BPR 517 Page 2 of 4
Rev 5/99
(1) Name of Multisite Timeshare Plan:
Street Address:
City: County: State: Zip:
Telephone ______________________________________
(2) 7-Day Annual Use Availability Periods/Plan Duration:
Total Out-of-State:________ Added By This Filing:________
Total In-State: ________ Added By This Filing:________
Term of Plan:________Years Plan Terminates: __/__/__
(3) Type of Multisite-Related Timeshare Interest Conveyed:
Timeshare Estate ____ Specific Interest ____
Timeshare License ____ Non-Specific ____
Mixed Estates & Licenses ____
(4) Name of Multisite Developer:
Street Address: __________________________________
City: ________ State: Zip: _________
Telephone _______________________
(5) Accommodation/Facility Assurance Type (excluding reservation system):
(a) Non-Disturbance & Notice To Creditors Instrument ____
(b) Subordination & Notice To Creditors Instrument ____
(c) Irrevocable Trust or Non-Profit Corporation ____
(d) Alternative Assurance ____
(e) Not Applicable ____
(6) Developer's Attorney/Agent*:
Street Address: _________________________________
City: State: Zip: ________
Telephone: ______________________
* If the developer does not specify in writing below whom he wishes to receive subsequent
correspondence concerning this filing, all correspondence, including deficiency letters will be
directed to the person listed in item (6) above.
(7) Name of Vacation Club Managing Entity**:
Street Address: _________________________________
City: _ State: Zip: _______
Telephone _________________________
**The vacation club managing entity listed here will be held responsible for compliance with
Section 721.13, F.S., pursuant to Section 721.56(4), F.S, as to the vacation club. It will also be
held responsible for such compliance as to each component site offered as part of the plan for
which no different component site managing entity is listed on BPR Form 512.