COMPLAINT FORM

Bulow Plantation DATE:

Harmonious living conditions and a well-run manufactured home park are best
maintained when communication is easy and precise. While our goal is your
enjoyable residency here, there may be an occasion when a matter must be brought
to management’s attention for remedy.

In order that corrective steps may be taken when necessary we ask that complaints
or suggestions be submitted to management in writing with a copy to the home
owners association board of directors.

Type of Complaint: ___________________________________________________

Against Management _____________ Against Fellow Resident__________________
If against a particular person:
Name ______________________________________________________________
Space # or Address: __________________________________________________

Detail incident, complaint problem or suggestion (Specify date, time, place):

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What action(s) do you suggest management should take:
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I understand that state law may, upon eviction of a tenant because of complaints,
require that my name and the contents of this complaint be revealed in the required
notice and, therefore, management cannot promise complete confidentiality.

Your Signature ___________________________ Date: ____________________

Your name (Please print) _____________________________ Space #___________