COMPLETE THIS FORM AND RETURN TO:

San Ignacio Villas Inc. - HOA

1865 W Demetrie Loop, Green Valley, AZ 85622

OR e-Mail: HOASanIgnacioVillas@gmail.com

PERSON WHO OBSERVED THE VIOLATION:

NAME: Click here to enter text.

LOT #: Click here to enter text.

ADDRESS: Click here to enter text.

PHONE: Click here to enter text.

EMAIL: Click here to enter text.

PROPERTY IN VIOLATION OF SIV GOVERNING DOCUMENTS:

ADDRESS: Click here to enter text.

LOT #: Click here to enter text.

DATE/S VIOLATION OCCURRED: Click here to enter text.

NATURE OF THE VIOLATION/S: Click here to enter text.

Per Arizona Law, any complaint lodged with the Association will NOT remain anonymous. The person complaining of the alleged violation must state their first and last name and this information may be provided to the party who is accused of the violation.

SIGNATUER OF OBSERVER: Click here to enter text.

DATE: Click here to enter a date.

10/21