DEV: HOA CVF - PG 1 | 828 REAL ESTATE

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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:

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: DECLARATIONS & AGREEMENTS

Before proceeding, review the following required Declarations & Agreements which must be agreed to prior to making any submission. By checking the following boxes, I do hereby agree to the following:

I declare the statements made on the subsequent pages of this Submission Form 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. *