Deed Restriction Complaint Form

The following information must be completed in its entirety in
 order for us to commence the investigation on your behalf.
 Incomplete forms will not be processed.

Northdale Civic Association

3853 Northdale Blvd. Box 374

Tampa, Florida   33624

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Formal request to have the Northdale Civic Association, Inc. investigate Deed Restriction violations.

Name:

Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Work Phone:

Are you currently a member of the Association?

Yes No (Click <HERE> to become a member)
 

Address of House You Wish the Association to Investigate:

City:

State:

Zip Code:

Description of the issues affecting the property you wish the Association to investigate on your behalf:

 

 

Date of Request:

Name of Person Filing This Complaint:

 
 
 

(Type or Print Name)

 

Signature

MAIL THIS COMPLETED FORM (AND MEMBERSHIP FEES, IF YOU ARE NOT A CURRENT MEMBER) TO:

NORTHDALE CIVIC ASSOCIATION
Attn: Deed Restriction Committee
3853 Northdale Blvd., Box 374
Tampa, Florida 33624

PLEASE ALLOW 10 DAYS FROM MAILING FOR PROCESSING.  YOU WILL BE CONTACTED BY ONE OF OUR REPRESENTATIVES.

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