Bennington Place II Homeowner Violation / Witness Report

Please complete all known information.
Bennington Place II HOA Violation Report

Witness Name: *
Witness Address: *
Witness Phone: *
Witness Email: *
Other Witness Names and Contacts:
Violator's Name:
Violator's Address:
Violator's Phone/Email:
Violation Description: *
Violation Date and Time: *

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DD
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YYYY

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MM

AM/PM
Violation Location: *
Sections of documents violated:
Witness' Observations:
Were there any photographs or videos taken? *
 Yes  
  No 
Who took the photographs or videos?
Please attach photographs or videos taken
Please attach photographs or videos taken
Please attach photographs or videos taken
Please attach photographs or videos taken
Please attach photographs or videos taken
Please attach photographs or videos taken
I have made the above statement based on personal knowledge and not upon what has been told to me. *
 Agree  
  Disagree 
I will cooperate with the Association and its attorney to provide any additional statements or affidavits in the event a hearing or trial is necessary. I will appear to testify as a witness. *
 Agree  
  Disagree 
eSignature - Type your Name and Today's Date: *
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