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Address of HOA unit that is the subject of the dispute *
City *
Zip *
County * Alameda Alpine Amador Butte Calaveras Colusa Contra Costa Del Norte El Dorado Fresno Glenn Humboldt Imperial Inyo Kern Kings Lake Lassen Los Angeles Madera Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada Orange Placer Plumas Riverside Sacramento San Benito San Bernardino San Diego San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta Sierra Siskiyou Solano Sonoma Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo Yuba
Do you live in this unit? * Yes No
Do you own it? * Yes No
What language would you like to use to describe your problem? * English Spanish Vietnamese Chinese Other
If Other was selected then enter the language. *
Home Phone *
Cell Phone *
Which is the best phone for reaching you? * Home Phone Cell Phone
Email *
Do you have copies of the HOA’s governing documents (tract/parcel map, CCRs, Articles of Incorporation, Bylaws, Operating Rules)? * Yes No Not Sure
LEGAL name of the HOA (found on its CC&Rs or Articles of Incorporation). *
Does your HOA employ a property manager? If so, state the name of the property manager and the property management company *
Are you a board director of the HOA? * Yes No
What is the name of the HOA Board president? *
How often do you pay REGULAR assessments? * Monthly Quartery Annually Other
How much are they? *
Are you also paying SPECIAL/EMERGENCY ASSESSMENTS? * Yes No
If “yes,” which TYPE is it and the DOLLAR AMOUNT? *
Have you paid the SPECIAL/EMERGENCY assessments? * Yes No
Was there a VOTE on the SPECIAL assessment? * Yes No
If "something else" then describe it here: *
Do you need to meet a deadline? If so, state the deadline and identify who set it, e. g. board? manager? Debt collector? Is the deadline set by law or by the HOA? Or are you not sure? *
Who at the HOA have you been in contact regarding this dispute? List names, contact information and their role with the HOA such as project manager, board president, board member staff member, HOA law firm or debt collector. Use additional sheets if necessary. *
Do you have copies of any written communications between you and the HOA regarding this dispute or personal notes? If so, be sure to have copies of them available. *
Is there any further information you wish to provide? If so, describe here: *