Dominion Homeowners Association of the sale of the Non-Resident’s vehicle and/or if the vehicle is stolen. The Resident and Non-Resident will notify The Dominion Homeowners Association if non-resident access into the community is no longer required.
  4. Resident and Non-Resident agree that any misrepresentation of information in connection with or violation of the terms of this application and agreement may result in revocation of the Non-Resident transponder, forfeiture of the $100 fee, and the deactivation of all resident transponders associated with the Resident’s Dominion address for up to 30 days.
  5. Resident and Non-Resident understand that the non-resident transponder fee is $100 valid for one calendar year and that the fee is non-transferrable and non-refundable.
  6. My initials to these agreements and certifications and signature below, hereby represent and certify that the terms of this application and agreement have been translated and explained to me in Spanish by a person of my own choice.

Attach Documents

PROOF OF VEHICLE REGISTRATION & PROOF OF RESIDENCY IS REQUIRED.

Here you can upload your Vehicle Registration, Texas Driver's License or Government issued ID.





 

Non-Resident's Signature

Please sign below using your mouse or finger if you are on a mobile device.
 

Resident's Signature

Please sign below using your mouse or finger if you are on a mobile device.