EmailMe Form - Bennington Place II HOA Violation Report

Bennington Place II Homeowner Violation / Witness Report
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Please complete all known information. Any additional information regarding this violation can be emailed to violation@benningtonplace.com
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Bennington Place II HOA Violation Report
Fields indicated with a * are required.

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: *

YYYY

AM/PM

Violation Location: *

Sections of documents violated:

Witness' Observations:

Were there any photographs or videos taken? *

Yes

Who took the photographs or videos?

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: *

Image Verification
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Include all tapes and photographs with this form or forward as soon as possible. Include the
name and phone number of the person who made the tape or photograph, the date and the
name of anyone else that was present. You will receive an email confirmation with the information you sent.

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