HOA: COVENANT VIOLATION FORM

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Service with Purpose

HOMEOWNERS ASSOCIATIONS

COVENANT VIOLATION FORM

828 Real Estate in conjunction with your Neighborhood / Homeowners Association are committed to helping protect and preserve the overall environment of your community. One of these tasks is to respond to reported resident concerns. Any report of a Covenant Violation must be submitted via this form and must include at least one (1) photo distinctly demonstrating the violation. Provided the reporting of Covenant Violations is done in good faith, the personal information of the individual(s) reporting the violation will be kept confidential.

Covenant Violation Submission: Submitter Contact Information

First Name:

Last Name :

Neighborhood / Association of Residence:

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

Contact Phone Number:

Contact Email Address:

Would you like to receive a copy of this submission to the email provided above?

Yes

Covenant Violation Submission: Violation Information

Address of Violation:

Specific Covenant Violation:

Provide the Following Information:

• Specific Title / Name of Covenant in Violation

• Covenant Article, Page Number, and Section from Related Covenants / By-Laws

Detailed Explanation of Covenant Violation:

As part of your explanation, please provide the following information:

• Frequency of Covenant Violation

• Negative Impact to Surrounding Residents

• Specific Dates When Violation Has Been Reported to Homeowners Association

• Any Special or Mitigating Circumstances

Covenant Violation Submission: Supporting Photographs

Supporting photos demonstrating the reported Covenant Violation must be included as part of your submission. Submissions without photos, with photos not supportive of the Covenant Violation, or corrupt/distorted photos will result in 'no action' occurring.

Photo / Video #1

Photo / Video #2:

Photo / Video #3:

By checking the following boxes, I agree to the following:

I declare the statements made in this Submission are true to the best of my knowledge.

I authorize representatives of 828 REAL ESTATE LLC and/or representatives of the specified 'Neighborhood / Association of Residence' to contact the individual(s) making this Covenant Violation Submission for any reason related to the investigation and disposition of this Submission.

I understand submissions of this form which are knowingly inaccurate, blatantly false, intentionally incendiary, and/or of a threatening nature may result in civil and/or criminal legal action.