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COMPLAINT FORM

Managed By Platinum Management Inc.

7225 E. Broadway Blvd., Suite 140, Tucson, AZ 85710

Under Nature of the Complaint please describe the complaint in detail, stating the provision of the Governing Documents that has been violated, the date of the violation or the date the violation was observed, and the names and addresses of others having knowledge of this violation. Also state whether you have discussed this violation with the Owner and if so, describe in detail those conversations.

Date of Violation

By clicking Submit you are agreeing to the following: I understand that under A.R.S. §33-1803, the Association is required to provide the Owner in violation with the name of the person who observed the violation and that therefore, the Association will be required to release my name to the Owner in violation. I agree that I will participate and testify in the event of any legal action arising out of the filing of this Complaint.

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