SOMERSET HILLS VIOLATION COMPLAINT -
WITNESS STATEMENT
PLEASE
PRINT OR TYPE. Complete all the
information you know. If unknown, please state so. Attach additional sheets if necessary.
INFORMATION
CONCERNING RESIDENT WITNESS (ES) TO VIOLATION:
Witness
(1) Name Address Phone
No.
Witness
(2) Name Address Phone
No.
INFORMATION
CONCERNING VIOLATOR (S):
Violator
(1) Name Address Plate No. Phone No.
Violator
(2) Name Address Plate No. Phone No.
INFORMATION
CONCERNING VIOLATION:
Violation
Date Time Location
Section(s) of Indenture, By-Laws, or Rules and
Regulations which was/were violated.
WITNESS/OBSERVATIONS:
Were any photos taken? Yes No By Whom?
Attach
all photos to this form and forward as soon as possible. Include date photos taken and names of any
individuals present.
I
HAVE MADE THE ABOVE STATEMENTS BASED ON MY PERSONAL KNOWLEDGE AND NOT UPON WHAT
HAS BEEN TOLD TO ME. I WILL COOPERATE
WITH THE ASSOCIATION AND ITS ATTORNEYS TO PROVIDE ADDITIONAL STATEMENTS OR
AFFIDAVITS, AND, IN THE EVENT A HEARING OR TRIAL IS NECESSARY, I WILL APPEAR TO
TESTIFY AS A WITNESS.
Signature
Date Signed
