Phone: 866-4-RealService
(866-473-2573)
Fax: 866-919-5696

Gate Entry Tag Form

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Email *

Are you the homeowner or tenant? Please check one box only. *

Homeowner
Tenant

List the registered vehicles with an SSHCA address for Gate Access.

Year *

Make / Model *

License Plate *

Temp Plates?

Yes
No

Temporary plates will expire in 90 days, Please report permanent tags as soon as they arrive.

EZTag/TxDOT #(if applicable)

Leave blank if applying for SSHCA Tag.

Tag Type *

SSHCA Window Sticker
SSHCA License Plate
EZTag
TxDOT

I have read and fully understand the instructions for safe use of the access gates. I further understand that failure to comply with these instructions may result in damage to my vehicle(s). I agree to “hold harmless” South Shore Harbour Community Association, Inc. and/or its Board of Directors or managing agents against damages done by the access gates.

Homeowner Signature *

Date *

Vehicle Registration or Insurance *

Click or drag a file to this area to upload.

Please provide one of the above items to verify proof of vehicle ownership.

Photo of EZTag

Click or drag a file to this area to upload.

Ensure tag number is readable.

Photo of TxDOT Tag

Click or drag a file to this area to upload.

Ensure tag number is readable.

Company Car Waiver

Click or drag a file to this area to upload.

If vehicle is corporate owned, please have employer submit letter of confirmation that applicant is permanent user of vehicle.

The registration for the vehicle should reflect an SSHCA address and uploaded with submittal.

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