Briarcreek

Homeowner Complaint Form

HOMEOWNER COMPLAINT FORM
BRIARCREEK HOMEOWNERS ASSOCIATION

Submit by email to: Joyce Heidelbert at joyce.heidelberger@att.net
By mail to: BNA Compliance Committee, PO Box 721302, Okla. City, OK 73172

PLEASE PRINT LEGIBLY OR TYPE IN THE SPACES PROVIDED. IF YOU NEED MORE SPACE, ATTACH A SEPARATE SHEET AND INDICATE SO IN THE SPACE PROVIDED.


Name:
(your name will remain anonymous to the BNA Homeowner identified in this complaint)

Address:

Contact Number:

Address of Offending Lot:

Owner of Lot:

I claim the Owner of such Lot has failed to:

___ Maintain
___ Repair
___ Rehabilitate
___ Restore

Specifically, the Owner has failed to:

The Lot Owner’s failure has resulted in the endangerment of:

____ Health
____ Welfare
____ Property
____ Aesthetic appeal

Specifically, the endangerment to me or my Lot is:


Homeowner Signature __________________________________ Date ____________________



Date Received by Board:
Date Homeowner notified ______________________

Action Taken by Owner: