HOUSE CHECK REQUEST FORM

HOUSE CHECK REQUEST FORM
Property owner’s name*
Phone #*
Physical address to be checked*
Email*
example@example.com
Mailing address*
Date service is to start*

MonthDayYear
Date
Date service is to cease*

MonthDayYear
Date
during the requested time frame, will you or someone be staying at this house, be an occasional visitor or be stopping by to check on it?*

YesNo
Do you have a property manager?*

YesNo
If so, please provide their name and contact info below:
This is a FREE service offered by the PLPOA Department of Community Standards to it's owners. PLPOA staff will conduct a monthly drive-by inspection of the property and email an up-to-date photo to the owner each month the service is provided. In the event of any perceived issues, the owner will be contacted immediately. It will be up to the owner to handle the situation as they deem necessary. PLPOA staff will not enter any structure on the property nor will they attempt to complete any emergency repairs that might be required. This service will not auto-renew on an annual basis. Owners should not expect this service to replace, or act in lieu of, a security or property management service. No warranty or guarantee is expressed or implied.
Signature

Clear
Date

MonthDayYear
Date
230 Port Ave., Pagosa Springs, CO 81147 Phone: 970-731-5635 Email: plpoa@p lpoa .com Website: www.plpoa.com
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