HIGH GABRIEL ESTATES

Property Owners Association

Deed Restriction Violation/Complaint Form

Please reference Article XI of the Bylaws for guidance. The Bylaws may be found on the website at www.highgabrielwsc.com/poa

Please fill out the form below to report a suspected Deed Restriction Violation or Complaint to the High Gabriel Estates Property Owners Association Board of Directors. Any report forms submitted without the name, subdivision and section of the complainant will not be processed. A complainant must reside in the same section as the violation.

Date (required): __________________________

Your Name (required): ________________________ Phone: __________________

Your Subdivision and Section (required): __________________________________

Your Email Address: ____________________ @ ______________________

Address of the Violation: __________________________________

Subdivision and Section of Violation: ________________________

Deed Restriction(s) Being Violated: __________________________

_____________________________________________________

Please state in detail the nature of the violation:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

What actions have you taken to attempt to resolve this issue with the violator? Example: Phone call, visit, letter, etc. ___________________________________________

______________________________________________________________________

______________________________________________________________________

Page 1 of 2